Stroke Clinical Trial
Official title:
Study of the Rehabilitative Efficacy of Copernicus®, a Visual Feedback Device for the Early Start to Locomotion of Post-stroke Patients
We tested the feasibility and efficacy of a novel body-weight support (BWS) gait training system with visual feedback, called Copernicus®. This computerized device provides highly comfortable, regular and repeatable locomotion in hemiplegic patients, training the ability to transfer weight loading alternately on both feet through visual real-time monitoring of gait parameters.
Gait disorders are very common in stroke patients (about 80%) increasing the risk of falls in
performing daily activities and also reducing the global quality of life. Gait disorders in
these patients are characterized by asymmetry in postural and weight distribution during
quiet standing, as well as, by reduced gait speed, that is considered one of the most
important outcome measure of locomotor recovery.
Restoring gait functions (speed, asymmetry and balance) after stroke is one of the major
therapeutic goals in post-stroke rehabilitation and a plethora of recovering strategies have
been proposed.
In this study we tested the feasibility and efficacy of a novel body-weight support (BWS)
gait training system with visual feedback, called Copernicus®. This computerized device
provides highly comfortable, regular and repeatable locomotion in hemiplegic patients,
training the ability to transfer weight loading alternately on both feet through visual
real-time monitoring of gait parameters Copernicus®, a sensory system for the early start of
the locomotion appears as an elliptical cylinder of about 1 meter high on which two
completely slideing positions are prepared by means if a guide fixed along the oval surface
of the device. Each post has a support on which the patient's healthy side of the subject is
placed, above which a brace for the support of the body is attached and weared by the patient
in the verticalization; Front of the patient is a tablet that provides visual feedback during
the exercises. The patient wears shoes on a pair of soles with piezo-resistive sensors that
record for each foot the pressure exerted on the three areas of the foot (outer, inner and
heel). The recorded data is then processed and transmitted to the tablet within a virtual
reinforcement environment. The patient will be able to know his performance and achieved
results and perceive them within a real scenario. The sensing pads measure the support times
for each side and the number of changes. The device is so structured as to allow the
simultaneous treatment of two patients.
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