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Isometric hip and knee torque measurements as an outcome measure in robot assisted gait training

GALEN SS; CLARKE CJ; MCLEAN AN; ALLAN DB; CONWAY BA
NEUROREHABILITATION , 2014, vol. 34, n° 2, p. 287-295
Doc n°: 172186
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.3233/NRE-131042
Descripteurs : DE32 - EXPLORATION EXAMENS BILANS - HANCHE, DE52 - EXPLORATION EXAMENS BILANS - GENOU, DF24 - REEDUCATION DE LA MARCHE

Strength changes in lower limb muscles following robot assisted gait
training (RAGT) in subjects with incomplete spinal cord injury (ISCI) has not
been quantified using objective outcome measures. OBJECTIVE:
To record changes in
the force generating capacity of lower limb muscles (recorded as peak voluntary
isometric torque at the knee and hip), before, during and after RAGT in both
acute and subacute/chronic ISCI subjects using a repeated measures study design.
METHODS: Eighteen subjects with ISCI participated in this study (Age range: 26-63
years mean age = 49.3 +/- 11 years). Each subject participated in the study for a
total period of eight weeks, including 6 weeks of RAGT using the Lokomat system
(Hocoma AG, Switzerland). Peak torques were recorded in hip flexors, extensors,
knee flexors and extensors using torque sensors that are incorporated within the
Lokomat. RESULTS: All the tested lower limb muscle groups showed statistically
significant (p < 0.001) increases in peak torques in the acute subjects.
Comparison between the change in peak torque generated by a muscle and its motor
score over time showed a non-linear relationship.
CONCLUSIONS: The peak torque
recorded during isometric contractions provided an objective outcome measure to
record changes in muscle strength following RAGT.
- Robotique

Langue : ANGLAIS

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