CME CE

CEUL082224 - Gait Training, Robotic-Assisted

Offered By
DynaMed LLC

1509 Wilson Terrace
Glendale, CA  91206  USA
  949.413.8590
  srichman@ebsco.com

Course Description:

Robotic-assisted gait training makes use of automated devices to move and exert mechanical forces on a patient’s body during gait training following stroke, traumatic brain injury (TBI), SCI, and other neurological conditions. The use of mechanized devices enables the repetitive practice of physiological gait patterns without relying on therapists to assist. There are two variations of robotic devices: those that involve the use of an exoskeleton device, and those that use an end effector to control aspects of the gait cycle. An exoskeleton is an external structural mechanism with joints and links corresponding to those of the human body that is programmed to produce normal physiological gait patterns by moving the patient’s legs with repeatable, predefined hip and knee trajectories while walking on a treadmill. End effector devices use movable footplates to which the patient's feet are attached to provide limb motion similar to an elliptical trainer. They are based on a crank and rocker gear system and do not work in conjunction with a treadmill. Both types of device use some form of body weight support. Advantages of robotic-assisted training include potential for longer duration sessions with more consistent stepping without reliance on human assistance, less cost-intensive training when fewer therapists are required, and earlier start to training because robotic devices tend to be stronger than the physical ability of the therapists.
Robotic-assisted rehabilitation is generally considered experimental and investigational because of insufficient evidence of its effectiveness. Although benefits have been shown, evidence does not fully support that robotic-assisted gait training leads to better outcomes for patients with neurological disorders, and it should not replace over-ground gait training.

CME CE

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