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Robot-assisted gait training improves motor performances and modifies Motor Unit firing in post-stroke patients.
Conclusions: The evidence that the improvement of walking ability observed in our study determines a significant increase of firing rate of VM not accompanied by an increase of force could suggest an effect of training on motorneuronal firing rate that thus contributes to improve motor control. Clinical Rehabilitation Impact. Given the current wide use of robotics in gait retraining after stroke, our approach can contribute to clarify the mechanisms underlying its rehabilitative impact so as to incorporate the findings of evidencebased practice into appropriate treatment plans for persons poststroke. PMID: 24476805 [P...
Source: European Journal of Physical and Rehabilitation Medicine - January 30, 2014 Category: Rehabilitation Authors: Chisari C, Bertolucci F, Monaco V, Venturi M, Simonella C, Micera S, Rossi B Tags: Eur J Phys Rehabil Med Source Type: research

Spatio-temporal parameters and intralimb coordination patterns describing hemiparetic locomotion at controlled speed
Conclusion: Comparisons between hemiparetic and healthy gait should be carried out when all participants are asked to seek the same suitable dynamic equilibrium led by the same external (i.e., the speed) and internal (i.e., severity of the pathology) conditions. In this respect, biomechanical adaptations reflecting the pathology can be better highlighted by coordinative patterns of coupled segments within each limb than by the spatio-temporal parameters. Accordingly, a deep analysis of the intralimb coordination may be helpful for clinicians while designing therapeutic treatments.
Source: Journal of NeuroEngineering and Rehabilitation - June 12, 2013 Category: Rehabilitation Authors: Lucio RinaldiVito Monaco Source Type: research