Šio darbo tikslas: Įvertinti proaktyvios ir reaktyvios strategijų taikymo įtaką pusiausvyrai ir eisenos greičiui pacientams, patyrusiems galvos smegenų insultą. Tikslui pasiekti išsikelti uždaviniai: 1. Įvertinti pusiausvyrą ir eisenos greitį proaktyvios strategijos lavinimo grupės pacientams reabilitacijos pradžioje ir pabaigoje. 2. Įvertinti pusiausvyrą ir eisenos greitį reaktyvios strategijos lavinimo grupės pacientams reabilitacijos pradžioje ir pabaigoje. 3. Palyginti pusiausvyros ir eisenos greičio kaitą tarp grupių reabilitacijos metu. 4. Įvertinti pusiausvyros ir eisenos greičio sąsajas pacientams, patyrusiems galvos smegenų insultą. Metodika: tyrime dalyvavo 32 pacientai patyrę galvos smegenų insultą. Tiriamieji atsitiktine tvarka buvo suskirstyti į tiriamąją ir kontrolinę grupes. Tiriamųjų amžius svyruoja nuo 60 iki 70 metų. Tyrimas atliktas Kauno klinikinės ligoninės FMR skyriuje. Visiems pacientams kiekvieną dieną buvo atlikti du kineziterapijos užsiėmimai. Vieno užsiėmimo metu su visais pacientais dirbama pagal reaktyvią strategiją, o kitas užsiėmimas buvo orientuotas į eisenos ir pusiausvyros gerinimą; su kontroline grupe šio užsiėmimo metu dirbama taikant reaktyvią, o tiriamąja grupe – proaktyvią lavinimo strategiją. Visi tiriamieji prieš ir po reabilitacijos buvo įvertinti „Stotis ir eiti“ testu, pusiausvyros mėginiais pagal Schmitz ir Berg pusiausvyros skale. Apibendrinus rezultatus pateikiamos išvados: 1. Proaktyvi lavinimo strategija pacientams... [toliau žr. visą tekstą] / The aim of this work: to evaluate influence of proactive and reactive strategies towards balance and walking speed of the patients who suffered from the stroke. The tasks of the work: 1. to evaluate balance and walking speed of the patients in the group of proactive strategy at the beginning of rehabilitation and at the end. 2. to evaluate balance and walking speed of the patients in the group of reactive strategy at the beginning of rehabilitation and at the end. 3. to compare the change of balance and walking speed between groups during the rehabilitation. 4. to evaluate the links between balance and walking speed of the patients who suffered from stroke. Methodology: 32 patients who suffered from the stroke took part in the research. They were divided into analyzed and control groups in random order. The age of the patients is from 60 to 70 years. The research was carried out in FMR department Kaunas Clinical hospital. All patients had two physiotherapy periods every day. During one period they have been working according to reactive strategy. The other period was oriented towards the improvement of balance and walking. During the second period patients of control group have been working according to reactive strategy and patients of analyzed group have been working according to proactive strategy. All patients before and after the rehabilitation were evaluated according to “Stand and go” test and balance samples of Schmitz and Berg balance scale. Conclusions: 1... [to full text]

Walking is an essential task important to recovery after stroke. However, there is a limited understanding regarding the characteristics of walking in in-patients with stroke. The objectives of this thesis were to: 1) develop an instrument capable of acquiring temporal characteristics of everyday walking; 2) investigate the quantity and control of everyday walking; and 3) profile the task-specific link between walking and cardiorespiratory response. In study 1 we developed and validated a wireless monitoring system (ABLE system). Study 2 revealed low quantities of everyday walking (4816 steps; SD 3247) characterized by short bout durations (59.8s; SD 23.4) and asymmetric walking. In study 3 we observed a modest task-related response in HR(19.4% HRR); however, the intensity and duration of everyday walking did not approach the guidelines for aerobic benefit. Monitoring in-patient walking can help guide clinical decision making in developing methods to maximize recovery after stroke.

Bipedal locomotion is a challenging control engineering problem due to the non-linear dynamics and postural instability of the bipedal form. In addition to these challenges, some dynamical effects such as the ground reaction force are difficult to model accurately in simulation. To this end, it is essential to develop physical hardware to validate walking control strategies and gait generation methods. This thesis develops an on-line walking control strategy for humanoid robots and the electromechanical design of a physical platform for experimental validation. The first part of the thesis presents the development of a 14 degrees-of-freedom (DOF) lower body humanoid robot. The initial electromechanical design of the proposed system is derived from dynamic modeling of a general multibody system. Kinematic trajectories for the lower body joints are extracted from motion captured human gait data to form the preliminary design specifications. The drivetrain components are selected by analyzing the mechanical power requirements, torque-speed profiles, efficiency and thermal characteristics of actuators. The supporting mechanical chassis and power transmission system are designed to raise the center-of-mass (to reduce the swinging inertia of each leg) while minimizing the overall weight of the system. Refining the design of a complex multibody robotic system like the biped is an iterative process. The mechanical model of the system is transferred from Computer-Aided-Design (CAD) software to a dynamic simulator for analysis and the design is revised to improve performance. This iterative approach is necessary as small changes in the mechanical model can have significant impact on the overall dynamics of the system as well as implications for control design. A streamlined prototyping toolchain is developed in this thesis to extract the relevant kinematic/dynamic parameters of a mechanical system in CAD and automatically generate the equivalent system in a dynamic simulator. This toolchain is used to revise the electromechanical design and generate forward dynamics simulations. The second portion of this thesis develops a novel walking control strategy for on-line gait synthesis for 3D bipedal robots based on Wight's Foot Placement Estimator (FPE) algorithm. This algorithm is used to determine the desired swing foot position on the ground to \emph{restore} balance for a 2D bipedal robot. The FPE algorithm is extended to the general 3D case by selecting a suitable plane in the desired direction of motion. Complete gait cycles are formed by combining a finite state machine with the 2D FPE solution along the selected plane. Gait initiation is accomplished by computing state-dependent task space trajectories on-line to produce a forward momentum along the selected plane. A whole-body motion control framework (Jacobian-based prioritized task space control scheme) tracks the task space trajectories and generates the appropriate joint level command for each state. The joint level commands are tracked by local high gain PD controllers. This framework produces the desired whole-body motion during each state while satisfying higher priority constraints. Gait termination is accomplished by controlling the swing foot position to track the FPE point on the ground along the selected plane. The proposed control strategy is verified in simulation and experiments. A parallel hardware-in-the-loop (HIL) testing environment is developed for the physical lower body humanoid robot. The motion control framework and joint dynamics used in the proposed walking control strategy are verified through HIL experiments.

Thesis (M.App.Sc. in Physiotherapy)--University of South Australia, 1997.

Thesis (MPhysio)--University of South Australia, 1998

The purpose of this thesis was to investigate gait analysis methods used to minimise soft tissue artefact (STA) when measuring the kinematics and kinetics of human gait. STA affects all gait analysis methods and is considered to be one of the major sources of error in clinical motion analysis. A systematic review was initially performed to quantify the magnitude of STA for different areas of the lower limbs during gait analysis. Despite the high quality of the existing literature, the results of the review were inconclusive regarding the exact magnitude of STA during human gait analysis. Previously, there were no methods used consistently throughout the reviewed studies to assess STA. The primary aim of this thesis was to determine the most valid method for minimising STA during human gait analysis. / Whilst the systematic review provided equivocal results on the magnitude of STA, it was able to confirm that STA at the tibia is less than for the femur segment. As a result, the tibial segment was investigated to determine marker locations that are least susceptible to STA. Twenty unimpaired young adults were included in the study and were instrumented with 36 markers, including 10 markers on each shank segment. The markers were well spread across the tibial segment in order to assess as many locations as possible. Four markers located on the tibia were less susceptible to STA. These were the proximal and distal anterior tibial crest markers as well as the medial and lateral malleolar markers. These markers were rigid to one another thus were rigid to the underlying bone. / In order to assess the modelling methods proposed in the literature a gold standard comparison was required. A potential new gold standard method was identified as 3-D freehand ultrasound (3-DUS). This was believed to be a non-invasive and cost effective method for locating internal bony structures. A validation of the new method (3-DUS) against MRI was performed to ensure the new gold standard was a valid methodology. The two methods, 3-DUS and MRI were compared for their accuracy in determining the location of the HJC within the pelvis segment. Twenty unimpaired participants were included in this study. The participants were of variable ages and physical composition. The difference between 3-DUS and MRI determined distance between the left and right HJC was 4.0 ± 2.3mm. It was determined that the results from 3-DUS were clinically not significantly different to MRI. The results of this investigation indicated that 3-DUS could be used as a gold standard measurement for three dimensional gait analysis (3-DGA) research. / The new gold standard method was used to validate existing 3-DGA modelling methods to determine which obtained the most accurate location of the HJC. To date, the greatest clinical application for gait analysis is as a test for people with central nervous system disorders associated with spasticity, especially children with cerebral palsy (CP) (Simon 2004). For this reason, 53 patients with gait abnormalities who had been referred to the Royal Children’s Hospital gait laboratory for a 3-DGA were tested. The participant sample represented patients who were referred to the Hugh Williamson Gait Analysis Laboratory (HWGAL). This was apparent because from 2008-2009 69% of patients at HWGAL had a diagnosis of CP, of the sample included in this study, 67% had a CP diagnosis. / Patients underwent a 3-DGA in addition to a 3-DUS of their left and right femoral heads. Resultant ultrasounds were assessed for the quality of the images and 46 patients were included for data analysis. Seven different methods were investigated for the determination of the HJC and four of these were analysed in two different ways, as such there were 11 models compared to 3-DUS. The Harrington et al method obtained the most accurate and repeatable results where the 3-D location error was 14.3 ± 8.0mm. That method considerably outperformed the functional techniques that had previously been proposed in the literature. This highlighted the importance of testing research techniques in target populations. / To conclude, this thesis has identified locations on the tibia which are most rigid to the underlying bone as well as a new gold standard measurement tool suitable for use in 3-D gait analysis research. The thesis has also demonstrated the validity of using functional methods for determining the HJC in pathological populations. Limitations of previous research were identified, including a lack of translation of research findings into clinical practice. Future work following on from this thesis should aim to address this issue.

Thesis (M.S.)--University of Texas at El Paso, 2007. / Title from title screen. Vita. CD-ROM. Includes bibliographical references. Also available online.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 6 uppsatser.

Thesis (M.S.M.E.)--University of Delaware, 2007. / Principal faculty advisors: Jian-Qiao Sun, Dept. of Mechanical Engineering; and Katherine Rudolph, Dept. of Physical Therapy. Includes bibliographical references.

Thesis (Ph.D.)--University of Delaware, 2008. / Principal faculty advisor: Sunil K. Agrawal, Dept. of Mechanical Engineering. Includes bibliographical references.