Clustering trunk movements of children and adolescents with neurological gait disorders undergoing robot-assisted gait therapy: the functional ability determines if actuated pelvis movements are clinically useful
Abstract Introduction Robot-assisted gait therapy is frequently used for gait therapy in children and adolescents but has been shown to limit the physiological excursions of the trunk and pelvis. Actuated pelvis movements might support more physiological trunk patterns during robot-assisted training...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-06-01
|
| Series: | Journal of NeuroEngineering and Rehabilitation |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12984-023-01200-0 |
| _version_ | 1797811630863548416 |
|---|---|
| author | Florian van Dellen Tabea Aurich-Schuler Nikolas Hesse Rob Labruyère |
| author_facet | Florian van Dellen Tabea Aurich-Schuler Nikolas Hesse Rob Labruyère |
| author_sort | Florian van Dellen |
| collection | DOAJ |
| description | Abstract Introduction Robot-assisted gait therapy is frequently used for gait therapy in children and adolescents but has been shown to limit the physiological excursions of the trunk and pelvis. Actuated pelvis movements might support more physiological trunk patterns during robot-assisted training. However, not every patient is expected to react identically to actuated pelvis movements. Therefore, the aim of the present study was to identify different trunk movement patterns with and without actuated pelvis movements and compare them based on their similarity to the physiological gait pattern. Methods and results A clustering algorithm was used to separate pediatric patients into three groups based on different kinematic reactions of the trunk to walking with and without actuated pelvis movements. The three clusters included 9, 11 and 15 patients and showed weak to strong correlations with physiological treadmill gait. The groups also statistically differed in clinical assessment scores, which were consistent with the strength of the correlations. Patients with a higher gait capacity reacted with more physiological trunk movements to actuated pelvis movements. Conclusion Actuated pelvis movements do not lead to physiological trunk movements in patients with a poor trunk control, while patients with better walking functions can show physiological trunk movements. Therapists should carefully consider for whom and why they decide to include actuated pelvis movements in their therapy plan. |
| first_indexed | 2024-03-13T07:25:31Z |
| format | Article |
| id | doaj.art-914659fe210543a5990c56105a0a6a0b |
| institution | Directory Open Access Journal |
| issn | 1743-0003 |
| language | English |
| last_indexed | 2024-03-13T07:25:31Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of NeuroEngineering and Rehabilitation |
| spelling | doaj.art-914659fe210543a5990c56105a0a6a0b2023-06-04T11:23:01ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032023-06-0120111010.1186/s12984-023-01200-0Clustering trunk movements of children and adolescents with neurological gait disorders undergoing robot-assisted gait therapy: the functional ability determines if actuated pelvis movements are clinically usefulFlorian van Dellen0Tabea Aurich-Schuler1Nikolas Hesse2Rob Labruyère3Swiss Children’s Rehab, Children’s University Hospital ZurichSwiss Children’s Rehab, Children’s University Hospital ZurichSwiss Children’s Rehab, Children’s University Hospital ZurichSwiss Children’s Rehab, Children’s University Hospital ZurichAbstract Introduction Robot-assisted gait therapy is frequently used for gait therapy in children and adolescents but has been shown to limit the physiological excursions of the trunk and pelvis. Actuated pelvis movements might support more physiological trunk patterns during robot-assisted training. However, not every patient is expected to react identically to actuated pelvis movements. Therefore, the aim of the present study was to identify different trunk movement patterns with and without actuated pelvis movements and compare them based on their similarity to the physiological gait pattern. Methods and results A clustering algorithm was used to separate pediatric patients into three groups based on different kinematic reactions of the trunk to walking with and without actuated pelvis movements. The three clusters included 9, 11 and 15 patients and showed weak to strong correlations with physiological treadmill gait. The groups also statistically differed in clinical assessment scores, which were consistent with the strength of the correlations. Patients with a higher gait capacity reacted with more physiological trunk movements to actuated pelvis movements. Conclusion Actuated pelvis movements do not lead to physiological trunk movements in patients with a poor trunk control, while patients with better walking functions can show physiological trunk movements. Therapists should carefully consider for whom and why they decide to include actuated pelvis movements in their therapy plan.https://doi.org/10.1186/s12984-023-01200-0Center of mass displacementWeight shiftingPelvis movementsRehabilitationMarker-less motion tracking systemTrunk control |
| spellingShingle | Florian van Dellen Tabea Aurich-Schuler Nikolas Hesse Rob Labruyère Clustering trunk movements of children and adolescents with neurological gait disorders undergoing robot-assisted gait therapy: the functional ability determines if actuated pelvis movements are clinically useful Journal of NeuroEngineering and Rehabilitation Center of mass displacement Weight shifting Pelvis movements Rehabilitation Marker-less motion tracking system Trunk control |
| title | Clustering trunk movements of children and adolescents with neurological gait disorders undergoing robot-assisted gait therapy: the functional ability determines if actuated pelvis movements are clinically useful |
| title_full | Clustering trunk movements of children and adolescents with neurological gait disorders undergoing robot-assisted gait therapy: the functional ability determines if actuated pelvis movements are clinically useful |
| title_fullStr | Clustering trunk movements of children and adolescents with neurological gait disorders undergoing robot-assisted gait therapy: the functional ability determines if actuated pelvis movements are clinically useful |
| title_full_unstemmed | Clustering trunk movements of children and adolescents with neurological gait disorders undergoing robot-assisted gait therapy: the functional ability determines if actuated pelvis movements are clinically useful |
| title_short | Clustering trunk movements of children and adolescents with neurological gait disorders undergoing robot-assisted gait therapy: the functional ability determines if actuated pelvis movements are clinically useful |
| title_sort | clustering trunk movements of children and adolescents with neurological gait disorders undergoing robot assisted gait therapy the functional ability determines if actuated pelvis movements are clinically useful |
| topic | Center of mass displacement Weight shifting Pelvis movements Rehabilitation Marker-less motion tracking system Trunk control |
| url | https://doi.org/10.1186/s12984-023-01200-0 |
| work_keys_str_mv | AT florianvandellen clusteringtrunkmovementsofchildrenandadolescentswithneurologicalgaitdisordersundergoingrobotassistedgaittherapythefunctionalabilitydeterminesifactuatedpelvismovementsareclinicallyuseful AT tabeaaurichschuler clusteringtrunkmovementsofchildrenandadolescentswithneurologicalgaitdisordersundergoingrobotassistedgaittherapythefunctionalabilitydeterminesifactuatedpelvismovementsareclinicallyuseful AT nikolashesse clusteringtrunkmovementsofchildrenandadolescentswithneurologicalgaitdisordersundergoingrobotassistedgaittherapythefunctionalabilitydeterminesifactuatedpelvismovementsareclinicallyuseful AT roblabruyere clusteringtrunkmovementsofchildrenandadolescentswithneurologicalgaitdisordersundergoingrobotassistedgaittherapythefunctionalabilitydeterminesifactuatedpelvismovementsareclinicallyuseful |