Multidirectional Overground Robotic Training Leads to Improvements in Balance in Older Adults

For the rapidly growing aging demographic worldwide, robotic training methods could be impactful towards improving balance critical for everyday life. Here, we investigated the hypothesis that non-bodyweight supportive (nBWS) overground robotic balance training would lead to improvements in balance...

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Main Authors: Lara A. Thompson, Mehdi Badache, Joao Augusto Renno Brusamolin, Marzieh Savadkoohi, Jelani Guise, Gabriel Velluto de Paiva, Pius Suh, Pablo Sanchez Guerrero, Devdas Shetty
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Robotics
Subjects:
Online Access:https://www.mdpi.com/2218-6581/10/3/101
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author Lara A. Thompson
Mehdi Badache
Joao Augusto Renno Brusamolin
Marzieh Savadkoohi
Jelani Guise
Gabriel Velluto de Paiva
Pius Suh
Pablo Sanchez Guerrero
Devdas Shetty
author_facet Lara A. Thompson
Mehdi Badache
Joao Augusto Renno Brusamolin
Marzieh Savadkoohi
Jelani Guise
Gabriel Velluto de Paiva
Pius Suh
Pablo Sanchez Guerrero
Devdas Shetty
author_sort Lara A. Thompson
collection DOAJ
description For the rapidly growing aging demographic worldwide, robotic training methods could be impactful towards improving balance critical for everyday life. Here, we investigated the hypothesis that non-bodyweight supportive (nBWS) overground robotic balance training would lead to improvements in balance performance and balance confidence in older adults. Sixteen healthy older participants (69.7 ± 6.7 years old) were trained while donning a harness from a distinctive NaviGAITor robotic system. A control group of 11 healthy participants (68.7 ± 5.0 years old) underwent the same training but without the robotic system. Training included 6 weeks of standing and walking tasks while modifying: (1) sensory information (i.e., with and without vision (eyes-open/closed), with more and fewer support surface cues (hard or foam surfaces)) and (2) base-of-support (wide, tandem and single-leg standing exercises). Prior to and post-training, balance ability and balance confidence were assessed via the balance error scoring system (BESS) and the Activities specific Balance Confidence (ABC) scale, respectively. Encouragingly, results showed that balance ability improved (i.e., BESS errors significantly decreased), particularly in the nBWS group, across nearly all test conditions. This result serves as an indication that robotic training has an impact on improving balance for healthy aging individuals.
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spelling doaj.art-cde251924b5d4f94a9343fde6b1f05512023-11-22T15:09:18ZengMDPI AGRobotics2218-65812021-08-0110310110.3390/robotics10030101Multidirectional Overground Robotic Training Leads to Improvements in Balance in Older AdultsLara A. Thompson0Mehdi Badache1Joao Augusto Renno Brusamolin2Marzieh Savadkoohi3Jelani Guise4Gabriel Velluto de Paiva5Pius Suh6Pablo Sanchez Guerrero7Devdas Shetty8Biomedical Engineering Program, Department of Mechanical Engineering, School of Engineering and Applied Sciences, University of the District of Columbia, 4200 Connecticut Ave. NW, Washington, DC 20008, USADepartment of Mechanical Engineering, School of Engineering and Applied Sciences, University of the District of Columbia, 4200 Connecticut Ave. NW, Washington, DC 20008, USADepartment of Electrical and Computer Engineering, School of Engineering and Applied Sciences, University of the District of Columbia, 4200 Connecticut Ave. NW, Washington, DC 20008, USASchool of Engineering and Applied Sciences, University of the District of Columbia, 4200 Connecticut Ave. NW, Washington, DC 20008, USADepartment of Mechanical Engineering, School of Engineering and Applied Sciences, University of the District of Columbia, 4200 Connecticut Ave. NW, Washington, DC 20008, USADepartment of Mechanical Engineering, School of Engineering and Applied Sciences, University of the District of Columbia, 4200 Connecticut Ave. NW, Washington, DC 20008, USABiomedical Engineering Program, Department of Mechanical Engineering, School of Engineering and Applied Sciences, University of the District of Columbia, 4200 Connecticut Ave. NW, Washington, DC 20008, USASchool of Engineering and Applied Sciences, University of the District of Columbia, 4200 Connecticut Ave. NW, Washington, DC 20008, USADepartment of Mechanical Engineering, School of Engineering and Applied Sciences, University of the District of Columbia, 4200 Connecticut Ave. NW, Washington, DC 20008, USAFor the rapidly growing aging demographic worldwide, robotic training methods could be impactful towards improving balance critical for everyday life. Here, we investigated the hypothesis that non-bodyweight supportive (nBWS) overground robotic balance training would lead to improvements in balance performance and balance confidence in older adults. Sixteen healthy older participants (69.7 ± 6.7 years old) were trained while donning a harness from a distinctive NaviGAITor robotic system. A control group of 11 healthy participants (68.7 ± 5.0 years old) underwent the same training but without the robotic system. Training included 6 weeks of standing and walking tasks while modifying: (1) sensory information (i.e., with and without vision (eyes-open/closed), with more and fewer support surface cues (hard or foam surfaces)) and (2) base-of-support (wide, tandem and single-leg standing exercises). Prior to and post-training, balance ability and balance confidence were assessed via the balance error scoring system (BESS) and the Activities specific Balance Confidence (ABC) scale, respectively. Encouragingly, results showed that balance ability improved (i.e., BESS errors significantly decreased), particularly in the nBWS group, across nearly all test conditions. This result serves as an indication that robotic training has an impact on improving balance for healthy aging individuals.https://www.mdpi.com/2218-6581/10/3/101elderlyagingrehabilitation robotsassistive roboticssensory trainingfalls
spellingShingle Lara A. Thompson
Mehdi Badache
Joao Augusto Renno Brusamolin
Marzieh Savadkoohi
Jelani Guise
Gabriel Velluto de Paiva
Pius Suh
Pablo Sanchez Guerrero
Devdas Shetty
Multidirectional Overground Robotic Training Leads to Improvements in Balance in Older Adults
Robotics
elderly
aging
rehabilitation robots
assistive robotics
sensory training
falls
title Multidirectional Overground Robotic Training Leads to Improvements in Balance in Older Adults
title_full Multidirectional Overground Robotic Training Leads to Improvements in Balance in Older Adults
title_fullStr Multidirectional Overground Robotic Training Leads to Improvements in Balance in Older Adults
title_full_unstemmed Multidirectional Overground Robotic Training Leads to Improvements in Balance in Older Adults
title_short Multidirectional Overground Robotic Training Leads to Improvements in Balance in Older Adults
title_sort multidirectional overground robotic training leads to improvements in balance in older adults
topic elderly
aging
rehabilitation robots
assistive robotics
sensory training
falls
url https://www.mdpi.com/2218-6581/10/3/101
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