Abstract: The number of people suffering from hemiplegia is growing each year. This lower limb disability affects all the aspects of their lives by taking away their autonomy. This implicates their close relatives, as well as the health system to provide the necessary care they need. The integration of exoskeletons in the medical field became a promising solution to resolve this issue. This paper presents an exoskeleton designed to help hemiplegic people get back the sensation and ability of normal walking. For this purpose, three step models have been created. The first step allows a simple forward movement of the leg. The second method is designed to overcome some obstacles in the patient path, and finally the third step model gives the patient total control over the device. Each of the control methods was designed to offer a solution to the challenges that the patients may face during the walking process.
Abstract: Background: The effectiveness of mirror therapy
(MT) has been investigated in acute hemiplegia. The present study
examines whether MT, given during chronic stroke, was more
effective in promoting motor recovery of the lower extremity and
walking speed than standard rehabilitation alone. Methods: The study
enrolled 30 patients with chronic stroke. Fifteen patients each were
assigned to the treatment group and the control group. All patients
received a conventional rehabilitation program for a 4-week period.
In addition to this rehabilitation program, patients in the treatment
group received mirror therapy for 4 weeks, 5 days a week. Main
measures: Passive ankle joint dorsiflexion range of motion, gait
speed, Brunnstrom stages of motor recovery, plantar flexor muscle
tone by Modified Ashworth Scale. Results: No significant difference
was found in the outcome measures among groups before treatment.
When compared with standard rehabilitation, mirror therapy
improved Ankle ROM, Brunnstrom stages and waking speed
(p < 0.05). However, there were no significant differences between
two groups on MAS (P > 0.05).Conclusion: Mirror therapy combined
with a conventional stroke rehabilitation program enhances lowerextremity
motor recovery and walking speed in chronic stroke
patients.
Abstract: Children with hemiplgic cerebral palsy often walk
with diminished reciprocal arm swing so the purpose of this study
was to describe kinematic characteristics in children with hemiplegic
cerebral palsy (CP) during the gait suphases, and find if there is a
correlation between upper(shoulder and elbow) and lower(hip, knee,
and ankle) limb joints either in involved or uninvolved.48 children
with hemiplegic cerebral palsy (18boys, 30girls) with an average age
of (5.1±0.87) years were selected randomly to evaluate joint angles
during gait by 3D motion analysis system with 6 pro reflex cameras
in a sagittal plane for both sides of the body. The results showed
increased shoulder and elbow flexion, increased hip angular
displacement, decreased knee and ankle arcs during gait cycle, also
there is correlation between shoulder and elbow to hip, knee, and
ankle joints during various subphases of gait.