Lokomat Flashcards
What is the Lokomat Designed for?
Training Gait Ability - It provides enhanced functional locomotion therapy, programmable to the patient’s individual needs.
Which patients should I include in the Lokomat therapy?
Since the Lokomat is a tool for training gait ability, all patients with walking disabilities can be candidates
(as long as they do not present contraindications).
Benefits of Lokomat Include:
Assistance with gait pattern via BWS, Loko legs, and Guidance force, adjustable gait pattern via trainer, data collection, and augmented working environment with games/data.
What are the five major features of the Lokomat?
Gait Pattern, parameters, Patient activity, Assessments, and Training Data.
What are the aspects of Gait pattern on the Lokomat?
Predefined/physiological/autocal, Set up/Hardware adjustments, and software adjustments/ROM and Offset
What hardware adjustments can we make to a cts gait using the GUI?
ROM or amount of movement angle of the knee and hips
Offset - Variation of the angle (ROM) towards ext/flexion
Are hardware adjustments to the gait pattern strictly symmetrical?
no
What is Hip ROM, aspect of gait does it influence, and aspect of gait influences it?
Angle distance that your legs move in front of and behind your body while stepping, stride length, and walking faster or slower.
What is Hip offset and what aspect of gait does/does it not effect?
Hip offset increases or decrease the cts hip flexion/extension while walking. This does not change their hip ROM. This does effect initial contact and toe off.
What is Knee ROM and what aspect of gait does it effect?
Increasing knee flexion increases the
distance between the foot and the floor
during swing phase.
Increasing knee flexion results in quicker toe off and fast movement of the lower leg due to traveling farther in the same time.
What does knee offset do?
Causes the knee to be in more flexion. It can be used to correct hyperextention.
What are the 5 aspects of the Lokomats parameter feature?
Treadmill speed, orthosis speed, BWS, Guidance force, and Asymmetry.
How fast can the Lokomat treadmill go and what feature is speed a part of?
.3 - 2.0mph
Parameters
used to challenge patient
What aspects of gait does speed effect/is speed effected by?
The step length should be adapted to the speed: higher speed – longer step length, thus the Hip
ROM should be increased.
* The orthosis speed value should be adjusted (or use the automatic setting).
* The Offset Hip may need to be adjusted (towards extension).
* The impact of the heelcould be greater and therefore the joints must be able to support this impact.
* The quality of the movement may be affected, e.g. heel strike at initial contact.
