Feasibility of using the NewGait assistive device for correcting gait deviations in individuals with various neurological disorders: Case study

Purpose Impaired gait is one of the earliest, most devastating, and long‐lasting symptoms associated with neurological disorders. This study tested the feasibility of wearing the NewGait rehabilitative device in individuals with gait impairments due to the most common neurological disorders. Methods...

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Veröffentlicht in:Physiotherapy research international : the journal for researchers and clinicians in physical therapy 2024-01, Vol.29 (1), p.e2055-n/a
Hauptverfasser: Ustinova, Ksenia I., Langenderfer, Joseph E.
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container_title Physiotherapy research international : the journal for researchers and clinicians in physical therapy
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creator Ustinova, Ksenia I.
Langenderfer, Joseph E.
description Purpose Impaired gait is one of the earliest, most devastating, and long‐lasting symptoms associated with neurological disorders. This study tested the feasibility of wearing the NewGait rehabilitative device in individuals with gait impairments due to the most common neurological disorders. Methods Seven participants with gait impairments due to strokes, Multiple Sclerosis, peripheral neuropathies, Cerebral Palsy (CP) and Parkinson's Disease (PD) were included in the study. Their walking with and without wearing the NewGait was analyzed and compared using the Vicon T160 system for motion analysis. Gait velocity, step length, foot clearance, lateral displacement of the Center of Mass, gait deviation and symmetry indexes were compared using two standard deviation band method for each participant. Results Participants subjectively assessed the NewGait as a comfortable device to wear and showed immediate gait improvements to varying degrees. Most improvements were observed in participants with muscle weakness due to peripheral neuropathies, stroke, MS, and CP. These participants improved their foot clearance, gait velocity, and step length. Participants with cerebellar stroke and PD increased their gait stability. All participants demonstrated a reduction in composite gait deviation indexes. Not all gait parameters, though, showed immediate changes. Conclusion The results suggest that the NewGait rehabilitative device is feasible and useful for correcting gait impairments caused by neurological deficits. Participants may need to wear this device for longer periods of time in order to achieve long lasting changes in the gait pattern, rather than an immediate correction.
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This study tested the feasibility of wearing the NewGait rehabilitative device in individuals with gait impairments due to the most common neurological disorders. Methods Seven participants with gait impairments due to strokes, Multiple Sclerosis, peripheral neuropathies, Cerebral Palsy (CP) and Parkinson's Disease (PD) were included in the study. Their walking with and without wearing the NewGait was analyzed and compared using the Vicon T160 system for motion analysis. Gait velocity, step length, foot clearance, lateral displacement of the Center of Mass, gait deviation and symmetry indexes were compared using two standard deviation band method for each participant. Results Participants subjectively assessed the NewGait as a comfortable device to wear and showed immediate gait improvements to varying degrees. Most improvements were observed in participants with muscle weakness due to peripheral neuropathies, stroke, MS, and CP. These participants improved their foot clearance, gait velocity, and step length. Participants with cerebellar stroke and PD increased their gait stability. All participants demonstrated a reduction in composite gait deviation indexes. Not all gait parameters, though, showed immediate changes. Conclusion The results suggest that the NewGait rehabilitative device is feasible and useful for correcting gait impairments caused by neurological deficits. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects assistive technology
Biomechanical Phenomena
cerebral palsy
Cerebral Palsy - rehabilitation
Feasibility Studies
Gait - physiology
Gait Disorders, Neurologic - etiology
Humans
multiple sclerosis
Parkinson Disease - complications
Parkinson's disease
Peripheral Nervous System Diseases - complications
Self-Help Devices - adverse effects
stroke
Stroke - complications
Walking - physiology
title Feasibility of using the NewGait assistive device for correcting gait deviations in individuals with various neurological disorders: Case study
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