Abstract

Robotic exoskeletons are regarded as promising technologies for neurological gait rehabilitation but have been investigated comparatively little as training aides to facilitate active aging in the elderly. This study investigated the feasibility of an exoskeletal Active Pelvis Orthosis (APO) for cardiopulmonary gait training in the elderly. Ten healthy elderly volunteers exhibited a decreased (−26.6 ± 16.1%) Metabolic Cost of Transport (MCoT) during treadmill walking following a 4-week APO-assisted training program, while no significant changes were observed for a randomly assigned control group (n = 10) performing traditional self-paced overground walking. Moreover, robot-assisted locomotion was found to require 4.24 ± 2.57% less oxygen consumption than free treadmill walking at the same speed. These findings support the adoption of exoskeletal devices for the training of frail individuals, thus opening new possibilities for sustainable strategies for healthy aging.

Details

Title
Gait training using a robotic hip exoskeleton improves metabolic gait efficiency in the elderly
Author
Martini, Elena 1 ; Crea Simona 2 ; Parri, Andrea 1 ; Bastiani Luca 3 ; Faraguna Ugo 3 ; McKinney, Zach 1 ; Molino-Lova Raffaello 4 ; Pratali Lorenza 3 ; Vitiello, Nicola 2 

 Scuola Superiore Sant’Anna, The BioRobotics Institute, Pisa, Italy (GRID:grid.263145.7) (ISNI:0000 0004 1762 600X) 
 Scuola Superiore Sant’Anna, The BioRobotics Institute, Pisa, Italy (GRID:grid.263145.7) (ISNI:0000 0004 1762 600X); Fondazione Don Carlo Gnocchi, Milan, Italy (GRID:grid.418563.d) (ISNI:0000 0001 1090 9021) 
 National Research Council, Institute of Clinical Physiology, Pisa, Italy (GRID:grid.5326.2) (ISNI:0000 0001 1940 4177) 
 Fondazione Don Carlo Gnocchi, Milan, Italy (GRID:grid.418563.d) (ISNI:0000 0001 1090 9021) 
Publication year
2019
Publication date
2019
Publisher
Nature Publishing Group
e-ISSN
20452322
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2222645653
Copyright
© The Author(s) 2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.