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Thread: Lokomat in Tampa

  1. #1

    Lokomat in Tampa


    I was curious to see if there is a Lokomat in Tampa that anyone knows about. If not I want to start a fundraiser so anyone who needs it (including myself) can use it.

  2. #2
    healthsouth in largo has a auto ambulator.
    C5-6 Feb 05

  3. #3
    Quote Originally Posted by MotoRacer598
    healthsouth in largo has a auto ambulator.
    Thanks for the info. I found out that the closest one to Tampa is in Gainseville. I'm meeting with a Hocoma representative on Tuesday. Perhaps the USF Physical Therapy Center would be a good place for a Lokomat.

  4. #4
    Senior Member mr_coffee's Avatar
    Join Date
    Mar 2005
    San Francisco, CA
    I dislike the auto ambulator, alot! If you have movement I don't find it helpful at all because the machine does it all for you.

    But I heard the lokomat will allow you to assit in your walking but i never tried it out.
    C7/C8, T1 incomplete;

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  5. #5
    Senior Member monkster's Avatar
    Join Date
    Nov 2006
    Gainesville, FL
    Where is the lokomat in Gainesville? Shands Rehab?

  6. #6

    Gait rehab machines

    Here is a new article that reviews the current machines available for rehab. I like the idea of being able to program the device to produce/mimic a level surface or stairs. The full text is free.

    J Neuroengineering Rehabil. 2007 Feb 9;4:2.

    Gait rehabilitation machines based on programmable footplates.

    * Schmidt H,* Werner C,* Bernhardt R,* Hesse S,*Kruger J.

    Department of Automation and Robotics, Fraunhofer IPK, Pascalstrasse 8-9, 10587 Berlin, Germany.

    ABSTRACT: BACKGROUND: Gait restoration is an integral part of rehabilitation of brain lesioned patients. Modern concepts favour a task-specific repetitive approach, i.e. who wants to regain walking has to walk, while tone-inhibiting and gait preparatory manoeuvres had dominated therapy before. Following the first mobilization out of the bed, the wheelchair-bound patient should have the possibility to practise complex gait cycles as soon as possible. Steps in this direction were treadmill training with partial body weight support and most recently gait machines enabling the repetitive training of even surface gait and even of stair climbing. RESULTS: With treadmill training harness-secured and partially relieved wheelchair-mobilised patients could practise up to 1000 steps per session for the first time. Controlled trials in stroke and SCI patients, however, failed to show a superior result when compared to walking exercise on the floor. Most likely explanation was the effort for the therapists, e.g. manually setting the paretic limbs during the swing phase resulting in a too little gait intensity. The next steps were gait machines, either consisting of a powered exoskeleton and a treadmill (Lokomat, AutoAmbulator) or an electromechanical solution with the harness secured patient placed on movable foot plates (Gait Trainer GT I). For the latter, a large multi-centre trial with 155 non-ambulatory stroke patients (DEGAS) revealed a superior gait ability and competence in basic activities of living in the experimental group. The HapticWalker continued the end effector concept of movable foot plates, now fully programmable and equipped with 6 DOF force sensors. This device for the first time enables training of arbitrary walking situations, hence not only the simulation of floor walking but also for example of stair climbing and perturbations. CONCLUSION: Locomotor therapy is a fascinating new tool in rehabilitation, which is in line with modern principles of motor relearning promoting a task-specific repetitive approach. Sophisticated technical developments and positive randomized controlled trials form the basis of a growing acceptance worldwide to the benefits or our patients.
    “As the cast of villains in SCI is vast and collaborative, so too must be the chorus of hero's that rise to meet them” Ramer et al 2005

  7. #7
    The Haptic Walker is an absolutly fantastic piece of machinery, but it´s huge and has only been developed in the lab. It can simulate walking, walking backwards, climbing stairs and decending stairs as well as simulating walking on different surfaces such as hard concrete or soft carpets. There is also a virtual reality program that allows the patient to "walk" through a large gallery with various obstacles such as stairways. If I won the lottery I would buy it right away.

    Haptic Walker with researcher wearing VR goggles.

    VR environment.
    "So I have stayed as I am, without regret, seperated from the normal human condition." Guy Sajer

  8. #8
    Thanks Mike C, I have never seen this device. Would live to have access.
    “As the cast of villains in SCI is vast and collaborative, so too must be the chorus of hero's that rise to meet them” Ramer et al 2005

  9. #9
    I had the meeting today with the Hocoma representative. Everything looks pretty good. I found out that they will be incorporating virtual reality with the Lokomat. It is very impressive.... and very expensive.

    Quote Originally Posted by monkster
    Where is the lokomat in Gainesville? Shands Rehab?
    I'm not exactly sure but the representative I met with today is going to see if I can go up to Gainseville and try it out. When I find out I will let you know.
    Last edited by XYNaPSE; 04-25-2007 at 03:35 AM.

  10. #10
    XYNaPSE, yes you're right, there is a Lokomat in Gainesville, at the VA hospital there. They are using it for a clinical trial, more info on that is here:

    I was in another clinical trial in Andrea Behrman's lab in 2004. She, her staff, and her graduate students are some amazing and knowledgeable people. Unfortunately, I doubt they would let you just try it .. but it sure doesn't hurt to ask.

    If you meet the inclusion criteria for the trial, it's an excellent way to get the training for no cost. They randomize people to either robotic training on the Lokomat or manual training on Robomedica gear.

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