A walking support/evaluation machine for patients with parkinsonism

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  • Kai Yoshihiro
    Department of Mechanical Engineering, Tokai University
  • Tanioka Tetsuya
    Department of Community & Psychiatric Nursing, School of Medical Sciences, The University of Tokushima
  • Inoue Yoshio
    Department of Intelligent Mechanical Systems Engineering, Kochi University of Technology
  • Matsuda Takuya
    Course of Intelligent Mechanical Systems Engineering, Department of Engineering, Graduate School of Engineering, Kochi University of Technology
  • Sugawara Kenichi
    School of Rehabilitation, Faculty of Health and Social Work, Kanagawa University of Human Services
  • Takasaka Youichiro
    Psychiatry and Neurology Hosogi Unity Hospital
  • Nagamine Isao
    Department of Community & Psychiatric Nursing, School of Medical Sciences, The University of Tokushima

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Description

Various walk supporting systems have been devised and developed. However, they have not been designed for supporting or evaluating the gait of parkinsonian patients, and not much consideration has been given to gait disturbances of parkinsonian patients. In this study : (a) We prepared a tentative model of walk supporting and monitoring system in consideration of typical symptoms of parkinsonism. (b) We conducted gait rehabilitation in a parkinsonian patient using the walk supporting and monitoring system and confirmed (i) the occurrence of frozen gait during walking, (ii) brachybasia, (iii) the absence of anterior tilting of the posture, pulsion symptom, and festination, and (iv) occurrence of hesitation to start walking. Therefore, typical symptoms of parkinsonism can be detected by the use of this system. (c) The medical staff can evaluate the state of recovery of patients on the basis of the data obtained from this system and use them for purposes such as guidance of rehabilitation.

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