Projects / Programmes
Evaluation and reeducation of motor capabilities in advanced identification of patological gait mechanism
| Code |
Science |
Field |
Subfield |
| 2.06.07 |
Engineering sciences and technologies |
Systems and cybernetics |
Biomedical technics |
| Code |
Science |
Field |
| B115 |
Biomedical sciences |
Biomechanics, cybernetics |
biomechanics, kinesiology, cerebral palsy, medical devices, control, muscle, EMG, reeducation, pathological gait
Researchers (1)
| no. |
Code |
Name and surname |
Research area |
Role |
Period |
No. of publicationsNo. of publications |
| 1. |
20180 |
PhD Imre Cikajlo |
Systems and cybernetics |
Head |
2007 - 2008 |
262 |
Organisations (1)
Abstract
Biomechanical gait analysis provides several opportunities in pathological gait causes identification that are the key in major decisions on further clinical treatment. Additionally the electromyography (EMG) of selected muscles decreases the number of possibilities, but can not assure that the measured muscle group is capable of joint moment generation, sufficient for gait and posture.
The goal of the proposed project is to develop a system and method that would allow advanced identification of pathological gait mechanisms and enable reeducation of motor control. We propose a system for objective motor capabilities evaluation in lower extremities that is based on biomechanical gait analysis data control of clinically available system Biodex thus enabling the comparable conditions and assessment of joint moments and EMG. The comparison of assessed joint moments and EMG between biomechanical gait analysis and controlled system Biodex will be performed with a goal of selective identification of motor capabilities for gait and development of lower extremity motor control reeducation system. The modified and controlled isokinetical system Biodex will be upgraded with visual feedback information that would with implemented computer controlled trajectory and specific tasks allow supervision of users’ capabilities in real-time and provide necessary information. Candidates for reeducation will be persons with expected motor capabilities improvement for the needs of gait. The impact of motor control reeducation will be evaluated by biomechanical gait analysis. A pilot test of the proposed system is expected in 2 cerebral palsy children.
Significance for science
Within the research project the dynamometer based method for identification of muscular weakness during selective joint moment generation in static conditions at eccentric or concentric muscle contraction was developed to identify whether the isolated motor capabilities are sufficient for gait. Further on an interface (machine dynamometer – human) for repeatable and targeted training (reeducation) of selective motor control under conditions specified by gait pattern of the participating subject and required by the task in virtual environment. A protocol for advanced identification of pathological gait mechanism has been developed and tested in clinical enviornment in cerebral palsy children. The outcomes demonstrated that the developed system and method may improve selective motor control in isolated conditions.
We raise expectations that the proposed project promise successfully upgrade the pathological gait identification, contribute to the more successful rehabilitation and extend the options in decisions regarding the further clinical treatment, especially when dealing with surgical procedures. The development of the proposed method is also a step toward the implementation of novel technologies into the complex problem of specific pathology identification in gait that is a key to a success in rehabilitation. The result is not only improvement of the service quality, but also the social changes.This may have an impact on health insurance companies to start promoting and implementing approaches with modern technology into the clinical practice to increase objectivity and contribute to faster and more successful rehabilitation that would stimulate the research and development in the field of neurological rehabilitation
Significance for the country
The outcomes of the proposed research are intended to be used in the specific segment of medical services, rehabilitation. Development of medical services is considered very important for public health quality improvement and on a long term important for medical insurance companies that may at faster and efficient rehabilitation gain their profit. Afterall the most important fact is that the development of new medical services will benefit to the users, the patients who will in the near future have an opportunity to choose the medical institution which offers the most beneficial service they need. The research and development of neurological rehabilitation at the Institute for rehabilitation tends to keep the medical services at the highest quality level, even among the highest by world criteria.
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Most important socioeconomically and culturally relevant results
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