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Biomedical subjects

Z Smolinski

Publications and source records attributed to Z Smolinski.

At least 19 recordsLinked to original sources

Self-propelled weight-relieving walker for gait rehabilitation.

This paper describes a novel walking aid, the weight relieving walker (WRW), which partially relieves the body weight of an ambulating patient. The device incorporates a pneumatic weight relief mechanism, a restraint mechanism and a forward propulsion mechanism. Weight relief facilitates stance on an affected lower limb as well as the swing of that same limb. Restraint of the patient by the walker adds to trunk stability thereby facilitating walking movements of the lower extremities. A motorized, self-propelled walker neutralizes the effect of the walker's own weight on patient's locomotion. Additionally, it contributes to step symmetry. Data gathered from 26 patients with severe locomotion problems, point to a substantial contribution of the device to ambulation.

Adult↗

Walking reeducation with partial relief of body weight in rehabilitation of patients with locomotor disabilities.

This study was undertaken to investigate the contribution of a weight-relieving system on the gait of patients with severe locomotor disabilities. Temporal parameters of gait and subjective evaluations of the effect of the system were studied in 24 patients and 6 healthy subjects. Partial weight relief was accomplished through a pneumatic system mounted in the ceiling over a conductive walkway which was placed between parallel bars. Subjects were tested in three walking trials: free walking, walking while harnessed to the system but without weight relief, and walking with relief of 20 percent of their body weight. Temporal measurements indicated a positive effect of the system on duration of the stance and swing phases. The percentage of the stance period of the involved lower limb relative to the uninvolved one increased by 148 percent; at the same time, the swing period of the involved limb relative to the sound one decreased to 68 percent of that value in free ambulation. A substantial increase in gait symmetry and velocity were also noted. Subjective information from the patients and observers also pointed to a facilitative effect of the system on the patients' ambulation. Conversely, natural gait velocity of the healthy subjects was impeded by weight relief through the system.

Adult↗