Effect of Lokomat trainings on the severity of gait disorders in patients after stroke

Cover Page

Cite item

Full Text


Stroke is the one of the major causes of long-term disability. More than 50% of post-stroke patients have motor disorders of various severity. In acute and subacute stage of stroke, in the presence of motor disorders, abnormal synergies, known as Wernicke-Mann posture, are developing rapidly, significantly decreasing the quality of walking. In this article the effect of robotic therapy with the «Lokomat» system on the severity of pathological synergies in 125 post-stroke patients is described. Clinical scales and video analysis motion capture system were used for the assessment of clinical and biomechanical parameters of walking.


About the authors

Anton S. Klochkov

Research Center of Neurology

Email: Dr.Klochkov@inbox.ru
Russian Federation, Moscow

A. A. Telenkov

Research Center of Neurology

Email: Dr.Klochkov@inbox.ru
Russian Federation, Moscow

Lyudmila A. Chernikova

Reseach Center of Neurology

Author for correspondence.
Email: Dr.Klochkov@inbox.ru
Russian Federation, Moscow


  1. Витензон А.С. Закономерности нормальной и патологической ходьбы человека, М.: ЦНИИПП, 1998: 271.
  2. Доценко В.И., Воронов А.В. Компьютерный видеоанализ дви- жений в спортивной медицине и нейрореабилитации. Медицинский алфавит 2005; 3 (41).
  3. Кадыков А.С., Черникова Л.А., Шахпаронова Н.В. Реабилитация неврологических больных. М.: МЕДпресс-информ, 2008: 560.
  4. Титаренко Н.Ю., Воронов А.В., Семенова К.А. Компьютерный видеоанализ движений в оценке восстановительного лечения детей с резидуальным нейромоторным дефицитом. Функциональная диагностика 2006; 3.
  5. Черникова Л.А. Роботизированные системы в нейрореабили- тации. Анналы клин. и эксперим. неврологии 2009; 3 (3): 30–36.
  6. American Heart Association Statistics Committee and Stroke Statistics Subcommittee, 2007 report.
  7. Brütsch K., Schuler T., Koenig A. et al. Influence of virtual reality soccer game on walking performance in robotic assisted gait training for children. J. Neuroeng. Rehabil. 2010 Apr. 22; 7: 15.
  8. Hidler J., Nichols D., Pelliccio M. et al. Multicenter randomized clinical trial evaluating the effectiveness of the «Lokomat» in subacute stroke. Neurorehabil. Neural. Repair 2009 Jan.; 23 (1): 5–13.
  9. Husemann B., Müller F., Krewer C. et al. Effects of locomotion training with assistance of a robot-driven gait orthosis in hemiparetic patients after stroke: a randomized controlled pilot study. Stroke 2007 Feb.; 38 (2): 349–354.
  10. Mayr A., Kofler M., Quirbach E. et al. Source Prospective, blinded, randomized crossover study of gait rehabilitation in stroke patients using the «Lokomat» gait orthosis. Neurorehabil. Neural. Repair. 2007 Jul.–Aug.; 21 (4): 307–314.
  11. Neckel N., Wisman W., Hidler J. Limb alignment and kinematics inside a Lokomat robotic orthosis. Conf. Proc. IEEE Eng. Med. Biol. Soc. 2006; 1: 2698–2701.
  12. Neckel N.D., Blonien N., Nichols D., Hidler J. Abnormal joint torque patterns exhibited by chronic stroke subjects while walking with a prescribed physiological gait pattern. J. Neuroeng. Rehabil. 2008 Sep. 1; 5: 19.
  13. O’Sullivan S.B., Shmitz T.J. Physical Rehabilitation. Philadelphia. E.A. Davis Company. 2003.
  14. Schwartz I., Sajin A., Fisher I. et al. The effectiveness of locomotor therapy using robotic-assisted gait training in subacute stroke patients: a randomized controlled trial. PMR. 2009 Jun.; 1 (6): 516–523.
  15. Shumway-Cook A., Woollacott M.H. Motor control: translating research into clinical practice. Lippincott Williams & Wilkins. 2003.
  16. Westlake K.P., Patten C. Pilot study of Lokomat versus manualassisted treadmill training for locomotor recovery post-stroke. J. Neuroeng. Rehabil. 2009 Jun. 12; 6: 18.
  17. World Health Report – 2007, from the World Health Organization.

Supplementary files

Supplementary Files

Copyright (c) 2011 Klochkov A.S., Telenkov A.A., Chernikova L.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77-83204 от 12.05.2022.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies