Robotic Gait Training with a Lokomat

The Lokomat is a technologically advanced robot-assisted gait training device. The robotic legs guide the child through walking movements on a treadmill, supported by a harness. The level of weight bearing and assistance from the robotic legs is adjusted according to each individual child’s needs and progress throughout the training. To provide feedback on the force the child is generating while walking on the treadmill, and keep it fun, a videogame can be connected to the Lokomat.

This Lokomat is relatively new technology and the research evidence is therefore limited. The purpose of locomotor training is not necessarily to achieve functional independent walking; rather it serves to improve strength, coordination and function which can assist a child in using a walker and increase weight bearing effort. Improved weight bearing has the benefit of decreasing the risks of scoliosis during puberty, hip subluxations, ankle and knee deformities, weight gain, cardiovascular complications such as high blood pressure, skin breakdown, osteoporosis and fragility fractures. All improvements in mobility also have the benefit of improving lung and cardiovascular health which is very important for children with CP.

A recent study on the effectiveness of robot-assisted gait training can be found here.

It is important to discuss the treatment with your child’s pediatric neurologist or physiatrist prior to commencing treatment. It is also important to ensure your child’s training on the Lokomat is supported by pediatric therapists trained in neurorehabilitation to ensure optimal progress and prevent injuries or discomfort.

Intensive therapy using robotic gait training on Lokomat  from trained pediatric therapists who are specifically trained in neurorehabilitation may be accessed at the following centres:

• NeuroChangers Toronto, Ontario
• Kennedy Krieger Institute in Baltimore
• Frazier Rehab Institute in Louisville, Kentucky
• Gillette Children’s Hospital in Minneapolis
• Shirley Ryan Ability Lab in Chicago