Vrije Universiteit Brussel


Study on Balance and Trunk Biomechanics

Although the trunk and pelvis are important to maintain balance during gait, less attention has been spent to the movements of the trunk and the pelvis and the muscle activity of the abdominal and back muscles during gait. This PhD project focuses on the trunk balance during walking. In the first phase some literature reviews were conducted about the effectiveness of robot-assisted gait training in neurological patients, such as persons with multiple sclerosis, spinal cord injury and stroke, with the focus on gait- and balance-related outcome measurements. The different experiments in this project measure the kinematics of the trunk and the pelvis (using the Polhemus Liberty, electromagnetic tracker system) and the muscle activity of the back and abdominal muscles (surface EMG) during walking on a treadmill. In the first study this data was collected during walking at different velocities (older and younger healthy participants), in the second study during walking with different levels of body weight support (persons with MS and healthy participants) and in the third study during robot-assisted walking with the Lokomat-system (healthy participants). The kinematic and EMG data of the trunk during walking at lower velocity than normal, during walking with different levels of BWS and during walking with robot-assistance were all compared to normal walking. The results obtained in these literature and experimental studies will contribute to improve some balance related aspects of gait-rehabilitation robots.



Study BS1: walking with different velocities



Study BS2: walking with body-weight support

Study BS3: walking with robot-assistance (Lokomat, Hocoma)

Publications

International Journal Articles

  • Methodology of electromyographyic analysis of the trunk muscles during walking in healthy subjects: a literature review., Edition:Journal of Electromyography and Kinesiology, Volume: 22, N° in volume: 1, pp: 1 - 12, ISBN-ISSN: 1050-6411, 2012, Eva Swinnen, Jean-pierre Baeyens, Romain Meeusen, Eric Kerckhofs Impact factor: 2.371, impact year: 2010
  • The added value of an actuated ankle-foot orthosis to restore normal gait function in patients with spinal cord injury: a systematic review., Issue: 44, Volume: 4, pp: 299 - 309, , 2012, Saartje Duerinck, Eva Swinnen, Pieter Beyl, Friso Hagman, Ilse Jonkers, Peter Vaes, Pierre Van Roy
  • Treadmill training in multiple sclerosis: Can body weight support or robot assistance provide added value? A systematic review, Edition:Multiple Sclerosis International, ISBN-ISSN: 2090-2662, 2012, Eva Swinnen, David Beckwee, Droesja Pinte, Romain Meeusen, Jean-pierre Baeyens, Eric Kerckhofs
  • Effectiveness of robot-assisted gait training in persons with spinal cord injury: A systematic review, Edition:Journal of rehabilitation medicine, , Issue: 6, Volume: 42, pp: 520 - 526, eds: , published by: FOUNDATION REHABILITATION INFORMATION, ISBN-ISSN: 1650-1977, 2010, Eva Swinnen, Saartje Duerinck, Jean-pierre Baeyens, Romain Meeusen, Eric Kerckhofs Impact factor: 1.882, impact year: 2009

International Congress Papers

  • Methodology of electromyographic analysis of the trunk muscles during walking in heatlhy subjects: a literature review, Edition:XXIIIrd ISB congress 2011, , 2011, Eva Swinnen, Jean-pierre Baeyens, Romain Meeusen, Eric Kerckhofs
  • Three-dimensional trunk movements during treadmill walking at different speeds in healthy subjects, Edition:XXIIIrd ISB congress 2011, , 2011, Eva Swinnen, Jean-pierre Baeyens, Saartje Duerinck, Ron Clijsen, Romain Meeusen, Eric Kerckhofs
  • Effectiveness of robot-assisted gait rehabilitation in spinal cord injury (SCI) patients: a critical appraisal of the literature, Proceedings of the 4th International State-of-the-art Congress 'Rehabilitation: Mobility, Exercise & Sports', , 2009, Eva Swinnen, Eric Kerckhofs, Kristel Knaepen, Saartje Duerinck, Peter Vaes, Pierre Van Roy, Jean-pierre Baeyens, Nicole Pouliart, Pieter Beyl, Pierre Cherelle, Patrick Kool, Dirk Lefeber, Romain Meeusen

International Abstracts and Short Communications

  • Does robot-assisted gait rehabilitation improve balance in stroke patients? A systematic review, , 2013, Eva Swinnen, David Beckwee, Romain Meeusen, Jean-pierre Baeyens, Eric Kerckhofs
  • A systematic review about the effectiveness of treadmill training with or without body-weight-support and/or robot-assistance in persons with multiple sclerosis, Edition:ENRC 1st European Neurorehabilitation Congress, Merano, Italy (October, 20-22, 2011), Neurorehabil Neural Repair 2012 26: 395, DOI: 10.1177/1545968312447071, Issue: abstractbook, pp: 21 - 21, , 2011, Eva Swinnen, David Beckwee, Droesja Pinte, Romain Meeusen, Jean-pierre Baeyens, Eric Kerckhofs
  • Body-weight-supported treadmill walking in persons with multiple sclerosis and in healthy subjects: 3D-kinematics of the trunk and pelvis, Edition:ENRC 1st European Neurorehabilitation Congress, Merano, Italy (October, 20-22, 2011), Neurorehabil Neural Repair 2012 26: 395, DOI: 10.1177/1545968312447071, Issue: abstractbook, pp: 14 - 14, , 2011, Eva Swinnen, Jean-pierre Baeyens, Seppe Pintens, Ron Clijsen, Stephan Ilsbroukx, Benoit Gebara, Johan Van Nieuwenhoven, Heleen Demeyer, Iemke Hauchecorne, Romain Meeusen, Eric Kerckhofs
  • Effectiveness of treadmill training, body-weight supported treadmill training and robot-assisted treadmill training in persons with multiple sclerosis, a systematic review, RIMS 2011, Lifelong perspective: rehabilitation for MS patients with complex needs, pp: 64 - 64, eds: RIMS, , 2011, Eva Swinnen, Jean-pierre Baeyens, Romain Meeusen, Eric Kerckhofs
  • Methodology of electromyographic analysis of the trunk muscles during walking in healthy subjects: a literature review, Edition:16th International WCPT Congress 20-23 June 2011 Amsterdam Holland, , 2011, Eva Swinnen, Jean-pierre Baeyens, Romain Meeusen, Eric Kerckhofs
  • Three-dimensional trunk movements during treadmill walking with partial body weight support in persons with multiple sclerosis, RIMS 2011, Lifelong perspective: rehabilitation for MS patients with complex needs, pp: 64 - 65, eds: RIMS, , 2011, Eva Swinnen, Jean-pierre Baeyens, Ron Clijsen, S. Ilsbrouckx, Johan Van Nieuwenhoven, Romain Meeusen, Eric Kerckhofs
  • Three-dimensional trunk movements in young healthy subjects during gait on a treadmill at different speeds, Edition:16th International WCPT Congress 20-23 June 2011 Amsterdam Holland, , 2011, Eva Swinnen, Jean-pierre Baeyens, Saartje Duerinck, Ron Clijsen, Romain Meeusen, Eric Kerckhofs
  • The impact of an actuated ankle on the walking performance following neurologic injuries: a systematic review, Book of abstracts of the 4th International State-of-the-art Congress 'Rehabilitation: Mobility, Exercise & Sports', , 2009, Saartje Duerinck, Pierre Van Roy, Peter Vaes, Kristel Knaepen, Eva Swinnen, Eric Kerckhofs, Nicole Pouliart, Pieter Beyl, Pierre Cherelle, Patrick Kool, Dirk Lefeber, Romain Meeusen
  • Effectiveness of robot-assisted gait training in persons with spinal cord injury: a systematic review, Edition:Assistive technology research series, Rehabilitation: mobility, exercise and sports, 4th International state-of-the-art congress, Volume: 26, pp: 279 - 281, eds: LHV van de Woude, F Hoekstra, S de Groot, KE Bijker, R Dekker, PCT van Aanholt, FJ Hettinga, TWJ Janssen and JHP Houdijk, published by: IOS Press, ISBN-ISSN: 978-1-60750-080-3, 2010, Eva Swinnen, Saartje Duerinck, Eric Kerckhofs

National Abstracts

  • Kinematics of the trunk and pelvis during body weight supported treadmill walking in persons with multiple sclerosis, Abstractbook VIIde dag van de doctorandi, , 2011, Eva Swinnen, Eric Kerckhofs, Jean-pierre Baeyens
  • Effectiveness of robot-assisted gait rehabilitation in spinal cord injury (SCI) patients: a critical appraisal of the literature, Abstractbook Vde dag van de doctorandi, , 2009, Eva Swinnen, Eric Kerckhofs, Saartje Duerinck, Jean-pierre Baeyens, Romain Meeusen
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