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D2.1 Requirements and Specification - CORBYS

D2.1 Requirements and Specification - CORBYS

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<strong>D2.1</strong> <strong>Requirements</strong> <strong>and</strong> <strong>Specification</strong><br />

Figure 5: Stiff knee gait with circumduction in sagittal plane (top) <strong>and</strong> in frontal plane (bottom)<br />

Principal characteristics of stiff knee walking with circumduction are:<br />

� inadequate knee flexion throughout the gait cycle<br />

� excessive dorsiflexion<br />

� inadequate knee flexion stimulates contralateral trunk tilt <strong>and</strong> pelvic vertical movement to assure<br />

sufficient foot clearance<br />

They impose:<br />

� insecure <strong>and</strong> unstable weight transfer due to constant knee extension<br />

� propulsion is achieved predominantly by rapid hip extension instead of forceful extension in all joints<br />

� combined excessive pelvic vertical movement <strong>and</strong> hip adduction in swing phase compensates the<br />

lacking knee flexion to assure sufficient foot clearance<br />

<strong>CORBYS</strong> system should restore:<br />

� normal knee flexion to allow secure <strong>and</strong> stable weight transfer in initial contact <strong>and</strong> midstance<br />

� forceful extension in ankle, knee <strong>and</strong> hip during push off to assure normal propulsion<br />

� normal knee flexion to assure sufficient foot clearance (excessive pelvic vertical movement <strong>and</strong> hip<br />

adduction will no longer be necessary)<br />

4.2 Environment of the demonstrator I: gait rehabilitation user­robot<br />

interaction<br />

<strong>CORBYS</strong> demonstrator should be an institution-based gait locomotion rehabilitation training instrument. It<br />

should be an intelligent gait rehabilitation device; a mobile gait trainer. Patients could be treated both as<br />

inpatients <strong>and</strong> outpatients. The system could be integrated in the treatment workflow of a rehabilitation<br />

department which is illustrated in Figure 6.<br />

The gait rehabilitation robotic system could be integrated in this workflow in the following way:<br />

- The patient´s gait is analysed on admission on a treadmill with sensors measuring kinematics, forces<br />

<strong>and</strong> resistance in hip, knee <strong>and</strong> ankle joint as well as force on ground via foot plates parts. The <strong>CORBYS</strong><br />

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