Lokomat®

The Lokomat is a driven gait orthosis that automates locomotion therapy on a treadmill and improves the efficiency of treadmill training. The Lokomat improves the therapy outcome by providing highly intensive, individualized training in a motivational environment of constant feedback.

Manual Treadmill Training

• Therapists are exposed to physical strain
• More than one therapist is required
• Limited training duration and intensity
• Limited feedback for patient

• Gait pattern is neither reproducible nor physiological

Advantages of Lokomat Therapy

• Effective Gait Training
• Robot-assisted therapy enables effective and intensive training and ensures the optimal exploitation of neuroplasticity and recovery potential.
• According to Mehrholz et al. 2017*, every seventh dependency in walking could be avoidable if robot-assisted devices were used. With the Lokomat you can also train patients with severe disabilities, who have been shown to benefit the most from Lokomat training.
• Fewer Resources Needed
• More Therapy Sessions per Week
• More Patients Treated
• Increased Therapy Intensity

Most Physiological Gait

The physiological gait pattern is ensured by the individually adjustable exoskeleton combined with the patented dynamic body weight support system.

The Lokomat provides a natural plantar pressure distribution, sensory feedback and physiological vertical displacement during the complete gait cycle.

The hip and knee joint angles can also be individually adjusted during training to tailor to specific needs of patients.

Optimal Patient Challenge

During rehabilitation, patients need to be challenged at and beyond their individual capabilities. Speed, loading and robotic support can be adjusted to optimally shape the intensity of the therapy.

Patients are motivated to reach their goals with various game-like exercises. Their level of activity influences the performance of the task, the gait pattern and the speed.

This Augmented Performance Feedback (APF) maximizes the effect of Lokomat gait training. Studies have shown when using APF, muscle activation and cardiovascular exertion can be considerably increased.

Intended Use:

The intended use of the Lokomat is to support treadmill training to treat patients with walking disabilities caused by neurological, muscular or bone-related disorders.

Primary

• Improving overground walking function

Secondary

• Walking speed
• Walking endurance
• Spatiotemporal and biomechanical parameters such as step length and symmetry, hip function or others
• Balance
• Muscle tone regulation and spasticity reduction
• Lower extremity muscle strength
• Cardiovascular effects
• Body composition
• Quality of life

Key Features

• Driven orthosis (gait robot) with electrical drives in the knee and hip joints with 4 force transducers and 4 amplifiers.
• The orthosis is adjustable to patients with femur lengths (trochanter to knee joint cavity) of 35 – 47 cm (13.8 – 18.5 in.) and a pelvic width (when used without FreeD module) of 29 – 51 cm (11.4 – 20.1 in.).
• Augmented Performance Feedback with functional exercises and entertaining games for patient motivation.
• Assessments and Reporting tools to record patient performance.
• Optional pediatric orthoses, adaptable to small children with femur lengths (trochanter to knee joint cavity) of 21 – 35 cm (8.3 – 13.8 in.) and pelvic width 17 – 28 cm (6.7 – 11 in.).
• Optional FreeD module for driven pelvis movements (pelvic width 29 – 40 cm (11.4 – 15.7 in.)), passively guided hip abduction/adduction movements and laterally synchronized body weight support.

Treadmill Features

• Speed range 0 – 10 km/h (0 – 6.2 mph) (with gait orthosis max. 3.2 km/h (1.9 mph))
• Height and width of both handrails are independently adjustable
• Adjustable seats for therapists
• System ramp compatible with commonly used wheelchairs
• Possibility of conventional treadmill training without orthoses

Safety and Comfort

• Electrically operated patient lift with static and dynamic unloading
• Max patient weight 135 kg (297.6 lb.)
• Body weight support range 0 to approx. 85 kg (187.4 lb.), continuously adjustable without training interruption
• Almost constant weight support and low inertial forces (patent pending)
• Computer-controlled via the therapist screen of the Lokomat
• Electronic display of patient and unloading weight