We provide professional support in Robot Assisted Walking Therapy (Lokomat).
Traumatic brain and spinal cord injuries, stroke, loss of walking ability
due to neurological or orthopedic reasons. It is a robot-assisted walking
rehabilitation system used to regain and improve walking ability. The
basic approach in treatment is to activate the non-functional lower extremities
in a normal gait pattern and to perform the load transfer in a controlled manner. A
combined treatment is aimed by activating the neuronal pathway with the gait
under the control of the robotic system.
Gait rehabilitation has a very important place in neurological
rehabilitation. In studies conducted in recent years, locomotor therapy
with the assisted walking system that provides partial body weight transfer on
the band stands out as a promising treatment concept. In this method, the
complex walking cycles of the patients are put into a standard repetitive pattern
and an effective treatment is applied in favor of motor learning. High
success has been achieved especially in studies conducted with stroke, spinal
cord injury, Parkinson’s and cerebral palsy patients.
It is a form of treatment in which a robotic device is used to gain the
ability to walk again in case of loss of walking ability as a result of
paralysis, spinal cord or brain damage, neurological or orthopedic condition. As
an electromechanical gait system that automatically provides the standard
walking pattern applied manually to the patient, it is a modern training tool
that provides the help therapists need in their strenuous work.
Patients are taken into the device through a carrier garment that was
previously worn on their bodies. Body weight is completely transferred to
the system by means of a crane. The extremity connections are completed
with robotic walkers and the position is ready for walking. Partial weight
transfer is provided on the belt with the initiation of the natural walking
pattern. Robotic walkers aim to reveal active movement by being sensitive
in walking or to strengthen active movement by perceiving it through sensors.
Studies have shown that in people whose walking pattern is affected after
injury or illness, repetitive walking movements help the brain and spinal cord
to work by following a new stimulation pathway. Until today, while physiotherapists
have been performing therapy sessions requiring intense power as a group for
locomotor treatment, it has been possible to apply an application with normal
walking pattern and speed to the patients regularly for long periods, thanks to
the robotic walking system. Thanks to regular exercises, the success rate
of the treatment has increased.
Inactivation problems that occur after the disease can cause very serious
consequences. Especially circulatory disorders and wear on the
musculoskeletal system are the main problems encountered. Weight transfer
on the bones during treatment helps to strengthen the bones and reduce the risk
of osteoporosis, and the activation of the muscles also positively affects the
The primary goal of robot-assisted walking therapy is to
improve walking ability. Brain and spinal cord injuries, stroke and other
neurological disorders in which this function is lost are the main treatment
options. However, robotic assisted walking therapy is also used in
multiple sclerosis, Parkinson’s, hip prosthesis operations and other orthopedic
conditions. Participation in treatment and its usefulness in all these
diseases should be determined after the control and evaluation of the
As the life expectancy in Turkey increased, special
health problems and social problems related to the elderly began to come to the
fore. When we look in terms of joint diseases, there is an aging in all
organs that you can think of, such as calcification, which is common in the
elderly society and related complaints, cardiovascular diseases, etc.
Within the scope of geriatric rehabilitation, our
institution provides all the necessary physical therapy and rehabilitation
services for the elderly to be able to make their daily lives independently.
The aim here is that the person is a producer in the
society, enabling him to do his own independent job. In our centers,
physical therapy and rehabilitation are provided by our specialist physicians.