T.C. Sağlık Bakanlığı İstanbul İl Sağlık Müdürlüğü İstanbul Sultan Abdülhamid Han Eğitim ve Araştırma Hastanesi

Robotic Walking And Rehabilitation Services


The process of bringing individuals with various physiological or anatomical limitations to the highest functional level possible in their physical, psychological, social and occupational status and non-professional activities is called rehabilitation. One of the most important elements of rehabilitation activities is therapeutic exercises. These exercises can be performed by a physiotherapist or a device, as well as passive and active exercises that the patient can perform according to the patient's condition. The use of various robots in the field of rehabilitation is increasing day by day as these rehabilitation activities take long time, it is troublesome, it can be costly and in some cases it is insufficient.

Robotic rehabilitation activities can be summarized as robot assisted walking systems, robot assisted hand-arm rehabilitation systems and robotic bed systems.

The ROBOGAIT system, which is produced by the domestic technology, which is one of the robot assisted walking systems, has started to serve in the Hospital Rehabilitation Unit.

What is Robotic Assisted Walking Therapy, Which Disease Can Be Applied?

Patients with impaired walking ability due to stroke, stroke, traumatic brain injury, cerebral palsy, Parkinson's disease, multiple sclerosis (MS), aging-related inactivity, Alzheimer's disease and knee prosthesis, anterior cruciate ligament injury, rehabilitating, or walking. Since FDA approval in 2002, it has become widespread all over the world.

In these systems, the patient is suspended on the walking band and positioned perpendicular to the foot and connected to the robotic. The physiotherapist will decide after the examinations that the weight of the body will be reduced by the device and where the device will contribute to the walk. In the robotic walking system, the patient is executed according to the natural walking pattern on the walking band, while the receiver mounted on the patient's hips and knees evaluates the response of the body to the computer and reports to the computer which step is the problem. When the patient goes out of the normal walking pattern, the robot automatically corrects walking.

Repetitive gait in robotic assisted walking therapy helps regain the impaired signal flow due to disease or injury between the cerebrospinal and muscles. Other benefits of this treatment include strengthening the muscles in bed-dependent and non-walking patients, providing circulation in the legs, reducing bone loss and fracture risk due to movement, and preventing bed sores and vascular occlusions.

In order to be able to perform robotic rehabilitation, it is necessary to have at least some movement in at least one (1) main muscle group in the legs of the patient.

robotik 2.jpg


Which Patients Can not Use Robotic Assisted Walking Therapy

There is a high degree of spasticity (involuntary contraction), severe abnormal reflexes, pulmonary (respiratory) and cardiovascular (involuntary contractions), which are joint contractures / deformities, severe osteoporosis (bone erosion), open skin lesions, shoulder subluxation ) system, severe postural (postural) impairment, cognitive / cognitive impairment, infection requiring isolation, and loss of vision.