The Lokomat® provides robotic-assisted gait therapy by using robotic leg braces, a harness that connects to an overhead suspension system, and a treadmill. A physical therapist adjusts the amount of weight that the child must support with his/her legs and how much help the robotic legs give as he/she walks on a treadmill.

Robotic assisted locomotor training (RobALT) can help children with cerebral palsy, spinal cord injuries, traumatic brain injuries or other non-progressive neurological disorders move in a walking pattern.

The goals of the RobALT physical therapy are to improve your child’s:

  • Independence with standing, transfers and/or walking
  • Posture
  • Strength

A doctor’s order is required to participate in physical therapy. As with any physical therapy treatment plan, please check with your insurance company to make sure that it will cover treatment.

Your child’s primary physical therapist might recommend that your child continue his or her regular program of physical therapy while he or she is participating in RobALT.

RobALT might be discontinued at any point if your child does not progress as expected with the training.

Scheduling RobALT Appointments

RobALT is offered as an intensive therapy. There are a limited number of schedule slots. When a slot opens, it will be offered to the first child on the waiting list. If the day and time does not work for that child, he or she will be placed on the waiting list again and will be offered the next slot that becomes available.

Schedule slots are either:

  • Three times a week for six weeks (Monday, Wednesday, Friday)

          OR

  • Two times per week for nine weeks (Tuesday, Thursday).

All sessions are 60 minutes.

Your therapy care plan will include three additional sessions where assessments are completed. These sessions do not involve
RobALT, but are important to help us understand how the treatment is working for your child.

Preparing for Your Child’s Appointment

  • Arrive 15 minutes before to your appointment so we can start on time.
  • Make sure your child uses the bathroom before the appointment.
  • Your child needs to wear long pants. Cotton athletic pants, pajama pants or leggings are best. Very loose-fitting pants and pants with thick seams, zippers or buttons on the sides are not recommended.
  • Wear the same shoes to all of your RobALT appointments.
  • If your child wears ankle foot orthoses (AFOs), it is likely that he or she will need to use them during the session. Please be sure your child is wearing them before each session.
  • Some boys choose to wear an athletic supporter to be more comfortable in the RobALT harness.
  • Some girls choose to wear a sports bra to be more comfortable in the RobALT harness.

Preparing for Your Child’s Appointment

  • For safety reasons, all caregivers and siblings must stay a safe distance away from the Lokomat® and treadmill at all times during the training session.  Caregivers and siblings that are unable to stay out of the safety zone around the Lokomat® and treadmill will be asked to wait in the waiting area.
  • The therapist will make all adjustments to the Lokomat® and treadmill, and will work with your child to increase participation during therapy.

After a RobALT Appointment

Check your child’s skin carefully for pressure areas or rubbing marks from the robotic legs. It is very important to tell your child’s physical therapist about any areas of skin that stay pink for more than 20 minutes.

Your child might be tired and have muscle or joint soreness. Tell your child’s physical therapist if these problems last for more than a few hours or interfere with your child’s normal activities.

This information is for educational purposes only. It is not intended to replace the advice of your health care providers. If you have any questions, talk with your doctor or others on your health care team.