The Effectiveness of Locomotor Therapy Using Robotic-Assisted Gait Training in Subacute Stroke Patients: A Randomized Controlled Trial

PM and R

Volumn 1, Issue 6, 2009, Pages 516-523

  Schwartz, Isabella ^a   Sajin, Anna ^a   Fisher, Iris ^a   Neeb, Martin ^a   Shochina, Mara ^a   Katz Leurer, Michal ^b   Meiner, Zeev ^a  

^a HADASSAH HEBREW UNIVERSITY MEDICAL CENTER   (Israel)

^b TEL AVIV UNIVERSITY   (Israel)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DECUBITUS; DISEASE SEVERITY; ENDURANCE; FEMALE; FUNCTIONAL STATUS; GAIT; HUMAN; INTERMETHOD COMPARISON; LOCOMOTION; LOCOMOTOR THERAPY; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MOBILIZATION; MOTOR PERFORMANCE; NATIONAL INSTITUTES OF HEALTH STROKE SCALE; ORTHOSIS; OUTCOME ASSESSMENT; PHYSIOTHERAPY; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; RECURRENT DISEASE; ROBOTICS; STROKE; THERAPY EFFECT; VELOCITY; WALKING;

AGED; FEMALE; GAIT DISORDERS, NEUROLOGIC; HUMANS; MALE; MIDDLE AGED; ORTHOTIC DEVICES; PARAPARESIS; PHYSICAL THERAPY MODALITIES; RECOVERY OF FUNCTION; ROBOTICS; STROKE; WALKING;

EID: 67249113907     PISSN: 19341482     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.pmrj.2009.03.009     Document Type: Article

References (35)

1. Dobkin B.H. Clinical practice. Rehabilitation after stroke. N Engl J Med 352 (2005) 1677-1684
2. Williams G.R., Jiang J.G., Matchar D.B., and Samsa G.P. Incidence and occurrence of total (first-ever and recurrent) stroke. Stroke 30 (1999) 2523-2528
3. Bohannon R.W., Horton M.G., and Wikholm J.B. Importance of four variables of walking to patients with stroke. Int J Rehab Res 14 (1991) 246-250
4. Wade D.T., Wood V.A., Heller A.A., Maggs J., and Langton H.R. Walking after stroke. Measurement and recovery over the first 3 months. Scand J Rehab Med 19 (1987) 25-30
5. Lord S.E., McPherson K., McNaughton H.K., Rochester L., and Weatherall M. Community ambulation after stroke: How important and obtainable is it and what measures appear predictive?. Arch Phys Med Rehab 85 (2004) 234-239
6. Hill K., Ellis P., Bernhardt J., Maggs P., and Hull S. Balance and mobility outcomes for stroke patients: A comprehensive audit. Aust J Physiother 43 (1997) 173-180
7. Kosak M.C., and Reding M.J. Comparison of partial body weight-supported treadmill gait training versus aggressive bracing assisted walking post stroke. Neurorehabil Neural Repair 14 (2000) 13-19
8. Barbeau H., and Visintin M. Optimal outcomes obtained with body-weight support combined with treadmill training in stroke patients. Arch Phys Med Rehabil 84 (2003) 1458-1465
9. Hesse S., Konrad M., and Uhlenbrock D. Treadmill walking with partial body weight support versus floor walking in hemiparetic subjects. Arch Phys Med Rehabil 80 (1999) 421-427
10. Nilsson L., Carlsson J., Danielsson A., et al. Walking training of patients with hemiparesis at an early stage after stroke: A comparison of walking training on a treadmill with body weight support and walking training on the ground. Clin Rehabil 15 (2001) 515-527
11. Colombo G., Wirz M., and Dietz V. Driven gait orthosis for improvement of locomotor training in paraplegic patients. Spinal Cord 39 (2001) 252-255
12. Husemann B., Müller F., Krewer C., Heller S., and Koenig E. Effects of locomotion training with assistance of a robot-driven gait orthosis in hemiparetic patients after stroke: A randomized controlled pilot study. Stroke 38 (2007) 349-354
13. Hesse S., Werner C., Uhlenbrock D., von Frankenberg S., Bardeleben A., and Brandl-Hesse B. An electromechanical gait trainer for restoration of gait in hemiparetic stroke patients: Preliminary results. Neurorehabil Neural Repair 15 (2001) 39-50
14. Pohl M., Werner C., Holzgraefe M., et al. Repetitive locomotor training and physiotherapy improve walking and basic activities of daily living after stroke: A single-blind, randomized multicentre trial (DEutsche GAngtrainerStudie, DEGAS). Clin Rehabil 21 (2007) 17-27
15. Mehrholz J., Werner C., Kugler J., and Pohl M. Electromechanical-assisted training for walking after stroke. Cochrane Database Syst Rev Issue 4 (2007) Art no: CD006185
16. Hesse S., Schmidt H., and Werner C. Machines to support motor rehabilitation after stroke: 10 years of experience in Berlin. J Rehabil Res Dev 43 (2006) 671-678
17. Holden M.K., Gill K.M., and Magliozzi M.R. Gait assessment for neurologically impaired patients. Phys Ther 66 (1986) 1530-1539
18. Brott T., Adams Jr. H.P., Olinger C.P., et al. Measurements of acute cerebral infarction: a clinical examination scale. Stroke 20 (1989) 864-870
19. Keith R.A., Granger C.V., Hamilton B.B., and Sherwin F.F. The Functional Independence Measure: A new tool for rehabilitation. In: Eisenberg M.G., and Grzesiak R.C. (Eds). Advances in Clinical Rehabilitation Vol. 1 (1987), Springer Verlag, New York, NY 6-18
20. Horgan N.F., Cunningham C.J., Coakley D., Walsh J.B., O'Regan M., and Finn A.M. The Stroke Activity Scale: Results of a validity study. Disabil Rehabil 28 (2006) 937-941
21. Wade D.T. Measurement in Neurological Rehabilitation (2000), Oxford University Press, Oxford 388
22. Nig S.S., and Hui-Chan C.W. The timed up & go test: Its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Arch Phys Med Rehabil 86 (2005) 1641-1647
23. Brooks D., Davis A.M., and Naglie G. Validity of 3 physical performance measures in inpatient geriatric rehabilitation. Arch Phys Med Rehabil 87 (2006) 105-110
24. Michal K.L., and Shochina M. Early cycling test as a predictor of walking performance in stroke patients. Physiother Res Int 10 (2005) 1-9
25. Miyai I., Suzuki M., Hatakenaka M., and Kubota K. Effect of body weight support on cortical activation during gait in patients with stroke. Exp Brain Res 169 (2006) 85-91
26. Richards C.L., Malouin F., and Dean C. Gait in stroke: Assessment and rehabilitation. Clin Geriatr Med 15 (1999) 833-855
27. Hesse S., Malezic M., Schaffrin A., and Mauritz K.H. Restoration of gait by combined treadmill training and multichannel electrical stimulation in non-ambulatory hemiparetic patients. Scand J Rehabil Med 27 (1995) 199-204
28. Mayr A., Kofler M., Quirbach E., Matzak H., Fröhlich K., and Saltuari L. Prospective, blinded, randomized crossover study of gait rehabilitation in stroke patients using the Lokomat gait orthosis. Neurorehabil Neural Repair 21 (2007) 307-314
29. Ng M.F., Tong R.K., and Li L.S. A pilot study of randomized clinical controlled trial of gait training in subacute stroke patients with partial body-weight support electromechanical gait trainer and functional electrical stimulation: Six-month follow-up. Stroke 39 (2008) 154-160
30. Peurala S.H., Tarkka I.M., Pitkänen K., and Sivenius J. The effectiveness of body weight-supported gait training and floor walking in patients with chronic stroke. Arch Phys Med Rehabil 86 (2005) 1557-1564
31. Dias D., Laíns J., Pereira A., et al. Can we improve gait skills in chronic hemiplegics?. A randomised control trial with gait trainer. Eura Medicophys 43 (2007) 499-504
32. Hornby T.G., Campbell D.D., Kahn J.H., Demott T., Moore J.L., and Roth H.R. Enhanced gait-related improvements after therapist- versus robotic-assisted locomotor training in subjects with chronic stroke a randomized controlled study. Stroke 39 (2008) 1786-1792
33. Regnaux J.P., Saremi K., Marehbian J., Bussel B., and Dobkin B.H. An accelerometry-based comparison of 2 robotic assistive devices for treadmill training of gait. Neurorehabil Neural Repair 22 (2008) 348-354
34. Kelly P.J., Furie K.L., Shafqat S., Rallis N., Chang Y., and Stein J. Functional recovery following rehabilitation after hemorrhagic and ischemic stroke. Arch Phys Med Rehabil 84 (2003) 968-972
35. Lipson D.M., Sangha H., Foley N.C., Bhogal S., Pohani G., and Teasell R.W. Recovery from stroke: Differences between subtypes. Int J Rehabil Res 28 (2005) 303-308