An observational report of intensive robotic and manual gait training in sub-acute stroke

Journal of NeuroEngineering and Rehabilitation

Volumn 9, Issue 1, 2012, Pages

  Conesa, Lucas ^a   Costa, Úrsula ^a   Morales, Eva ^a   Edwards, Dylan J ^b,c   Cortes, Mar ^b   Leán, Daniel ^a   Bernabeu, Montserrat ^a   Medina, Josep ^a  

^a University Institute affiliated with the Autonomous University of Barcelona   (Spain)

^b BURKE MEDICAL RESEARCH INSTITUTE   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

Author keywords

body weight support; Gait training; rehabilitation; stroke

Indexed keywords

ARTICLE; CLINICAL TRIAL; CONVALESCENCE; FEMALE; GAIT; HUMAN; INSTRUMENTATION; KINESIOTHERAPY; MALE; METHODOLOGY; MIDDLE AGED; NEUROLOGIC DISEASE; PATHOPHYSIOLOGY; ROBOTICS; STROKE;

EXERCISE THERAPY; FEMALE; GAIT; GAIT DISORDERS, NEUROLOGIC; HUMANS; MALE; MIDDLE AGED; RECOVERY OF FUNCTION; ROBOTICS; STROKE;

EID: 84856789961     PISSN: None     EISSN: 17430003     Source Type: Journal    
DOI: 10.1186/1743-0003-9-13     Document Type: Article

References (49)

1. Heart disease and stroke statistics - 2011 update: a report from the American Heart Association. Roger VL, Go AS, Lloyd-Jones DM, Adams RJ, Berry JD, Brown TM, Carnethon MR, Dai S, de Simone G, Ford ES, Fox CS, Fullerton HJ, Gillespie C, Greenlund KJ, Hailpern SM, Heit JA, Ho PM, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM, Marelli A, Matchar DB, McDermott MM, Meigs JB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Rosamond WD, Sorlie PD, Stafford RS, Turan TN, Turner MB, Wong ND, Wylie-Rosett J, Circulation 2011 123 18 e209 10.1161/CIR. 0b013e3182009701 21160056
2. Estimation of the prevalence, incidence, comorbidities and direct costs associated to stroke patients requiring care in an area of the Spanish population. Fernandez de Bobadilla J, Sicras-Mainar A, Navarro-Artieda R, Planas-Comes A, Soto-Alvarez J, Sanchez-Maestre C, Alvarez-Martin C, Ezpeleta-Echevarri D, Rev Neurol 2008 46 397 405 18389458 (Pubitemid 351767908)
3. Review of stroke rehabilitation. Young J, Forster A, BMJ 2007 334 86 90 10.1136/bmj.39059.456794.68 17218714 (Pubitemid 46122241)
4. Understanding stroke recovery and rehabilitation: current and emerging approaches. Dombovy ML, Curr Neurol Neurosci Rep 2004 4 31 35 10.1007/s11910-004-0008-6 14683625 (Pubitemid 38899049)
5. [The neurophysiological basis of exercise physical therapy in patients with central hemiparesis]. Hummelsheim H, Mauritz KH, Fortschr Neurol Psychiatr 1993 61 208 216 10.1055/s-2007-999089 8330831
6. Does neurorehabilitation play a role in the recovery of walking in neurological populations? Barbeau H, Norman K, Fung J, Visintin M, Ladouceur M, Ann N Y Acad Sci 1998 860 377 392 10.1111/j.1749-6632.1998.tb09063.x 9928326 (Pubitemid 29045984)
7. Functional electrical stimulation to dorsiflexors and plantar flexors during gait to improve walking in adults with chronic hemiplegia. Embrey DG, Holtz SL, Alon G, Brandsma BA, McCoy SW, Arch Phys Med Rehabil 2010 91 687 696 10.1016/j.apmr.2009.12.024 20434604
8. Electromechanical-assisted training for walking after stroke. Mehrholz J, Werner C, Kugler J, Pohl M, Cochrane Database Syst Rev 2007 D006185
9. Body-weight-supported treadmill rehabilitation after stroke. Duncan PW, Sullivan KJ, Behrman AL, Azen SP, Wu SS, Nadeau SE, Dobkin BH, Rose DK, Tilson JK, Cen S, Hayden SK, N Engl J Med 2011 364 2026 2036 10.1056/NEJMoa1010790 21612471
10. A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation. Visintin M, Barbeau H, Korner-Bitensky N, Mayo NE, Stroke 1998 29 1122 1128 10.1161/01.STR.29.6.1122 9626282 (Pubitemid 28265465)
11. Laufband therapy based on 'rules of spinal locomotion' is effective in spinal cord injured persons. Wernig A, Muller S, Nanassy A, Cagol E, Eur J Neurosci 1995 7 823 829 10.1111/j.1460-9568.1995.tb00686.x 7620630
12. Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients. Hesse S, Bertelt C, Jahnke MT, Schaffrin A, Baake P, Malezic M, Mauritz KH, Stroke 1995 26 976 981 10.1161/01.STR.26.6.976 7762049
13. Walking after stroke: what does treadmill training with body weight support add to overground gait training in patients early after stroke?: a single-blind, randomized, controlled trial. Franceschini M, Carda S, Agosti M, Antenucci R, Malgrati D, Cisari C, Stroke 2009 40 3079 3085 10.1161/STROKEAHA. 109.555540 19556526
14. Treadmill training with partial body weight support and an electromechanical gait trainer for restoration of gait in subacute stroke patients: a randomized crossover study. Werner C, Von Frankenberg S, Treig T, Konrad M, Hesse S, Stroke 2002 33 2895 2901 10.1161/01.STR.0000035734.61539.F6 12468788 (Pubitemid 35462863)
15. Rehabilitation of Gait Speed After Stroke: A Critical Review of Intervention Approaches. Dickstein R, Neurorehabil Neural Repair 2008
16. Gait training strategies utilized in poststroke rehabilitation: are we really making a difference? Bogey R, Hornby GT, Top Stroke Rehabil 2007 14 1 8 18171655 (Pubitemid 350156149)
17. Randomized trial of treadmill walking with body weight support to establish walking in subacute stroke: the MOBILISE trial. Ada L, Dean CM, Morris ME, Simpson JM, Katrak P, Stroke 2011 41 1237 1242
18. Inter-individual variability in the capacity for motor recovery after ischemic stroke. Prabhakaran S, Zarahn E, Riley C, Speizer A, Chong JY, Lazar RM, Marshall RS, Krakauer JW, Neurorehabil Neural Repair 2008 22 64 71 17687024 (Pubitemid 350223138)
19. Responsiveness and predictability of gait speed and other disability measures in acute stroke. Salbach NM, Mayo NE, Higgins J, Ahmed S, Finch LE, Richards CL, Arch Phys Med Rehabil 2001 82 1204 1212 10.1053/apmr.2001.24907 11552192 (Pubitemid 32845883)
20. Predictive factors for ambulation in stroke patients in the rehabilitation setting: a multivariate analysis. Masiero S, Avesani R, Armani M, Verena P, Ermani M, Clin Neurol Neurosurg 2007 109 763 769 10.1016/j.clineuro. 2007.07.009 17766038 (Pubitemid 47391541)
21. Effects of stroke severity and training duration on locomotor recovery after stroke: a pilot study. Plummer P, Behrman AL, Duncan PW, Spigel P, Saracino D, Martin J, Fox E, Thigpen M, Kautz SA, Neurorehabil Neural Repair 2007 21 137 151 10.1177/1545968306295559 17312089
22. Repetitive locomotor training and physiotherapy improve walking and basic activities of daily living after stroke: a single-blind, randomized multicentre trial (DEutsche GAngtrainerStudie, DEGAS). Pohl M, Werner C, Holzgraefe M, Kroczek G, Mehrholz J, Wingendorf I, Hoolig G, Koch R, Hesse S, Clin Rehabil 2007 21 17 27 10.1177/0269215506071281 17213237 (Pubitemid 46165302)
23. Locomotor training improves daily stepping activity and gait efficiency in individuals poststroke who have reached a "plateau" in recovery. Moore JL, Roth EJ, Killian C, Hornby TG, Stroke 2010 41 129 135 10.1161/STROKEAHA.109.563247 19910547
24. Immediate and long-term functional impact of repetitive locomotor training as an adjunct to conventional physiotherapy for non-ambulatory patients after stroke. Mehrholz J, Werner C, Hesse S, Pohl M, Disabil Rehabil 2008 30 830 836 10.1080/09638280701419326 17852272 (Pubitemid 351890592)
25. Clinical gait assessment in the neurologically impaired. Holden MK, Gill KM, Magliozzi MR, Nathan J, Piehl-Baker L, Reliability and meaningfulness. Phys Ther 1984 64 35 40
26. Performance-oriented assessment of mobility problems in elderly patients. Tinetti ME, J Am Geriatr Soc 1986 34 119 126 3944402 (Pubitemid 16159911)
27. Validity and reliability comparison of 4 mobility measures in patients presenting with neurologic impairment. Rossier P, Wade DT, Arch Phys Med Rehabil 2001 82 9 13 10.1053/apmr.2001.9396 11239279 (Pubitemid 32057612)
28. Predictive validity and responsiveness of the functional ambulation category in hemiparetic patients after stroke. Mehrholz J, Wagner K, Rutte K, Meissner D, Pohl M, Arch Phys Med Rehabil 2007 88 1314 1319 10.1016/j.apmr.2007. 06.764 17908575 (Pubitemid 47483651)
29. Functional walk tests in individuals with stroke: relation to perceived exertion and myocardial exertion. Eng JJ, Chu KS, Dawson AS, Kim CM, Hepburn KE, Stroke 2002 33 756 761 10.1161/hs0302.104195 11872900 (Pubitemid 34204003)
30. Balance control in hemiparetic stroke patients: main tools for evaluation. de Oliveira CB, de Medeiros IR, Frota NA, Greters ME, Conforto AB, J Rehabil Res Dev 2008 45 1215 1226 10.1682/JRRD.2007.09.0150 19235121
31. The effectiveness of locomotor therapy using robotic-assisted gait training in subacute stroke patients: a randomized controlled trial. Schwartz I, Sajin A, Fisher I, Neeb M, Shochina M, Katz-Leurer M, Meiner Z, PM R 2009 1 516 523 10.1016/j.pmrj.2009.03.009 19627940
32. Effects of locomotion training with assistance of a robot-driven gait orthosis in hemiparetic patients after stroke: a randomized controlled pilot study. Husemann B, Muller F, Krewer C, Heller S, Koenig E, Stroke 2007 38 349 354 10.1161/01.STR.0000254607.48765.cb 17204680 (Pubitemid 46184306)
33. The effectiveness of body weight-supported gait training and floor walking in patients with chronic stroke. Peurala SH, Tarkka IM, Pitkanen K, Sivenius J, Arch Phys Med Rehabil 2005 86 1557 1564 10.1016/j.apmr.2005.02.005 16084808 (Pubitemid 41115817)
34. Effects of intensive therapy using gait trainer or floor walking exercises early after stroke. Peurala SH, Airaksinen O, Huuskonen P, Jakala P, Juhakoski M, Sandell K, Tarkka IM, Sivenius J, J Rehabil Med 2009 41 166 173 10.2340/16501977-0304 19229450
35. Effect of intensive outpatient physical training on gait performance and cardiovascular health in people with hemiparesis after stroke. Jorgensen JR, Bech-Pedersen DT, Zeeman P, Sorensen J, Andersen LL, Schonberger M, Phys Ther 2010 90 527 537 10.2522/ptj.20080404 20203092
36. Analysis of the clinical factors determining natural and maximal gait speeds in adults with a stroke. Nadeau S, Arsenault AB, Gravel D, Bourbonnais D, Am J Phys Med Rehabil 1999 78 123 130 10.1097/00002060-199903000-00007 10088586 (Pubitemid 29135756)
37. Postural control during sit-to stand and gait in stroke patients. Chou SW, Wong AM, Leong CP, Hong WS, Tang FT, Lin TH, Am J Phys Med Rehabil 2003 82 42 47 10.1097/00002060-200301000-00007 12510184 (Pubitemid 36043762)
38. Balance retraining after stroke using force platform biofeedback. Nichols DS, Phys Ther 1997 77 553 558 9149764 (Pubitemid 27204086)
39. Predicting improvement in gait after stroke: a longitudinal prospective study. Kollen B, van de Port I, Lindeman E, Twisk J, Kwakkel G, Stroke 2005 36 2676 2680 10.1161/01.STR.0000190839.29234.50 16282540
40. Motor recovery after stroke: a systematic review of the literature. Hendricks HT, van Limbeek J, Geurts AC, Zwarts MJ, Arch Phys Med Rehabil 2002 83 1629 1637 10.1053/apmr.2002.35473 12422337 (Pubitemid 35304145)
41. [Trunk control test: early predictor of gait balance and capacity at 6 months of the stroke]. Duarte E, Morales A, Pou M, Aguirrezabal A, Aguilar JJ, Escalada F, Neurologia 2009 24 297 303 19642031
42. Optimal outcomes obtained with body-weight support combined with treadmill training in stroke subjects. Barbeau H, Visintin M, Arch Phys Med Rehabil 2003 84 1458 1465 10.1016/S0003-9993(03)00361-7 14586912 (Pubitemid 37237253)
43. Recovery of walking function in stroke patients: the Copenhagen Stroke Study. Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS, Arch Phys Med Rehabil 1995 76 27 32 10.1016/S0003-9993(95)80038-7 7811170
44. Impact of time on improvement of outcome after stroke. Kwakkel G, Kollen B, Twisk J, Stroke 2006 37 2348 2353 10.1161/01.STR.0000238594.91938.1e 16931787 (Pubitemid 44337182)
45. Effectiveness of gait training using an electromechanical gait trainer, with and without functional electric stimulation, in subacute stroke: a randomized controlled trial. Tong RK, Ng MF, Li LS, Arch Phys Med Rehabil 2006 87 1298 1304 10.1016/j.apmr.2006.06.016 17023237 (Pubitemid 44470760)
46. Partial body weight treadmill training in persons with chronic stroke. Trueblood PR, NeuroRehabilitation 2001 16 141 153 11790899 (Pubitemid 33079046)
47. Prospective, blinded, randomized crossover study of gait rehabilitation in stroke patients using the Lokomat gait orthosis. Mayr A, Kofler M, Quirbach E, Matzak H, Frohlich K, Saltuari L, Neurorehabil Neural Repair 2007 21 307 314 10.1177/1545968307300697 17476001 (Pubitemid 46871850)
48. Robotic devices as therapeutic and diagnostic tools for stroke recovery. Volpe BT, Huerta PT, Zipse JL, Rykman A, Edwards D, Dipietro L, Hogan N, Krebs HI, Arch Neurol 2009 66 1086 1090 10.1001/archneurol.2009.182 19752297
49. Technique to improve chronic motor deficit after stroke. Taub E, Miller NE, Novack TA, Cook EW, Fleming WC, Nepomuceno CS, Connell JS, Crago JE, Arch Phys Med Rehabil 1993 74 347 354 8466415 (Pubitemid 23115348)