A Randomized Comparative Study of Manually Assisted Versus Robotic-Assisted Body Weight Supported Treadmill Training in Persons With a Traumatic Brain Injury

PM and R

Volumn 5, Issue 4, 2013, Pages 280-290

  Esquenazi, Alberto ^a   Lee, Stella ^a   Packel, Andrew T ^a   Braitman, Leonard ^b  

^a Gait and Motion Analysis Laboratory   (United States)

^b EINSTEIN MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; BODY WEIGHT; CLINICAL ARTICLE; COMPARATIVE STUDY; CONTROLLED STUDY; FEMALE; GAIT; HUMAN; MALE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; ROBOTIC ASSISTED LOCOMOTOR; TRAUMATIC BRAIN INJURY; TREADMILL; WALKING;

ADULT; AGED; BRAIN INJURIES; EXERCISE TEST; EXERCISE THERAPY; FEMALE; FOLLOW-UP STUDIES; GAIT; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; RECOVERY OF FUNCTION; ROBOTICS; TREATMENT OUTCOME; WALKING; YOUNG ADULT;

EID: 84876837600     PISSN: 19341482     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.pmrj.2012.10.009     Document Type: Article

References (71)

1. Elovic E., Antoinette T. Epidemiology and primary prevention of traumatic brain injury. Medical Rehabilitation of Traumatic Brain Injury 1996, Hanley & Belfus, Philadelphia, PA. L. Horn, N. Zasler (Eds.).
2. Perry J., Burnfield J.M. Gait analysis: Normal and pathological function 2010, SLACK Incorporated, Thorofare, NJ. 2nd ed.
3. Williams G., Morris M.E., Schache A., McCrory P.R. Incidence of gait abnormalities after traumatic brain injury. Arch Phys Med Rehabil 2009, 90:587-593.
4. Esquenazi A., Talaty M. Gait analysis, technology and clinical applications. Physical Medicine and Rehabilitation 2011, 99-116. Elsevier, Philadelphia, PA. 4th ed. R.L. Braddom (Ed.).
5. Perry J., Garrett M., Gronley J.K., Mulroy S.J. Classification of walking handicap in the stroke population. Stroke 1995, 26:982-989.
6. Carr J., Shepherd R. Neurological Rehabilitation 1998, Butterworth & Heinemann, Oxford, UK.
7. Dromerick A.W., Lum P.S., Hidler J. Activity-based therapies. NeuroRx 2006, 3:428-438.
8. DeJong G., Horn S.D., Conroy B., Nichols D., Healton E.B. Opening the black box of post-stroke rehabilitation: Stroke rehabilitation patients, processes, and outcomes. Arch Phys Med Rehabil 2005, 86(12 suppl 2):S1-S7.
9. Van Peppen R.P., Kwakkel G., Wood-Dauphinee S., Hendriks H.J., Van der Wees P.J., Dekker J. The impact of physical therapy on functional outcomes after stroke: What's the evidence?. Clin Rehabil 2004, 18:833-862.
10. Lennon S., Ashburn A., Baxter D. Gait outcome following outpatient physiotherapy based on the Bobath concept in people post stroke. Disabil Rehabil 2006, 28:873-881.
11. Kollen B.J., Lennon S., Lyons B., et al. The effectiveness of the Bobath concept in stroke rehabilitation: What is the evidence?. Stroke 2009, 40:e89-e97.
12. Hafsteinsdóttir T.B., Algra A., Kappelle L.J., Grypdonck M.H., Group D.N.S. Neurodevelopmental treatment after stroke: A comparative study. J Neurol Neurosurg Psychiatry 2005, 76:788-792.
13. Brunham S., Snow C.J. The effectiveness of neurodevelopmental treatment in adults with neurological conditions: A single-subject study. Physiother Practice 1992, 8. 215-212.
14. Partridge C., Edwards S. The bases of practice-neurological physiotherapy. Physiother Res Int 1996, 1:205-208.
15. Dickstein R., Hocherman S., Pillar T., Shaham R. Stroke rehabilitation. Three exercise therapy approaches. Phys Ther 1986, 66:1233-1238.
16. Hesse S., Bertelt C., Jahnke M.T., et al. Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients. Stroke 1995, 26:976-981.
17. Richards C.L., Malouin F., Wood-Dauphinee S., Williams J.I., Bouchard J.P., Brunet D. Task-specific physical therapy for optimization of gait recovery in acute stroke patients. Arch Phys Med Rehabil 1993, 74:612-620.
18. Laufer Y., Dickstein R., Chefez Y., Marcovitz E. The effect of treadmill training on the ambulation of stroke survivors in the early stages of rehabilitation: A randomized study. J Rehabil Res Dev 2001, 38:69-78.
19. Visintin M., Barbeau H., Korner-Bitensky N., Mayo N.E. A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation. Stroke 1998, 29:1122-1128.
20. da Cunha I.T.J., Lim P.A., Qureshy H., Henson H., Monga T., Protas E.J. Gait outcomes after acute stroke rehabilitation with supported treadmill ambulation training: A randomized controlled pilot study. Arch Phys Med Rehabil 2002, 83:1258-1265.
21. Dobkin B., Apple D., Barbeau H., et al. Weight-supported treadmill vs over-ground training for walking after acute incomplete SCI. Neurology 2006, 66:484-493.
22. Duncan P.W., Sullivan K.J., Behrman A.L., et al. Body-weight-supported treadmill rehabilitation after stroke. N Engl J Med 2011, 364:2026-2036.
23. Cherng R.J., Liu C.F., Lau T.W., Hong R.B. Effect of treadmill training with body weight support on gait and gross motor function in children with spastic cerebral palsy. Am J Phys Med 2007, 86:548-555.
24. Smith G.V., Silver K.H., Goldberg A.P., Macko R.F. "Task-oriented" exercise improves hamstring strength and spastic reflexes in chronic stroke patients. Stroke 1999, 30:2112-2118.
25. Macko R., Ivey F., Forrester L. Task-oriented aerobic exercise in chronic hemiparetic stroke: Training protocols and treatment effects. Top Stroke Rehabil 2005, 12:45-57.
26. Hornby T.G., Campbell D.D., Kahn J.H., Demott T., Moore J.L., Roth H.R. Enhanced gait-related improvements after therapist- versus robotic-assisted locomotor training in subjects with chronic stroke: A randomized controlled study. Stroke 2008, 39:1786-1792.
27. Sullivan K.J., Knowlton B.J., Dobkin B.H. Step training with body weight support: Effect of treadmill speed and practice paradigms on poststroke locomotor recovery. Arch Phys Med Rehabil 2002, 83:683-691.
28. Adolph K.E., Vereijken B., Shrout P.E. What changes in infant walking and why. Child Development 2003, 74:475-497.
29. Fait P.E., McFadyen B.J., Zabjek K., Reed N., Taha T., Keightley M. Increasing task complexity and ice hockey skills of youth athletes. Percept Mot Skills 2011, 112:29-43.
30. Kottke F.J., Halpern D., Easton J.K.M., Ozel A.T., Burrill C.A. Training of coordination. Arch Phys Med Rehabil 1978, 59:567-572.
31. Wirz M., Zemon D.H., Rupp R., et al. Effectiveness of automated locomotor training in patients with chronic incomplete spinal cord injury: A multicenter trial. Arch Phys Med Rehabil 2005, 86:672-680.
32. Torres-Oviedo G., Vasudevan E.V., Malone L.A., Bastian A.J. Locomotor Adaptation. Prog Brain Res 2011, 191:65-74.
33. Kwakkel G. Impact of intensity of practice after stroke: Issues for consideration. Disabil Rehabil 2006, 28:823-830.
34. Sacco K., Cauda F., D'Agata F., et al. A combined robotic and cognitive training for locomotor rehabilitation: Evidences of cerebral functional reorganization in two chronic traumatic brain injured patients. Front Hum Neurosci 2011, 5:146.
35. Pascual-Leone A., Grafman J., Hallett M. Modulation of cortical motor output maps during development of implicit and explicit knowledge. Science 1994, 263:1287-1289.
36. Karni A., Meyer G., Jezzard P., Adams M.M., Turner R., Ungerleider L.G. Functional MRI evidence for adult motor cortex plasticity during motor skill learning. Nature 1995, 377:155-158.
37. Wirz M., Zemon D.H., Rupp R., et al. Effectiveness of automated locomotor training in patients with chronic incomplete spinal cord injury: A multicenter trial. Arch Phys Med Rehabil 2005, 86:672-680.
38. Jezernik S., Schärer R., Colombo G., Morari M. Adaptive robotic rehabilitation of locomotion: A clinical study in spinally injured individuals. Spinal Cord 2003, 41:657-666.
39. Colombo G., Joerg M., Schreier R., Dietz V. Treadmill training of paraplegic patients using a robotic orthosis. J Rehabil Res Dev 2000, 37:693-700.
40. Colombo G., Wirz M., Dietz V. Driven gait orthosis for improvement of locomotor training in paraplegic patients. Spinal Cord 2001, 39:252-255.
41. Schwartz I., Sajin A., Fisher M., et al. The effectiveness of locomotor therapy using robotic-assisted gait training in subacute stroke patients: A randomized controlled trial. PM R 2009, 1:516-523.
42. Mayr A., Kofler M., Quirbach E., Matzak H., Fröhlich K., Saltuari L. Prospective, blinded, randomized crossover study of gait rehabilitation in stroke patients using the Lokomat gait orthosis. Neurorehabil Neural Repair 2007, 21:307-314.
43. Husemann B., Müller F., Krewer C., Heller S., 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 2007, 38:349-354.
44. Westlake K.P., Patten C. Pilot study of Lokomat versus manual-assisted treadmill training for locomotor recovery post-stroke. J Neuroeng Rehabil 2009, 6:18.
45. Hidler J., Nichols D., Pelliccio M., et al. Multicenter randomized clinical trial evaluating the effectiveness of the Lokomat in subacute stroke. Neurorehabil Neural Repair 2009, 23:5-13.
46. Mehrholz J., Werner C., Kugler J., Pohl M. Electromechanical-assisted training for walking after stroke (review). Cochrane Database Syst Rev 2007, (4). CD006185.
47. Freivogel S., Mehrholz J., Husak-Sotomayor T., Schmalohr D. Gait training with the newly developed 'LokoHelp'-system is feasible for non-ambulatory patients after stroke, spinal cord and brain injury. A feasibility study. Brain Inj 2008, 22:625-632.
48. Taylor A. An instrumental gait mat. Paper presented at: Proceedings of the International Conference of Rehabilitation and Engineering; 1980; Toronto, Canada.
49. ATS statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002, 166:111-117. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories.
50. Moseley A.M., Lanzarone S., Bosman J.M., et al. Ecological validity of walking speed assessment after traumatic brain injury: A pilot study. J Head Trauma Rehabil 2004, 19:341-348.
51. Duncan P.W., Lai S.M., Bode R.K., Perera S., DeRosa J. Stroke Impact Scale-16: A brief assessment of physical function. Neurology 2003, 60:291-296.
52. Ware J., Snow K., Kosinski M., Gander B. SF-36 Health Survey Manual and Interpretation 1993, Health Institute, New England Medical Center, Boston, MA.
53. Lai S.M., Perera S., Duncan P.W., Bode R. Physical and social functioning after stroke: Comparison of the Stroke Impact Scale and Short Form-36. Stroke 2003, 34:488-493.
54. Lin P., Yang Y., Cheng S., Wang R. The relation between ankle impairments and gait velocity and symmetry in people with stroke. Arch Phys Med Rehabil 2006, 87:562-568.
55. Cohen J. A power primer. Psych Bull 1992, 112:155-159.
56. Patterson S., Rodgers M.M., Macko R.F., Forrester L.W. Effect of treadmill exercise training on spatial and temporal gait parameters in subjects with chronic stroke: A preliminary report. J Rehabil Res Dev 2008, 45:221-228.
57. Wada Y., Kondo I., Sonoda S., et al. Preliminary trial to increase gait velocity with high speed treadmill training for patients with hemiplegia. Am J Phys Med Rehabil 2010, 89:683-687.
58. Tyrell C.M., Roos M.A., Rudolph K.S., Reisman D.S. Influence of systematic increases in treadmill walking speed on gait kinematics after stroke. Phys Ther 2011, 91:392-403.
59. Lamontagne A., Fung J. Faster is better: Implications for speed-intensive gait training after stroke. Stroke 2004, 35:2543-2548.
60. Pohl M., Mehrholz J., Ritschel C., Rückriem S. Speed-dependent treadmill training in ambulatory hemiparetic stroke patients: A randomized controlled trial. Stroke 2002, 33:553-558.
61. Hesse S., Wernerm C., Paul T., Bardeleben A., Chaler J. Influence of walking speed on lower limb muscle activity and energy consumption during treadmill walking of hemiparetic patients. Arch Phys Med Rehabil 2001, 82:1547-1550.
62. Chen G., Patten C., Kothari D.H., Zajac F.E. Gait deviations associated with post-stroke hemiparesis: Improvement during treadmill walking using weight support, speed, support stiffness, and handrail hold. Gait Posture 2005, 22:57-62.
63. Harris-Love M.L., Forrester L.W., Macko R.F., Silver K.H., Smith G.V. Hemiparetic gait parameters in overground versus treadmill walking. Neurorehabil Neural Repair 2001, 15:105-112.
64. McCain K.J., Pollo F.E., Baum B.S., Coleman S.C., Baker S., Smith P.S. Locomotor treadmill training with partial body-weight support before overground gait in adults with acute stroke: A pilot study. Am J Phys Med Rehabil 2008, 89:684-691.
65. International Classification of Functioning, Disability and Health. WHO Member States in the Fifty-fourth World Health Assembly Accessed March 29, 2012. http://www.who.int/classifications/icf/en/.
66. Combs S.A., Miller E.W. Effects of a short burst of gait training with body weight-supported treadmill training for a person with chronic stroke: A single-subject study. Physiother Theory Pract 2011, 27:223-230.
67. Smith P.S., Thompson M. Treadmill training post stroke: Are there any secondary benefits?. A pilot study. Clin Rehabil 2008, 22:997-1002.
68. Lin K.C., Fu T., Wu C.Y., et al. Minimal detectable change and clinically important difference of the Stroke Impact Scale in stroke patients. Neurorehabil Neural Repair 2010, 24:486-492.
69. Flansbjer U.B., Downham D., Lexell J. Knee muscle strength, gait performance, and perceived participation after stroke. Arch Phys Med Rehabil 2006, 87:974-980.
70. Bohannon R.W. Muscle strength and muscle training after stroke. J Rehabil Med 2007, 39:14-20.
71. Tucker J.A., Reed G.M. Evidentiary pluralism as a strategy for research and evidence-based practice in rehabilitation psychology. Rehabil Psychol 2008, 53:279-293.