Abstract
BACKGROUND: End-effector robots allow intensive gait training in stroke subjects and promote a successful rehabilitation. A comparison between conventional and end-effector Robot-Assisted Gait Training (RAGT) in subacute stroke patients is needed. OBJECTIVE: To investigate the efficacy of end-effector RAGT in subacute stroke patients. METHODS: Twenty-six subacute stroke patients were divided into two group: 14 patients performed RAGT (RG); 12 patients performed conventional gait training (CG). Clinical assessment and gait analysis were performed at the beginning (T0) and at the end (T1) of the rehabilitation. RESULTS: The RG revealed a significant improvement in body function, activities, participation scales, and in the distance measured with the 6 MWT. The affected lower limb's spasticity significantly decreased at T1. In gait analysis, RG showed significantly increases in many parameters. The CG significantly improved clinical assessments but showed no significant changes in gait parameters. Statistically significant differences between RG and CG were found in MRC-HE, TCT, 10 MWT, 6 MWT, and TUG. No significant difference between groups was registered in gait kinematics. CONCLUSIONS: Both rehabilitation treatments produce promising effects in subacute stroke patients. RAGT device offers a more intensive, controlled, and physiological gait training and significantly improved deambulation.
| Original language | English |
|---|---|
| Pages (from-to) | 201-212 |
| Number of pages | 12 |
| Journal | NeuroRehabilitation |
| Volume | 45 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Jan 1 2019 |
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Keywords
- end-effector device
- neurologic gait disorders
- rehabilitation
- Robot-Assisted Gait Training
- Stroke
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
- Clinical Neurology
Cite this
Efficacy of end-effector Robot-Assisted Gait Training in subacute stroke patients : Clinical and gait outcomes from a pilot bi-centre study. / Aprile, Irene; Iacovelli, Chiara; Goffredo, Michela; Cruciani, Arianna; Galli, Manuela; Simbolotti, Chiara; Pecchioli, Cristiano; Padua, Luca; Galafate, Daniele; Pournajaf, Sanaz; Franceschini, Marco.
In: NeuroRehabilitation, Vol. 45, No. 2, 01.01.2019, p. 201-212.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Efficacy of end-effector Robot-Assisted Gait Training in subacute stroke patients
T2 - Clinical and gait outcomes from a pilot bi-centre study
AU - Aprile, Irene
AU - Iacovelli, Chiara
AU - Goffredo, Michela
AU - Cruciani, Arianna
AU - Galli, Manuela
AU - Simbolotti, Chiara
AU - Pecchioli, Cristiano
AU - Padua, Luca
AU - Galafate, Daniele
AU - Pournajaf, Sanaz
AU - Franceschini, Marco
PY - 2019/1/1
Y1 - 2019/1/1
N2 - BACKGROUND: End-effector robots allow intensive gait training in stroke subjects and promote a successful rehabilitation. A comparison between conventional and end-effector Robot-Assisted Gait Training (RAGT) in subacute stroke patients is needed. OBJECTIVE: To investigate the efficacy of end-effector RAGT in subacute stroke patients. METHODS: Twenty-six subacute stroke patients were divided into two group: 14 patients performed RAGT (RG); 12 patients performed conventional gait training (CG). Clinical assessment and gait analysis were performed at the beginning (T0) and at the end (T1) of the rehabilitation. RESULTS: The RG revealed a significant improvement in body function, activities, participation scales, and in the distance measured with the 6 MWT. The affected lower limb's spasticity significantly decreased at T1. In gait analysis, RG showed significantly increases in many parameters. The CG significantly improved clinical assessments but showed no significant changes in gait parameters. Statistically significant differences between RG and CG were found in MRC-HE, TCT, 10 MWT, 6 MWT, and TUG. No significant difference between groups was registered in gait kinematics. CONCLUSIONS: Both rehabilitation treatments produce promising effects in subacute stroke patients. RAGT device offers a more intensive, controlled, and physiological gait training and significantly improved deambulation.
AB - BACKGROUND: End-effector robots allow intensive gait training in stroke subjects and promote a successful rehabilitation. A comparison between conventional and end-effector Robot-Assisted Gait Training (RAGT) in subacute stroke patients is needed. OBJECTIVE: To investigate the efficacy of end-effector RAGT in subacute stroke patients. METHODS: Twenty-six subacute stroke patients were divided into two group: 14 patients performed RAGT (RG); 12 patients performed conventional gait training (CG). Clinical assessment and gait analysis were performed at the beginning (T0) and at the end (T1) of the rehabilitation. RESULTS: The RG revealed a significant improvement in body function, activities, participation scales, and in the distance measured with the 6 MWT. The affected lower limb's spasticity significantly decreased at T1. In gait analysis, RG showed significantly increases in many parameters. The CG significantly improved clinical assessments but showed no significant changes in gait parameters. Statistically significant differences between RG and CG were found in MRC-HE, TCT, 10 MWT, 6 MWT, and TUG. No significant difference between groups was registered in gait kinematics. CONCLUSIONS: Both rehabilitation treatments produce promising effects in subacute stroke patients. RAGT device offers a more intensive, controlled, and physiological gait training and significantly improved deambulation.
KW - end-effector device
KW - neurologic gait disorders
KW - rehabilitation
KW - Robot-Assisted Gait Training
KW - Stroke
UR - http://www.scopus.com/inward/record.url?scp=85074744854&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85074744854&partnerID=8YFLogxK
U2 - 10.3233/NRE-192778
DO - 10.3233/NRE-192778
M3 - Article
C2 - 31498139
AN - SCOPUS:85074744854
VL - 45
SP - 201
EP - 212
JO - NeuroRehabilitation
JF - NeuroRehabilitation
SN - 1053-8135
IS - 2
ER -