Efficacy of Robotic-Assisted Gait Training in chronic stroke patients

Preliminary results of an Italian bi-centre study

Irene Aprile, Chiara Iacovelli, Luca Padua, Daniele Galafate, Simone Criscuolo, Debora Gabbani, Arianna Cruciani, Marco Germanotta, Enrica Di Sipio, Francesco De Pisi, Marco Franceschini

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

BACKGROUND: The gait recovery is a realist goal in the rehabilitation of almost Stroke patients. Over the last years, the introduction of robotic technologies in gait rehabilitation of stroke patients has had a greatest interest. OBJECTIVE: The aim of this study was to evaluate efficacy of Robotic Gait Training (RGT) in chronic stroke patients. METHODS: Fourteen chronic stroke patients were divided into two groups. Six patients received RGT, eight patients received traditional gait rehabilitation. Patients were assessed with clinical scales, as well as with gait analysis, at the beginning and at the end of the treatment. RESULTS: Significant changes in some clinical scales for both the groups were detected. In the robotic group, patients showed higher percentage changes in the MRC scale (p=0.020), in the 6MWT (p=0.043) and in the Ashworth scale (hip: P=0.008; knee: P=0.043; ankle: P=0.043) when compared with the traditional group. With respect to the gait analysis, we did not found any difference neither in the within-group analysis, nor in the between-group analysis. CONCLUSIONS: Both rehabilitation treatments do not change the compensatory strategies in chronic patients but the RGT offers to the patients a more intensive and controlled gait training increasing the gait endurance and decreasing spasticity in the lower limb.

Original languageEnglish
Pages (from-to)775-782
Number of pages8
JournalNeuroRehabilitation
Volume41
Issue number4
DOIs
Publication statusPublished - Dec 2017

Fingerprint

Robotics
Gait
Stroke
Rehabilitation
Ankle
Hip
Lower Extremity
Knee
Technology

Keywords

  • chronic
  • gait analysis
  • rehabilitation
  • robotics
  • Stroke

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

Cite this

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title = "Efficacy of Robotic-Assisted Gait Training in chronic stroke patients: Preliminary results of an Italian bi-centre study",
abstract = "BACKGROUND: The gait recovery is a realist goal in the rehabilitation of almost Stroke patients. Over the last years, the introduction of robotic technologies in gait rehabilitation of stroke patients has had a greatest interest. OBJECTIVE: The aim of this study was to evaluate efficacy of Robotic Gait Training (RGT) in chronic stroke patients. METHODS: Fourteen chronic stroke patients were divided into two groups. Six patients received RGT, eight patients received traditional gait rehabilitation. Patients were assessed with clinical scales, as well as with gait analysis, at the beginning and at the end of the treatment. RESULTS: Significant changes in some clinical scales for both the groups were detected. In the robotic group, patients showed higher percentage changes in the MRC scale (p=0.020), in the 6MWT (p=0.043) and in the Ashworth scale (hip: P=0.008; knee: P=0.043; ankle: P=0.043) when compared with the traditional group. With respect to the gait analysis, we did not found any difference neither in the within-group analysis, nor in the between-group analysis. CONCLUSIONS: Both rehabilitation treatments do not change the compensatory strategies in chronic patients but the RGT offers to the patients a more intensive and controlled gait training increasing the gait endurance and decreasing spasticity in the lower limb.",
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author = "Irene Aprile and Chiara Iacovelli and Luca Padua and Daniele Galafate and Simone Criscuolo and Debora Gabbani and Arianna Cruciani and Marco Germanotta and {Di Sipio}, Enrica and {De Pisi}, Francesco and Marco Franceschini",
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AU - Aprile, Irene

AU - Iacovelli, Chiara

AU - Padua, Luca

AU - Galafate, Daniele

AU - Criscuolo, Simone

AU - Gabbani, Debora

AU - Cruciani, Arianna

AU - Germanotta, Marco

AU - Di Sipio, Enrica

AU - De Pisi, Francesco

AU - Franceschini, Marco

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N2 - BACKGROUND: The gait recovery is a realist goal in the rehabilitation of almost Stroke patients. Over the last years, the introduction of robotic technologies in gait rehabilitation of stroke patients has had a greatest interest. OBJECTIVE: The aim of this study was to evaluate efficacy of Robotic Gait Training (RGT) in chronic stroke patients. METHODS: Fourteen chronic stroke patients were divided into two groups. Six patients received RGT, eight patients received traditional gait rehabilitation. Patients were assessed with clinical scales, as well as with gait analysis, at the beginning and at the end of the treatment. RESULTS: Significant changes in some clinical scales for both the groups were detected. In the robotic group, patients showed higher percentage changes in the MRC scale (p=0.020), in the 6MWT (p=0.043) and in the Ashworth scale (hip: P=0.008; knee: P=0.043; ankle: P=0.043) when compared with the traditional group. With respect to the gait analysis, we did not found any difference neither in the within-group analysis, nor in the between-group analysis. CONCLUSIONS: Both rehabilitation treatments do not change the compensatory strategies in chronic patients but the RGT offers to the patients a more intensive and controlled gait training increasing the gait endurance and decreasing spasticity in the lower limb.

AB - BACKGROUND: The gait recovery is a realist goal in the rehabilitation of almost Stroke patients. Over the last years, the introduction of robotic technologies in gait rehabilitation of stroke patients has had a greatest interest. OBJECTIVE: The aim of this study was to evaluate efficacy of Robotic Gait Training (RGT) in chronic stroke patients. METHODS: Fourteen chronic stroke patients were divided into two groups. Six patients received RGT, eight patients received traditional gait rehabilitation. Patients were assessed with clinical scales, as well as with gait analysis, at the beginning and at the end of the treatment. RESULTS: Significant changes in some clinical scales for both the groups were detected. In the robotic group, patients showed higher percentage changes in the MRC scale (p=0.020), in the 6MWT (p=0.043) and in the Ashworth scale (hip: P=0.008; knee: P=0.043; ankle: P=0.043) when compared with the traditional group. With respect to the gait analysis, we did not found any difference neither in the within-group analysis, nor in the between-group analysis. CONCLUSIONS: Both rehabilitation treatments do not change the compensatory strategies in chronic patients but the RGT offers to the patients a more intensive and controlled gait training increasing the gait endurance and decreasing spasticity in the lower limb.

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