TY - JOUR
T1 - Robotic neurorehabilitation in patients with chronic stroke
T2 - Psychological well-being beyond motor improvement
AU - Calabrò, Rocco S.
AU - De Cola, Maria C.
AU - Leo, Antonino
AU - Reitano, Simone
AU - Balletta, Tina
AU - Trombetta, Giovanni
AU - Naro, Antonino
AU - Russo, Margherita
AU - Bertè, Francesco
AU - De Luca, Rosaria
AU - Bramanti, Placido
PY - 2015/8/19
Y1 - 2015/8/19
N2 - Although gait abnormality is one of the most disabling events following stroke, cognitive, and psychological impairments can be devastating. The Lokomat is a robotic that has been used widely for gait rehabilitation in several movement disorders, especially in the acute and subacute phases. The aim of this study was to evaluate the effectiveness of gait robotic rehabilitation in patients affected by chronic stroke. Psychological impact was also taken into consideration. Thirty patients (13 women and 17 men) affected by chronic stroke entered the study. All participants underwent neurological examination with respect to ambulation, Ashworth, Functional Independence Measure, and Tinetti scales to assess their physical status, and Hamilton Rating Scale for Depression, Psychological General Well-being Index, and Coping Orientation to Problem Experienced to evaluate the Lokomat-related psychological impact before and after either a conventional treatment or the robotic training. During each rehabilitation period (separated by a no-treatment period), patients underwent a total of 40 1 h training sessions (i.e. five times a week for 8 weeks). After the conventional treatment, the patients did not achieve a significant improvement in the functional status, except balance (P
AB - Although gait abnormality is one of the most disabling events following stroke, cognitive, and psychological impairments can be devastating. The Lokomat is a robotic that has been used widely for gait rehabilitation in several movement disorders, especially in the acute and subacute phases. The aim of this study was to evaluate the effectiveness of gait robotic rehabilitation in patients affected by chronic stroke. Psychological impact was also taken into consideration. Thirty patients (13 women and 17 men) affected by chronic stroke entered the study. All participants underwent neurological examination with respect to ambulation, Ashworth, Functional Independence Measure, and Tinetti scales to assess their physical status, and Hamilton Rating Scale for Depression, Psychological General Well-being Index, and Coping Orientation to Problem Experienced to evaluate the Lokomat-related psychological impact before and after either a conventional treatment or the robotic training. During each rehabilitation period (separated by a no-treatment period), patients underwent a total of 40 1 h training sessions (i.e. five times a week for 8 weeks). After the conventional treatment, the patients did not achieve a significant improvement in the functional status, except balance (P
KW - chronic stroke
KW - coping strategies
KW - gait training
KW - psychological well-being
KW - robotic neurorehabilitation
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U2 - 10.1097/MRR.0000000000000114
DO - 10.1097/MRR.0000000000000114
M3 - Article
C2 - 25816006
AN - SCOPUS:84939507791
VL - 38
SP - 219
EP - 225
JO - International Journal of Rehabilitation Research
JF - International Journal of Rehabilitation Research
SN - 0342-5282
IS - 3
ER -