Robotic neurorehabilitation in patients with chronic stroke: Psychological well-being beyond motor improvement

Rocco S. Calabrò, Maria C. De Cola, Antonino Leo, Simone Reitano, Tina Balletta, Giovanni Trombetta, Antonino Naro, Margherita Russo, Francesco Bertè, Rosaria De Luca, Placido Bramanti

Research output: Contribution to journalArticlepeer-review

Abstract

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

Original languageEnglish
Pages (from-to)219-225
Number of pages7
JournalInternational Journal of Rehabilitation Research
Volume38
Issue number3
DOIs
Publication statusPublished - Aug 19 2015

Keywords

  • chronic stroke
  • coping strategies
  • gait training
  • psychological well-being
  • robotic neurorehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

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