'An observational report of intensive robotic and manual gait training in sub-acute stroke
| العنوان: | 'An observational report of intensive robotic and manual gait training in sub-acute stroke |
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| المؤلفون: | Daniel Leon, Eva Morales, Lucas Conesa, Montserrat Bernabeu, Ursula Costa, Dylan J. Edwards, Mar Cortes, Josep R. Medina |
| المصدر: | Journal of NeuroEngineering and Rehabilitation Journal of NeuroEngineering and Rehabilitation, Vol 9, Iss 1, p 13 (2012) |
| بيانات النشر: | BioMed Central, 2012. |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | Male, 030506 rehabilitation, medicine.medical_specialty, Neurology, medicine.medical_treatment, MEDLINE, Health Informatics, lcsh:RC321-571, rehabilitation, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Gait (human), Gait training, body weight support, Medicine, Humans, Stroke, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, Gait, Gait Disorders, Neurologic, Rehabilitation, business.industry, Research, Stroke Rehabilitation, Recovery of Function, Robotics, Middle Aged, medicine.disease, stroke, Exercise Therapy, Clinical trial, Physical therapy, Observational study, Female, 0305 other medical science, business, human activities, 030217 neurology & neurosurgery |
| الوصف: | Background The use of automated electromechanical devices for gait training in neurological patients is increasing, yet the functional outcomes of well-defined training programs using these devices and the characteristics of patients that would most benefit are seldom reported in the literature. In an observational study of functional outcomes, we aimed to provide a benchmark for expected change in gait function in early stroke patients, from an intensive inpatient rehabilitation program including both robotic and manual gait training. Methods We followed 103 sub-acute stroke patients who met the clinical inclusion criteria for Body Weight Supported Robotic Gait Training (BWSRGT). Patients completed an intensive 8-week gait-training program comprising robotic gait training (weeks 0-4) followed by manual gait training (weeks 4-8). A change in clinical function was determined by the following assessments taken at 0, 4 and 8 weeks (baseline, mid-point and end-point respectively): Functional Ambulatory Categories (FAC), 10 m Walking Test (10 MWT), and Tinetti Gait and Balance Scales. Results Over half of the patients made a clinically meaningful improvement on the Tinetti Gait Scale (> 3 points) and Tinetti Balance Scale (> 5 points), while over 80% of the patients increased at least 1 point on the FAC scale (0-5) and improved walking speed by more than 0.2 m/s. Patients responded positively in gait function regardless of variables gender, age, aetiology (hemorrhagic/ischemic), and affected hemisphere. The most robust and significant change was observed for patients in the FAC categories two and three. The therapy was well tolerated and no patients withdrew for factors related to the type or intensity of training. Conclusions Eight-weeks of intensive rehabilitation including robotic and manual gait training was well tolerated by early stroke patients, and was associated with significant gains in function. Patients with mid-level gait dysfunction showed the most robust improvement following robotic training. |
| اللغة: | English |
| تدمد: | 1743-0003 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::08fb3652e57fdd130c483f7e22cb2b80 http://europepmc.org/articles/PMC3305481 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....08fb3652e57fdd130c483f7e22cb2b80 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 17430003 |
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