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Enhanced Rehabilitation Outcomes of Robotic-Assisted Gait Training with EksoNR Lower Extremity Exoskeleton in 19 Stroke Patients
BACKGROUND: Stroke is a leading cause of long-term disability, often resulting in impaired mobility and gait abnormalities, necessitating effective rehabilitation approaches. Robotic-assisted gait training (RAGT) offers precise control and intensive, task-specific training. The EksoNR exoskeleton sh...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10355131/ https://www.ncbi.nlm.nih.gov/pubmed/37452491 http://dx.doi.org/10.12659/MSM.940511 |
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author | Wiśniowska-Szurlej, Agnieszka Wołoszyn, Natalia Brożonowicz, Justyna Ciąpała, Gabriela Pietryka, Kamil Grzegorczyk, Joanna Leszczak, Justyna Ćwirlej-Sozańska, Agnieszka Sozański, Bernard Korczowski, Bartosz |
author_facet | Wiśniowska-Szurlej, Agnieszka Wołoszyn, Natalia Brożonowicz, Justyna Ciąpała, Gabriela Pietryka, Kamil Grzegorczyk, Joanna Leszczak, Justyna Ćwirlej-Sozańska, Agnieszka Sozański, Bernard Korczowski, Bartosz |
author_sort | Wiśniowska-Szurlej, Agnieszka |
collection | PubMed |
description | BACKGROUND: Stroke is a leading cause of long-term disability, often resulting in impaired mobility and gait abnormalities, necessitating effective rehabilitation approaches. Robotic-assisted gait training (RAGT) offers precise control and intensive, task-specific training. The EksoNR exoskeleton shows potential in facilitating gait recovery. This study assesses the efficacy and tolerability of RAGT using EksoNR in the rehabilitation of 19 stroke patients. MATERIAL/METHODS: A prospective nonrandomized, observational study design was employed with a single group convenience sample. The study included 19 individuals post-stroke, who underwent a 4-week rehabilitation program. Baseline and post-rehabilitation assessments were conducted using selected International Classification of Functioning, Disability and Health (ICF) codes, gait exoskeleton parameters (number of steps, walking time, time of verticalization) obtained during the exoskeleton sessions, and the Timed Up and Go Test (TUG). RESULTS: The study revealed statistically significant improvements in all analyzed ICF categories, except for D530 Toileting, indicating enhanced functioning. The most notable improvements in activity and participation were observed in the categories of D410 Changing basic body position (−0.84±0.60) and D450 Walking (−0.84±0.60). Additionally, gait analysis demonstrated significant enhancements in the number of steps (difference of 506.79±252.49), walking time (13.02±7.91), and time of verticalization (11.82±9.21) (p>0.001). The TUG test also showed a statistically significant improvement in mobility (p=0.005). CONCLUSIONS: This study supports previous findings, demonstrating that RAGT using the EksoNR lower extremity exoskeleton improves gait and functional status in stroke patients, while being well tolerated. The results highlight the potential of this approach for improved rehabilitation outcomes. |
format | Online Article Text |
id | pubmed-10355131 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-103551312023-07-20 Enhanced Rehabilitation Outcomes of Robotic-Assisted Gait Training with EksoNR Lower Extremity Exoskeleton in 19 Stroke Patients Wiśniowska-Szurlej, Agnieszka Wołoszyn, Natalia Brożonowicz, Justyna Ciąpała, Gabriela Pietryka, Kamil Grzegorczyk, Joanna Leszczak, Justyna Ćwirlej-Sozańska, Agnieszka Sozański, Bernard Korczowski, Bartosz Med Sci Monit Clinical Research BACKGROUND: Stroke is a leading cause of long-term disability, often resulting in impaired mobility and gait abnormalities, necessitating effective rehabilitation approaches. Robotic-assisted gait training (RAGT) offers precise control and intensive, task-specific training. The EksoNR exoskeleton shows potential in facilitating gait recovery. This study assesses the efficacy and tolerability of RAGT using EksoNR in the rehabilitation of 19 stroke patients. MATERIAL/METHODS: A prospective nonrandomized, observational study design was employed with a single group convenience sample. The study included 19 individuals post-stroke, who underwent a 4-week rehabilitation program. Baseline and post-rehabilitation assessments were conducted using selected International Classification of Functioning, Disability and Health (ICF) codes, gait exoskeleton parameters (number of steps, walking time, time of verticalization) obtained during the exoskeleton sessions, and the Timed Up and Go Test (TUG). RESULTS: The study revealed statistically significant improvements in all analyzed ICF categories, except for D530 Toileting, indicating enhanced functioning. The most notable improvements in activity and participation were observed in the categories of D410 Changing basic body position (−0.84±0.60) and D450 Walking (−0.84±0.60). Additionally, gait analysis demonstrated significant enhancements in the number of steps (difference of 506.79±252.49), walking time (13.02±7.91), and time of verticalization (11.82±9.21) (p>0.001). The TUG test also showed a statistically significant improvement in mobility (p=0.005). CONCLUSIONS: This study supports previous findings, demonstrating that RAGT using the EksoNR lower extremity exoskeleton improves gait and functional status in stroke patients, while being well tolerated. The results highlight the potential of this approach for improved rehabilitation outcomes. International Scientific Literature, Inc. 2023-07-15 /pmc/articles/PMC10355131/ /pubmed/37452491 http://dx.doi.org/10.12659/MSM.940511 Text en © Med Sci Monit, 2023 https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) |
spellingShingle | Clinical Research Wiśniowska-Szurlej, Agnieszka Wołoszyn, Natalia Brożonowicz, Justyna Ciąpała, Gabriela Pietryka, Kamil Grzegorczyk, Joanna Leszczak, Justyna Ćwirlej-Sozańska, Agnieszka Sozański, Bernard Korczowski, Bartosz Enhanced Rehabilitation Outcomes of Robotic-Assisted Gait Training with EksoNR Lower Extremity Exoskeleton in 19 Stroke Patients |
title | Enhanced Rehabilitation Outcomes of Robotic-Assisted Gait Training with EksoNR Lower Extremity Exoskeleton in 19 Stroke Patients |
title_full | Enhanced Rehabilitation Outcomes of Robotic-Assisted Gait Training with EksoNR Lower Extremity Exoskeleton in 19 Stroke Patients |
title_fullStr | Enhanced Rehabilitation Outcomes of Robotic-Assisted Gait Training with EksoNR Lower Extremity Exoskeleton in 19 Stroke Patients |
title_full_unstemmed | Enhanced Rehabilitation Outcomes of Robotic-Assisted Gait Training with EksoNR Lower Extremity Exoskeleton in 19 Stroke Patients |
title_short | Enhanced Rehabilitation Outcomes of Robotic-Assisted Gait Training with EksoNR Lower Extremity Exoskeleton in 19 Stroke Patients |
title_sort | enhanced rehabilitation outcomes of robotic-assisted gait training with eksonr lower extremity exoskeleton in 19 stroke patients |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10355131/ https://www.ncbi.nlm.nih.gov/pubmed/37452491 http://dx.doi.org/10.12659/MSM.940511 |
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