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Implementation of a gait center training to improve walking ability and vital parameters in inpatient neurological rehabilitation- a cohort study

BACKGROUND: Many studies showed that robot-assisted gait training might improve walking of patients after stroke. The question remains whether patients with other neurological diagnoses can improve their ability to walk by training in a gait center. Aim of the present study was therefore to investig...

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Autores principales: Reichl, Stephanie, Weilbach, Franz, Mehrholz, Jan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055071/
https://www.ncbi.nlm.nih.gov/pubmed/32131857
http://dx.doi.org/10.1186/s12984-020-00669-3
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author Reichl, Stephanie
Weilbach, Franz
Mehrholz, Jan
author_facet Reichl, Stephanie
Weilbach, Franz
Mehrholz, Jan
author_sort Reichl, Stephanie
collection PubMed
description BACKGROUND: Many studies showed that robot-assisted gait training might improve walking of patients after stroke. The question remains whether patients with other neurological diagnoses can improve their ability to walk by training in a gait center. Aim of the present study was therefore to investigate the effects of a gait center training in inpatient neurological rehabilitation on walking ability. METHODS: We implemented a gait center training in addition to individual inpatient rehabilitation. Our primary outcome was walking ability based on the Functional Ambulation Categories (FAC). Our secondary outcomes were vital capacity and blood pressure. We predefined subgroups of patients with ischemic and hemorrhagic stroke and critical illness myopathy (CIM) and polyneuropathy (CIP). RESULTS: We included 780 patients from our inpatient rehabilitation center in our cohort study. We analyzed 329 patients with ischemic, 131 patients with hemorrhagic stroke and 74 patients with CIP/ CIM. A large number of patients were able to improve their ability to walk. At the end of rehabilitation, patients with ischemic stroke and FAC 3 = increased theirFAC scores by 5%, FAC 4 = 4% and FAC 5 = 7%. Patients with hemorrhagic stroke and FAC 3 = increased by 5%, FAC 4 = 11% and FAC 5 = 9% and patients with CIP/CIM increased by FAC 3 = 3%, FAC 4 = 22% and FAC 5 = 26%. The largest improvement in walking ability during rehabilitation had patients with a FAC = 1 at baseline who improved by a median of 1.4 FAC points (p < 0.001). After adjusting for the number of gait training sessions, the largest improvement in walking ability during rehabilitation had patients with a FAC = 0 at baseline who improved by 1.8 FAC points (p < 0.001). CONCLUSIONS: Implementation of an additional gait center training may significantly improve walking ability in neurological rehabilitation.
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spelling pubmed-70550712020-03-10 Implementation of a gait center training to improve walking ability and vital parameters in inpatient neurological rehabilitation- a cohort study Reichl, Stephanie Weilbach, Franz Mehrholz, Jan J Neuroeng Rehabil Research BACKGROUND: Many studies showed that robot-assisted gait training might improve walking of patients after stroke. The question remains whether patients with other neurological diagnoses can improve their ability to walk by training in a gait center. Aim of the present study was therefore to investigate the effects of a gait center training in inpatient neurological rehabilitation on walking ability. METHODS: We implemented a gait center training in addition to individual inpatient rehabilitation. Our primary outcome was walking ability based on the Functional Ambulation Categories (FAC). Our secondary outcomes were vital capacity and blood pressure. We predefined subgroups of patients with ischemic and hemorrhagic stroke and critical illness myopathy (CIM) and polyneuropathy (CIP). RESULTS: We included 780 patients from our inpatient rehabilitation center in our cohort study. We analyzed 329 patients with ischemic, 131 patients with hemorrhagic stroke and 74 patients with CIP/ CIM. A large number of patients were able to improve their ability to walk. At the end of rehabilitation, patients with ischemic stroke and FAC 3 = increased theirFAC scores by 5%, FAC 4 = 4% and FAC 5 = 7%. Patients with hemorrhagic stroke and FAC 3 = increased by 5%, FAC 4 = 11% and FAC 5 = 9% and patients with CIP/CIM increased by FAC 3 = 3%, FAC 4 = 22% and FAC 5 = 26%. The largest improvement in walking ability during rehabilitation had patients with a FAC = 1 at baseline who improved by a median of 1.4 FAC points (p < 0.001). After adjusting for the number of gait training sessions, the largest improvement in walking ability during rehabilitation had patients with a FAC = 0 at baseline who improved by 1.8 FAC points (p < 0.001). CONCLUSIONS: Implementation of an additional gait center training may significantly improve walking ability in neurological rehabilitation. BioMed Central 2020-03-04 /pmc/articles/PMC7055071/ /pubmed/32131857 http://dx.doi.org/10.1186/s12984-020-00669-3 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Reichl, Stephanie
Weilbach, Franz
Mehrholz, Jan
Implementation of a gait center training to improve walking ability and vital parameters in inpatient neurological rehabilitation- a cohort study
title Implementation of a gait center training to improve walking ability and vital parameters in inpatient neurological rehabilitation- a cohort study
title_full Implementation of a gait center training to improve walking ability and vital parameters in inpatient neurological rehabilitation- a cohort study
title_fullStr Implementation of a gait center training to improve walking ability and vital parameters in inpatient neurological rehabilitation- a cohort study
title_full_unstemmed Implementation of a gait center training to improve walking ability and vital parameters in inpatient neurological rehabilitation- a cohort study
title_short Implementation of a gait center training to improve walking ability and vital parameters in inpatient neurological rehabilitation- a cohort study
title_sort implementation of a gait center training to improve walking ability and vital parameters in inpatient neurological rehabilitation- a cohort study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055071/
https://www.ncbi.nlm.nih.gov/pubmed/32131857
http://dx.doi.org/10.1186/s12984-020-00669-3
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