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Effect of robotic exoskeleton gait training during acute stroke on functional ambulation

BACKGROUND: Stroke is a leading cause of disability resulting in long-term functional ambulation deficits. Conventional therapy can improve ambulation, but may not be able to provide consistent, high dose repetition of movement, resulting in variable recovery with residual gait deviations. OBJECTIVE...

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Autores principales: Karunakaran, Kiran K., Gute, Sharon, Ames, Gregory R., Chervin, Kathleen, Dandola, Christina M., Nolan, Karen J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IOS Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8293657/
https://www.ncbi.nlm.nih.gov/pubmed/33814476
http://dx.doi.org/10.3233/NRE-210010
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author Karunakaran, Kiran K.
Gute, Sharon
Ames, Gregory R.
Chervin, Kathleen
Dandola, Christina M.
Nolan, Karen J.
author_facet Karunakaran, Kiran K.
Gute, Sharon
Ames, Gregory R.
Chervin, Kathleen
Dandola, Christina M.
Nolan, Karen J.
author_sort Karunakaran, Kiran K.
collection PubMed
description BACKGROUND: Stroke is a leading cause of disability resulting in long-term functional ambulation deficits. Conventional therapy can improve ambulation, but may not be able to provide consistent, high dose repetition of movement, resulting in variable recovery with residual gait deviations. OBJECTIVE: The objective of this preliminary prospective investigation is to evaluate the ability of a robotic exoskeleton (RE) to provide high dose gait training, and measure the resulting therapeutic effect on functional ambulation in adults with acute stroke. METHODS: Participants (n = 14) received standard of care (SOC) and RE overground gait training during their scheduled physical therapy (PT) sessions at the same inpatient rehabilitation facility. The outcome measures included distance walked during their PT training sessions (RE and SOC), and functional ambulation measures (10-meter walk test (10MWT), 6-minute walk test (6 MWT), and timed up and go (TUG)). RESULTS: The average total distance walked during RE and the average distance per RE session was significantly higher than SOC sessions. Total walking distance during PT (RE+SOC) showed a strong positive correlation to the total number of steps during RE sessions and number of RE sessions. All functional ambulation measures showed significant improvement at follow-up compared to baseline. The improvement in functional ambulation measures showed a positive correlation with the increase in number of RE gait training sessions. CONCLUSION: The RE can be utilized for inpatient rehabilitation in conjunction with SOC gait training sessions and may result in improved functional ambulation in adults with acute stroke. This preliminary research provides information on the ability of the robotic exoskeleton to provide high dose therapy and its therapeutic effect on functional ambulation in adults with acute stroke during inpatient rehabilitation.
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spelling pubmed-82936572021-08-05 Effect of robotic exoskeleton gait training during acute stroke on functional ambulation Karunakaran, Kiran K. Gute, Sharon Ames, Gregory R. Chervin, Kathleen Dandola, Christina M. Nolan, Karen J. NeuroRehabilitation Research Article BACKGROUND: Stroke is a leading cause of disability resulting in long-term functional ambulation deficits. Conventional therapy can improve ambulation, but may not be able to provide consistent, high dose repetition of movement, resulting in variable recovery with residual gait deviations. OBJECTIVE: The objective of this preliminary prospective investigation is to evaluate the ability of a robotic exoskeleton (RE) to provide high dose gait training, and measure the resulting therapeutic effect on functional ambulation in adults with acute stroke. METHODS: Participants (n = 14) received standard of care (SOC) and RE overground gait training during their scheduled physical therapy (PT) sessions at the same inpatient rehabilitation facility. The outcome measures included distance walked during their PT training sessions (RE and SOC), and functional ambulation measures (10-meter walk test (10MWT), 6-minute walk test (6 MWT), and timed up and go (TUG)). RESULTS: The average total distance walked during RE and the average distance per RE session was significantly higher than SOC sessions. Total walking distance during PT (RE+SOC) showed a strong positive correlation to the total number of steps during RE sessions and number of RE sessions. All functional ambulation measures showed significant improvement at follow-up compared to baseline. The improvement in functional ambulation measures showed a positive correlation with the increase in number of RE gait training sessions. CONCLUSION: The RE can be utilized for inpatient rehabilitation in conjunction with SOC gait training sessions and may result in improved functional ambulation in adults with acute stroke. This preliminary research provides information on the ability of the robotic exoskeleton to provide high dose therapy and its therapeutic effect on functional ambulation in adults with acute stroke during inpatient rehabilitation. IOS Press 2021-06-16 /pmc/articles/PMC8293657/ /pubmed/33814476 http://dx.doi.org/10.3233/NRE-210010 Text en © 2021 – The authors. Published by IOS Press https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License (https://creativecommons.org/licenses/by-nc/4.0/) , which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Karunakaran, Kiran K.
Gute, Sharon
Ames, Gregory R.
Chervin, Kathleen
Dandola, Christina M.
Nolan, Karen J.
Effect of robotic exoskeleton gait training during acute stroke on functional ambulation
title Effect of robotic exoskeleton gait training during acute stroke on functional ambulation
title_full Effect of robotic exoskeleton gait training during acute stroke on functional ambulation
title_fullStr Effect of robotic exoskeleton gait training during acute stroke on functional ambulation
title_full_unstemmed Effect of robotic exoskeleton gait training during acute stroke on functional ambulation
title_short Effect of robotic exoskeleton gait training during acute stroke on functional ambulation
title_sort effect of robotic exoskeleton gait training during acute stroke on functional ambulation
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8293657/
https://www.ncbi.nlm.nih.gov/pubmed/33814476
http://dx.doi.org/10.3233/NRE-210010
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