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Efficacy of Robot-Assisted Gait Training Combined with Robotic Balance Training in Subacute Stroke Patients: A Randomized Clinical Trial

Recently, the use of robotic technology in gait and balance rehabilitation of stroke patients has been introduced, with positive results. The purpose of this study was to evaluate the effectiveness of robotic gait and trunk rehabilitation compared to robotic gait training alone on balance, activitie...

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Autores principales: Aprile, Irene, Conte, Carmela, Cruciani, Arianna, Pecchioli, Cristiano, Castelli, Letizia, Insalaco, Sabina, Germanotta, Marco, Iacovelli, Chiara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9457020/
https://www.ncbi.nlm.nih.gov/pubmed/36079092
http://dx.doi.org/10.3390/jcm11175162
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author Aprile, Irene
Conte, Carmela
Cruciani, Arianna
Pecchioli, Cristiano
Castelli, Letizia
Insalaco, Sabina
Germanotta, Marco
Iacovelli, Chiara
author_facet Aprile, Irene
Conte, Carmela
Cruciani, Arianna
Pecchioli, Cristiano
Castelli, Letizia
Insalaco, Sabina
Germanotta, Marco
Iacovelli, Chiara
author_sort Aprile, Irene
collection PubMed
description Recently, the use of robotic technology in gait and balance rehabilitation of stroke patients has been introduced, with positive results. The purpose of this study was to evaluate the effectiveness of robotic gait and trunk rehabilitation compared to robotic gait training alone on balance, activities, and participation measures in patients with subacute stroke. The study was a randomized, controlled, single blind, parallel group clinical trial. Thirty-six patients with first ischemic or hemorrhagic stroke event were enrolled, and they were randomized in two groups: Gait Group (GG), where they received only robotic treatment for gait rehabilitation through an end-effector system, and Gait/Trunk Group (GTG) where they performed end-effector gait rehabilitation and balance with a robotic platform, 3 times/week for 12 sessions/month. At the end of the study, there was an improvement in balance ability in both groups. Instead, the lower limb muscle strength and muscle tone significantly improved only in the GTG group, where we found a significant reduction in the trunk oscillations and displacement during dynamic exercises more than the GG group. The robotic platform which was added to the gait robotic treatment offers more intense and controlled training of the trunk that positively influences the tone and strength of lower limb muscles.
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spelling pubmed-94570202022-09-09 Efficacy of Robot-Assisted Gait Training Combined with Robotic Balance Training in Subacute Stroke Patients: A Randomized Clinical Trial Aprile, Irene Conte, Carmela Cruciani, Arianna Pecchioli, Cristiano Castelli, Letizia Insalaco, Sabina Germanotta, Marco Iacovelli, Chiara J Clin Med Article Recently, the use of robotic technology in gait and balance rehabilitation of stroke patients has been introduced, with positive results. The purpose of this study was to evaluate the effectiveness of robotic gait and trunk rehabilitation compared to robotic gait training alone on balance, activities, and participation measures in patients with subacute stroke. The study was a randomized, controlled, single blind, parallel group clinical trial. Thirty-six patients with first ischemic or hemorrhagic stroke event were enrolled, and they were randomized in two groups: Gait Group (GG), where they received only robotic treatment for gait rehabilitation through an end-effector system, and Gait/Trunk Group (GTG) where they performed end-effector gait rehabilitation and balance with a robotic platform, 3 times/week for 12 sessions/month. At the end of the study, there was an improvement in balance ability in both groups. Instead, the lower limb muscle strength and muscle tone significantly improved only in the GTG group, where we found a significant reduction in the trunk oscillations and displacement during dynamic exercises more than the GG group. The robotic platform which was added to the gait robotic treatment offers more intense and controlled training of the trunk that positively influences the tone and strength of lower limb muscles. MDPI 2022-08-31 /pmc/articles/PMC9457020/ /pubmed/36079092 http://dx.doi.org/10.3390/jcm11175162 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Aprile, Irene
Conte, Carmela
Cruciani, Arianna
Pecchioli, Cristiano
Castelli, Letizia
Insalaco, Sabina
Germanotta, Marco
Iacovelli, Chiara
Efficacy of Robot-Assisted Gait Training Combined with Robotic Balance Training in Subacute Stroke Patients: A Randomized Clinical Trial
title Efficacy of Robot-Assisted Gait Training Combined with Robotic Balance Training in Subacute Stroke Patients: A Randomized Clinical Trial
title_full Efficacy of Robot-Assisted Gait Training Combined with Robotic Balance Training in Subacute Stroke Patients: A Randomized Clinical Trial
title_fullStr Efficacy of Robot-Assisted Gait Training Combined with Robotic Balance Training in Subacute Stroke Patients: A Randomized Clinical Trial
title_full_unstemmed Efficacy of Robot-Assisted Gait Training Combined with Robotic Balance Training in Subacute Stroke Patients: A Randomized Clinical Trial
title_short Efficacy of Robot-Assisted Gait Training Combined with Robotic Balance Training in Subacute Stroke Patients: A Randomized Clinical Trial
title_sort efficacy of robot-assisted gait training combined with robotic balance training in subacute stroke patients: a randomized clinical trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9457020/
https://www.ncbi.nlm.nih.gov/pubmed/36079092
http://dx.doi.org/10.3390/jcm11175162
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