Aerobic Exercise After Left-Sided Stroke Improves Gait Speed and Endurance

Catapani, Lígia Brancalion; Santos, Tamyris Padovani dos; Toffano, Giovana Cristina; Souza, Hugo Celso Dutra de; Araujo, João Eduardo de

doi:10.1097/phm.0000000000001596

Cited by 6 publications

(5 citation statements)

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“…We conducted 18 training sessions of high intensity gait training using a soft exosuit on five individuals in the chronic phase of post-stroke recovery. The main clinical outcomes of the intervention were improving walking speed and endurance as they are the primary walking goals of the physical therapy intervention after stroke [ 18 , 19 ]. The secondary outcomes were the gait quality measures including spatiotemporal characteristics and joint kinematics to evaluate changes in gait impairments throughout the intervention.…”

Section: Introductionmentioning

confidence: 99%

Soft robotic exosuit augmented high intensity gait training on stroke survivors: a pilot study

Shin

Hohl

Giffhorn

et al. 2022

J NeuroEngineering Rehabil

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Background Stroke is a leading cause of serious gait impairments and restoring walking ability is a major goal of physical therapy interventions. Soft robotic exosuits are portable, lightweight, and unobtrusive assistive devices designed to improve the mobility of post-stroke individuals through facilitation of more natural paretic limb function during walking training. However, it is unknown whether long-term gait training using soft robotic exosuits will clinically impact gait function and quality of movement post-stroke. Objective The objective of this pilot study was to examine the therapeutic effects of soft robotic exosuit-augmented gait training on clinical and biomechanical gait outcomes in chronic post-stroke individuals. Methods Five post-stroke individuals received high intensity gait training augmented with a soft robotic exosuit, delivered in 18 sessions over 6–8 weeks. Performance based clinical outcomes and biomechanical gait quality parameters were measured at baseline, midpoint, and completion. Results Clinically meaningful improvements were observed in walking speed ($$p$$ p < 0.05) and endurance ($$p$$ p < 0.01) together with other traditional gait related outcomes. The gait quality measures including hip ($$p$$ p < 0.01) and knee ($$p$$ p < 0.05) flexion/extension exhibited an increase in range of motion in a symmetric manner ($$p$$ p < 0.05). We also observed an increase in bilateral ankle angular velocities ($$p$$ p < 0.05), suggesting biomechanical improvements in walking function. Conclusions The results in this study offer preliminary evidence that a soft robotic exosuit can be a useful tool to augment high intensity gait training in a clinical setting. This study justifies more expanded research on soft exosuit technology with a larger post-stroke population for more reliable generalization. Trial registration This study is registered with ClinicalTrials.gov (ID: NCT04251091)

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Section: Introductionmentioning

confidence: 99%

Soft robotic exosuit augmented high intensity gait training on stroke survivors: a pilot study

Shin

Hohl

Giffhorn

et al. 2022

J NeuroEngineering Rehabil

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“…Previous studies have shown that walking speed and endurance are closely associated with the level of functional independence (27,28) and are the primary goals of rehabilitation intervention after stroke (29,30). Secondary outcome measures included the FAC, Berg Balance Scale (BBS), and Fugl-Meyer Assessment for lower limb subscale (FAM-LE).…”

Section: Outcome Measuresmentioning

confidence: 99%

Effects of soft robotic exoskeleton for gait training on clinical and biomechanical gait outcomes in patients with sub-acute stroke: a randomized controlled pilot study

Xie,

Zhang,

Jin

et al. 2023

Front. Neurol.

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BackgroundAnkle function impairment is a critical factor impairing normal walking in survivors of stroke. The soft robotic exoskeleton (SRE) is a novel, portable, lightweight assistive device with promising therapeutic potential for gait recovery during post-stroke rehabilitation. However, whether long-term SRE-assisted walking training influences walking function and gait quality in patients following subacute stroke is unknown. Therefore, the primary objective of this study was to assess the therapeutic effects of SRE-assisted walking training on clinical and biomechanical gait outcomes in the rehabilitation of patients with subacute stroke.MethodsA group patients who had experienced subacute stroke received conventional rehabilitation (CR) training combined with 10-session SRE-assisted overground walking training (30 min per session, 5 sessions/week, 2 weeks) (SRE group, n = 15) compared with the control group that received CR training only (CR group, n = 15). Clinical assessments and biomechanical gait quality measures were performed pre-and post-10-session intervention, with the 10-Minute Walk Test (10MWT) and 6-Minute Walk Test (6MWT) used to define the primary clinical outcome measures and the Functional Ambulation Category, Fugl-Meyer Assessment for Lower Extremity (FMA-LE) subscale, and Berg Balance Scale defined the secondary outcome measures. The gait quality outcome measures included spatiotemporal and symmetrical parameters during walking.ResultsAfter the 10-session intervention, the SRE and CR groups exhibited significant within-group improvements in all clinical outcome measures (p < 0.05). Between-comparison using covariance analyses demonstrated that the SRE group showed greater improvement in walking speed during the 10MWT (p < 0.01), distance walked during the 6MWT (p < 0.05), and FMA-LE scores (p < 0.05). Gait analyses showed that the SRE group exhibited significantly improved spatiotemporal symmetry (p < 0.001) after 10-session training, with no significant changes observed in the CR group.ConclusionCompared with CR training, SRE-assisted walking training led to greater improvements in walking speed, endurance, and motor recovery. Our findings provide preliminary evidence that SRE may be considered for inclusion in intensive gait training clinical rehabilitation programs to further improve walking function in patients who have experienced stroke.

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“…We combine the method of symmetric matrix fusion tracking and recognition to obtain the pixel distribution matrix element (h ij ) of the basketball training pose image. 4 Under the three-dimensional visual tracking recognition model, we construct a fuzzy parameter recognition model of basketball training pose motion images. Assume that the cluster center grid parameter distributions for motion-imaging are a, b, c and γ, θ and ꞷ.…”

Section: Methods Experimental Subjectsmentioning

confidence: 99%

Correlation Between Aerobic Training and Physical Endurance in Basketball Players

Xue

2023

Rev Bras Med Esporte

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Introduction: Endurance is a quality that has been lacking in Chinese athletes. In most endurance sports training in China, there is a problem with attaching importance to high-intensity anaerobic training and ignoring aerobic training. The close combination of aerobic, strength and technical training is endurance training. A significant development trend in training. Objective: This study analyzes the relationship between aerobic training and physical endurance in basketball players. Methods: Basketball players were selected and randomly divided into groups through the analysis method with a questionnaire, observation method, and experimental method to analyze the relationship between aerobic exercise and physical endurance in basketball players. In this paper, the changes in physiological indicators of basketball players were recorded after aerobic exercise. Results: The physical endurance of basketball players were positively correlated with aerobic training time. The physiological indicators of basketball players and basketball skills after aerobic training were significantly improved (P<0.05). Conclusion: Aerobic exercise can improve basketball players’ physical endurance and overall physical fitness, helping them achieve good results in competitions. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

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Aerobic Exercise After Left-Sided Stroke Improves Gait Speed and Endurance

Cited by 6 publications

References 48 publications

Soft robotic exosuit augmented high intensity gait training on stroke survivors: a pilot study

Soft robotic exosuit augmented high intensity gait training on stroke survivors: a pilot study

Effects of soft robotic exoskeleton for gait training on clinical and biomechanical gait outcomes in patients with sub-acute stroke: a randomized controlled pilot study

Correlation Between Aerobic Training and Physical Endurance in Basketball Players

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