Clinical Characteristics of Proper Robot-Assisted Gait Training Group in Non-ambulatory Subacute Stroke Patients

Kim, Soo Jeong; Lee, Hye Jin; Hwang, Seung Won; Pyo, Hannah; Yang, Sung Phil; Lim, Mun Hee; Park, Gyu Lee; Kim, Eun Joo

doi:10.5535/arm.2016.40.2.183

Cited by 18 publications

(16 citation statements)

References 24 publications

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“…(4) Functional Ambulation Category (FAC) scores: The FAC was used to assess gait ability, which was rated along six levels (scores ranging from 0 to 5) based on the amount of physical support required, regardless of whether an assistive device was used [35]. Balance function is a significant predictive factor for gait function [36]. A previous systematic review has indicated that balance and gait may share similar components that can be targeted using a single form of therapy [22].…”

Section: Methodsmentioning

confidence: 99%

Robot-assisted gait training for balance and lower extremity function in patients with infratentorial stroke: a single-blinded randomized controlled trial

Kim

Shin

Yang

et al. 2019

J NeuroEngineering Rehabil

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Background Balance impairments are common in patients with infratentorial stroke. Although robot-assisted gait training (RAGT) exerts positive effects on balance among patients with stroke, it remains unclear whether such training is superior to conventional physical therapy (CPT). Therefore, we aimed to investigate the effects of RAGT combined with CPT and compared them with the effects of CPT only on balance and lower extremity function among survivors of infratentorial stroke. Methods This study was a single-blinded, randomized controlled trial with a crossover design conducted at a single rehabilitation hospital. Patients ( n = 19; 16 men, three women; mean age: 47.4 ± 11.6 years) with infratentorial stroke were randomly allocated to either group A (4 weeks of RAGT+CPT, followed by 4 weeks of CPT+CPT) or group B (4 weeks of CPT+CPT followed by 4 weeks of RAGT+CPT). Changes in dynamic and static balance as indicated by Berg Balance Scale scores were regarded as the primary outcome measure. Outcome measures were evaluated for each participant at baseline and after each 4-week intervention period. Results No significant differences in outcome-related variables were observed between group A and B at baseline. In addition, no significant time-by-group interactions were observed for any variables, indicating that intervention order had no effect on lower extremity function or balance. Significantly greater improvements in secondary functional outcomes such as lower extremity Fugl-Meyer assessment (FMA-LE) and scale for the assessment and rating of ataxia (SARA) were observed following the RAGT+CPT intervention than following the CPT+CPT intervention. Conclusion RAGT produces clinically significant improvements in balance and lower extremity function in individuals with infratentorial stroke. Thus, RAGT may be useful for patients with balance impairments secondary to other pathologies. Trial registration ClinicalTrials.gov Identifier NCT02680691 . Registered 09 February 2016; retrospectively registered. Electronic supplementary material The online version of this article (10.1186/s12984-019-0553-5) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Robot-assisted gait training for balance and lower extremity function in patients with infratentorial stroke: a single-blinded randomized controlled trial

Kim

Shin

Yang

et al. 2019

J NeuroEngineering Rehabil

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“…Stroke usually causes impairments in variety of areas, such as cognition, emotion, motor, and sensory, and thereafter results in imbalance and gait disability as well as impairment of the activities of daily living (ADLs) [1]., Among those areas, poor balance control have an negative influence on the recovery of gait and motor function [2][3][4], even if motor recovery progresses to some extent [5]. Many therapeutic interventions, such as visual feedback training [6], robotic devices [7], mirror therapy [8], and motor imagery training [9] have been performed to improve balance control. Those methods have limitations.…”

Section: Introductionmentioning

confidence: 99%

Effects of Whole-Body Vibration on the Improvement of Balance, Gait and Activities of Daily Living in Patients with Subacute Stroke

Hwang

2018

Soonchunhyang Med Sci

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The purpose of this study was to investigate the effects of whole-body vibration on the improvement of functional performance in subacute stroke patients. Methods: Twenty subacute stroke patients were equally randomized to either a vibration or a control group and received 4-week conventional rehabilitation therapy and standing exercise. During the standing exercise, the vibration group received 10-minute whole-body vibration and the control group performed standing exercise without vibration. Outcome variable included the Korean version of Berg Balance Scale (BBS), the manual muscle test (MMT) of the paretic knee extensor, Modified Ashworth Scale (MAS) of the paretic ankle plantar flexor spasticity, Functional Ambulation Category (FAC), and the Korean version of Modified Barthel Index (MBI) before and after 4-week intervention. Results: After the 4-week intervention, the difference in BBS between groups was significant, which was significantly larger in the vibration group than in the control group. Significant differences in FAC and MBI were also observed between groups. The change of the FAC, total MBI, and mobility MBI were significantly higher in the vibration group than in the control group. MMT and MAS did not show significant difference after intervention between groups. Differences in BBS were strongly positively correlated with FAC and mobility MBI, and were moderately correlated with both of total MBI and self-care MBI. Conclusion: Additional whole-body vibration intervention may efficiently improve balance control and ambulation in subacute stroke patients.

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“…The scoring on this scale varies from 0 to 6, with 0 indicating lack of incapacity and 6 indicating fatality. [23]…”

Section: Methodsmentioning

confidence: 99%

Effect of ankle-foot orthosis on functional mobility and dynamic balance of patients after stroke

Paula¹,

Silva²,

Souza³

et al. 2019

Medicine

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Clinical Characteristics of Proper Robot-Assisted Gait Training Group in Non-ambulatory Subacute Stroke Patients

Cited by 18 publications

References 24 publications

Robot-assisted gait training for balance and lower extremity function in patients with infratentorial stroke: a single-blinded randomized controlled trial

Robot-assisted gait training for balance and lower extremity function in patients with infratentorial stroke: a single-blinded randomized controlled trial

Effects of Whole-Body Vibration on the Improvement of Balance, Gait and Activities of Daily Living in Patients with Subacute Stroke

Effect of ankle-foot orthosis on functional mobility and dynamic balance of patients after stroke

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