Effects of Robot-assisted Gait Training Combined with Functional Electrical          Stimulation on Recovery of Locomotor Mobility in Chronic Stroke Patients: A Randomized          Controlled Trial

Bae, Young-Hyeon; Ko, Young Jun; Chang, Won Hyuk; Lee, Ju Hyeok; Lee, Kyeong Bong; Park, Yoo Jung; Ha, Hyun Geun; Kim, Yun-Hee

doi:10.1589/jpts.26.1949

Cited by 43 publications

(50 citation statements)

References 23 publications

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“…Advanced technology is increasingly being applied in everyday clinical practice, specifically in neurorehabilitation. Lately, multimodal approaches, for example, combinations of brain stimulation [4] or functional electrical stimulation [5] and robotic gait training, have shown promising results. However, when treating a patient with the help of advanced technology, it is crucial that clinicians still make decisions based on their knowledge of motor learning principles [6], biomechanics, neurophysiology, and neuroplasticity [7], and, in the case of lower extremity rehabilitation, their knowledge of locomotor training principles [8] and gait therapy in general.…”

Section: Introductionmentioning

confidence: 99%

Getting the Best Out of Advanced Rehabilitation Technology for the Lower Limbs: Minding Motor Learning Principles

Spiess

Steenbrink²,

Esquenazi

2018

PM&R

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Advanced technology, including gait‐training devices, is increasingly being integrated into neurorehabilitation. However, to use gait‐training devices to their optimal potential, it is important that they are applied in accordance with motor learning and locomotor training principles. In this article, we outline the most important principles and explain how advanced gait‐training devices are best used to improve therapy outcome.

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Section: Introductionmentioning

confidence: 99%

Getting the Best Out of Advanced Rehabilitation Technology for the Lower Limbs: Minding Motor Learning Principles

Spiess

Steenbrink²,

Esquenazi

2018

PM&R

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“…When FES was only applied to the dorsiflexor muscle during the swing phase of gait, the peak maximum dorsiflexion angle increased by approximately 6.0°, and the peak knee flexion angle barely changed 16 ) . The maximum knee flexion angle was also shown to be significantly increased by 18° when FES was applied to the affected dorsiflexors of patients walking with robot-assisted gait training 9 ) .…”

Section: Discussionmentioning

confidence: 99%

“…It has been proven that real-time control plays a key role in the success of FES. Several previous studies demonstrated that FES significantly increased the step length of affected limbs 7 , 8 , 9 ) , dorsiflexion at initial contact during walking 10 ) , maximal knee flexion 9 ) , and EMG activities of muscles related to hemiplegic gait 11 ) .…”

Section: Introductionmentioning

confidence: 95%

Effects of a multichannel dynamic functional electrical stimulation system on hemiplegic gait and muscle forces

Jing-guang

Qian

et al. 2015

J Phys Ther Sci

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[Purpose] The purpose of the study was to design and implement a multichannel dynamic functional electrical stimulation system and investigate acute effects of functional electrical stimulation of the tibialis anterior and rectus femoris on ankle and knee sagittal-plane kinematics and related muscle forces of hemiplegic gait. [Subjects and Methods] A multichannel dynamic electrical stimulation system was developed with 8-channel low frequency current generators. Eight male hemiplegic patients were trained for 4 weeks with electric stimulation of the tibia anterior and rectus femoris muscles during walking, which was coupled with active contraction. Kinematic data were collected, and muscle forces of the tibialis anterior and rectus femoris of the affected limbs were analyzed using a musculoskelatal modeling approach before and after training. A paired sample t-test was used to detect the differences between before and after training. [Results] The step length of the affected limb significantly increased after the stimulation was applied. The maximum dorsiflexion angle and maximum knee flexion angle of the affected limb were both increased significantly during stimulation. The maximum muscle forces of both the tibia anterior and rectus femoris increased significantly during stimulation compared with before functional electrical stimulation was applied. [Conclusion] This study established a functional electrical stimulation strategy based on hemiplegic gait analysis and musculoskeletal modeling. The multichannel functional electrical stimulation system successfully corrected foot drop and altered circumduction hemiplegic gait pattern.

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“…These devices have alleviated the physical workload for the therapists and have thus gained popularity. Several studies have also suggested that gait-training robots can improve locomotor recovery in stroke patients 12 ) .…”

Section: Introductionmentioning

confidence: 99%

Views of physiatrists and physical therapists on the use of gait-training robots for stroke patients

et al. 2016

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[Purpose] Gait-training robots have been developed for stroke patients with gait disturbance. It is important to survey the views of physiatrists and physical therapists on the characteristics of these devices during their development. [Subjects and Methods] A total of 100 physiatrists and 100 physical therapists from 38 hospitals participated in our questionnaire survey. [Results] The most common answers about the merits of gait-training robots concern improving the treatment effects (28.5%), followed by standardizing treatment (19%), motivating patients about treatment (17%), and improving patients’ self-esteem (14%). The subacute period (1–3 months post-stroke onset) was most often chosen as the ideal period (47.3%) for the use of these devices, and a functional ambulation classification of 0–2 was the most selected response for the optimal patient status (27%). The preferred model was the treadmill type (47.5%) over the overground walking type (40%). The most favored commercial price was $50,000–$100,000 (38.3%). The most selected optimal duration for robot-assisted gait therapy was 30–45 min (47%), followed by 15–30 min (29%), 45–60 min (18%), ≥ 60 min (5%), and < 15 min (1%). [Conclusion] Our study findings could guide the future designs of more effective gait-training robots for stroke patients.

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Effects of Robot-assisted Gait Training Combined with Functional Electrical Stimulation on Recovery of Locomotor Mobility in Chronic Stroke Patients: A Randomized Controlled Trial

Cited by 43 publications

References 23 publications

Getting the Best Out of Advanced Rehabilitation Technology for the Lower Limbs: Minding Motor Learning Principles

Getting the Best Out of Advanced Rehabilitation Technology for the Lower Limbs: Minding Motor Learning Principles

Effects of a multichannel dynamic functional electrical stimulation system on hemiplegic gait and muscle forces

Views of physiatrists and physical therapists on the use of gait-training robots for stroke patients

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