Gait training in subacute non-ambulatory stroke patients using a full weight-bearing gait-assistance robot: A prospective, randomized, open, blinded-endpoint trial

Ochi, Mitsuhiro; Wada, Futoshi; Saeki, Satoru; Hachisuka, Kenji

doi:10.1016/j.jns.2015.04.033

Cited by 56 publications

(85 citation statements)

References 34 publications

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“…Independence in sit-to-stand is predicted not only by knee extensor strength on the paretic and non-paretic sides, but also by the combined strength of the two sides (5). In addition, improvement in gait independence is related to increased lower extremity extensor strength on the paretic and non-paretic lower extremities (2). Our results are consistent with these findings.…”

Section: Discussionsupporting

confidence: 89%

“…Naoki AKAZAWA, PT, PhD 1 , Naomi OKAWA, PT, MSc 2 , Kimiyuki TAMURA, MD 2 of stroke rehabilitation and is closely related to increased muscle strength in the paretic and non-paretic lower extremities (1,2). In particular, knee extensor strength is closely related to gait ability in stroke survivors (3,4).…”

Section: Determining the Cut-off Value For Knee Extensor Strength Formentioning

confidence: 99%

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Determining the cut-off value for knee extensor strength for identifying independence in gait in chronic stroke survivors

Akazawa¹,

Okawa²,

Tamura³

et al. 2017

J Rehabil Med

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Section: Discussionsupporting

confidence: 89%

Section: Determining the Cut-off Value For Knee Extensor Strength Formentioning

confidence: 99%

Determining the cut-off value for knee extensor strength for identifying independence in gait in chronic stroke survivors

Akazawa¹,

Okawa²,

Tamura³

et al. 2017

J Rehabil Med

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“…Thirty‐four reports, representing 33 studies (Batcho, Stoquart, & Thonnard, ; Chang, Kim, Huh, Lee, & Kim, ; Cho, Park, Lee, Park, & Kim, ; Dean et al., ; Demers & McKinley, ; Franceschini et al., ; Hesse, Bardeleben, Werner, & Waldner, ; Hesse, Bertelt, Schaffrin, Malezic, & Mauritz, ; Hesse, Waldner, & Tomelleri, ; Hesse et al., ; Husemann, Muller, Krewer, Heller, & Koenig, ; Lennon, Carey, Gaffney, Stephenson, & Blake, ; Leroux, ; Mayr et al., ; Mehrholz, Rutte, & Pohl, ; Morone et al., ; Ng, Tong, & Li, ; Ochi, Wada, Saeki, & Hachisuka, ; Plummer et al., ; Potempa et al., ; Richards et al., ; Rosendahl et al., ; Shea & Moriello, ; Stoller et al., ; Teixeira da Cunha Filho et al., , ; Tong, Ng, & Li, ; Tsaih, Shih, & Hu, ; Vidoni, Tull, & Kluding, ; Wang, Wang, Fan, Lu, & Wang, ; Wang, Wang, Fan, Wenjun, et al., ; White, Bynon, Marquez, Sweetapple, & Pollack, ; Yagura, Hatakenaka, & Miyai, ; Yang et al., ), were included in the review (Figure ).…”

Section: Resultsmentioning

confidence: 99%

Physical fitness interventions for nonambulatory stroke survivors: A mixed‐methods systematic review and meta‐analysis

et al. 2018

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IntroductionPhysical fitness training after stroke is recommended in guidelines across the world, but evidence pertains mainly to ambulatory stroke survivors. Nonambulatory stroke survivors (FAC score ≤2) are at increased risk of recurrent stroke due to limited physical activity. This systematic review aimed to synthesize evidence regarding case fatality, effects, experiences, and feasibility of fitness training for nonambulatory stroke survivors.MethodsEight major databases were searched for any type of study design. Two independent reviewers selected studies, extracted data, and assessed study quality, using published tools. Random‐effects meta‐analysis was used. Following their separate analysis, qualitative and quantitative data were synthesized using a published framework.ResultsOf 13,614 records, 33 studies involving 910 nonambulatory participants met inclusion criteria. Most studies were of moderate quality. Interventions comprised assisted walking (25 studies), cycle ergometer training (5 studies), and other training (3 studies), mainly in acute settings. Case fatality did not differ between intervention (1.75%) and control (0.88%) groups (95% CI 0.13–3.78, p = 0.67). Compared with control interventions, assisted walking significantly improved: fat mass, peak heart rate, peak oxygen uptake and walking endurance, maximum walking speed, and mobility at intervention end, and walking endurance, balance, mobility, and independent walking at follow‐up. Cycle ergometry significantly improved peak heart rate, work load, peak ventilation, peak carbon dioxide production, HDL cholesterol, fasting insulin and fasting glucose, and independence at intervention end. Effectiveness of other training could not be established. There were insufficient qualitative data to draw conclusions about participants' experiences, but those reported were positive. There were few intervention‐related adverse events, and dropout rate ranged from 12 to 20%.ConclusionsFindings suggest safety, effectiveness, and feasibility of adapted fitness training for screened nonambulatory stroke survivors. Further research needs to investigate the clinical and cost‐effectiveness as well as experiences of fitness training—especially for chronic stroke survivors in community settings.

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“…Robot-assisted gait device was designed in a way to take gait training during the early stages such as acute and subacute stages of diseases and to allow the intensive gait training in repetitive more normal patterns with decreased physical efforts by the physical therapist [16,25,26].…”

Section: Discussionmentioning

confidence: 99%

Robotic-assisted gait training applied with guidance force for balance and gait performance in persons with subacute hemiparetic stroke

Son

2017

PTRS

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Objective: Robot assisted gait training is implemented as part of therapy for the recovery of gait patterns in recent clinical fields, and the scope of implications are continuously increasing. However clear therapy protocols of robot assisted gait training are insufficent. The purpose of this study was to investigate the effects of robot-assisted gait training applied with guidance force on balance and gait performance in persons with hemiparetic stroke. Design: Two group pre-test post-test design. Methods: Nineteen persons were diagnosed with hemiparesis following stroke participated in this study. The participants were randomly assigned to the unilateral guidance group or bilateral guidance group to conduct robot-assisted gait training. All participants underwent robot-assisted gait training for twelve sessions (30 min/d, 3 d/wk for 4 weeks). They were assessed with gait parameters (gait velocity, cadence, step length, stance phase, and swing phase) using Optogait. This study also measured the dynamic gait index (DGI), the Berg balance scale (BBS) score, and timed up and go (TUG). Results: After training, BBS scores were was significantly increased in the bilateral training group than in the unilateral guidance group (p<0.05). Spatiotemporal parameters were significantly changed in the bilateral training group (gait speed, swing phase ratio, and stance phase ratio) compared to the unilateral training group (p<0.05). Conclusions:The results of this study suggest that robot-assisted gait training show feasibility in facilitating improvements in balance and gait performance for subacute hemiparetic stroke patients.

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Gait training in subacute non-ambulatory stroke patients using a full weight-bearing gait-assistance robot: A prospective, randomized, open, blinded-endpoint trial

Cited by 56 publications

References 34 publications

Determining the cut-off value for knee extensor strength for identifying independence in gait in chronic stroke survivors

Determining the cut-off value for knee extensor strength for identifying independence in gait in chronic stroke survivors

Physical fitness interventions for nonambulatory stroke survivors: A mixed‐methods systematic review and meta‐analysis

Robotic-assisted gait training applied with guidance force for balance and gait performance in persons with subacute hemiparetic stroke

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