Robotic recovery of walking function in patients in the early recovery period of stroke

Котов, С В; Исакова, Е. В.; Lijdvoy, V. Yu.; Petrushanskaya, K. A.; Pismennaya, E V; Романова, М. В.; Kodzokova, L. H.

doi:10.17116/jnevro202012008273

Cited by 5 publications

(23 citation statements)

References 29 publications

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“…All the included studies were published between 2015 and 2021. The studies were conducted in various countries: two in Japan [ 24 , 25 ], two in Russia [ 26 , 27 ] and one in Italy [ 28 ], Sweden [ 29 ], Poland [ 30 ], Canada [ 31 ] and Spain [ 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…A total of four RCTs [ 28 , 29 , 30 , 31 ] were classified with good quality scores. The D&B tool score of a pilot study [ 32 ] indicates poor quality, whereas the remaining four studies [ 24 , 25 , 26 , 27 ] had moderate scores. D&B tool scores were reported in descending order in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…Data on the gender of 42 participants recruited in one study [ 27 ] and 24 participants who dropped out were not available. The average age of the participants was classified according to various age ranges: seven studies [ 24 , 25 , 26 , 27 , 29 , 31 , 32 ] focused on participants in the range of 45–64 years, while the remaining two studies [ 28 , 30 ] recruited participants older than 65 years of age. Based on the time elapsed since the stroke, five studies [ 24 , 26 , 27 , 29 , 31 ] focused on individuals in the subacute phase of recovery, whereas three studies [ 25 , 28 , 32 ] observed the efficacy of o-RAGT in individuals in the chronic phase of recovery.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, two studies [ 29 , 31 ] measured the efficacy of o-RAGT on a total of 64 ambulatory dependent participants and one study [ 25 ] was conducted on one independent ambulatory participant. Three studies [ 26 , 27 , 28 ] were conducted in a mixed population of ambulatory dependent and independent individuals. Lastly, two studies [ 30 , 32 ] did not report participant information about walking abilities.…”

Section: Resultsmentioning

confidence: 99%

“…The exoskeletons included were EksoGT (n = 3) [ 28 , 30 , 31 ], HAL (n = 3) [ 24 , 25 , 29 ], ExoAtlet (n = 2) [ 26 , 27 ] and H2 (n = 1) [ 32 ] devices.…”

Section: Resultsmentioning

confidence: 99%

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Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis

et al. 2022

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Strokes often lead to a deficit in motor control that contributes to a reduced balance function. Impairments in the balance function severely limit the activities of daily living (ADL) in stroke survivors. The present systematic review and meta-analysis primarily aims to explore the efficacy of overground robot-assisted gait training (o-RAGT) on balance recovery in individuals with stroke. In addition, the efficacy on ADL is also investigated. This systematic review identified nine articles investigating the effects of o-RAGT on balance, four of which also assessed ADL. The results of the meta-analysis suggest that o-RAGT does not increase balance and ADL outcomes more than conventional therapy in individuals after stroke. The data should not be overestimated due to the low number of studies included in the meta-analysis and the wide confidence intervals. Subgroup analyses to investigate the influence of participant’s characteristics and training dosage were not performed due to lack of data availability. Further well-designed randomized controlled trials are needed to investigate the efficacy of o-RAGT on balance in individuals with stroke.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The exoskeletons included were EksoGT (n = 3) [ 28 , 30 , 31 ], HAL (n = 3) [ 24 , 25 , 29 ], ExoAtlet (n = 2) [ 26 , 27 ] and H2 (n = 1) [ 32 ] devices.…”

Section: Resultsmentioning

confidence: 99%

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Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis

et al. 2022

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Overground Robotic Exoskeleton Training for Patients With Stroke on Walking-Related Outcomes: A Systematic Review and Meta-analysis of Randomized Controlled Trials

LEOW¹,

NG²,

Lau³

2023

Archives of Physical Medicine and Rehabilitation

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Impact of the physical rehabilitation onset time in early recovery period of ischemic stroke (second stage of medical rehabilitation) on the level of daily activity and independence

Котов

Kodzokova

Исакова

et al. 2021

RJTAO

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Ischemic stroke (IS) is the leading cause of neurological inpatient care, readmission, and long-term disability. Until now, there is no single point of view on when the second stage of medical rehabilitation after an IS should be started and the amount of the rehabilitation activities.Objective: to compare the effectiveness of the course of motor rehabilitation during the first 30–90 days and 91–180 days after IS.Patients and methods. The patients were divided into two groups: group 1 included 44 patients in whom ≤3 months passed from IS onset, and group 2–39 patients in whom >3 but <6 months have passed since the IS onset. All patients included in the study received physiotherapy exercises, simulator exercises, robotic mechanotherapy, physiotherapy, massage, speech therapy, cognitive training, and secondary IS prevention.Results and discussion. In both groups patients got a positive treatment result: a significant increase in muscle strength, gait stability, quality, and speed. The number of patients who achieved independence (≤2 points on the Rankin scale) before the start of the rehabilitation course among patients of group 1 was 9.4%, after the end of the course – 40.6%. More initially independent patients were included in the group 2 – 28.6%; after a course of rehabilitation, the proportion of independent patients increased to 35.7%.Conclusion. Rehabilitation courses are effective in patients who have had IS, both in the first three months and in the period from the 4th to the 6th month. It is advisable to conduct the second stage of medical rehabilitation earlier after a stroke.

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Robotic recovery of walking function in patients in the early recovery period of stroke

Cited by 5 publications

References 29 publications

Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis

Efficacy of Overground Robotic Gait Training on Balance in Stroke Survivors: A Systematic Review and Meta-Analysis

Overground Robotic Exoskeleton Training for Patients With Stroke on Walking-Related Outcomes: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Impact of the physical rehabilitation onset time in early recovery period of ischemic stroke (second stage of medical rehabilitation) on the level of daily activity and independence

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