Abstract

BACKGROUND:While Walkbot-assisted locomotor training (WLT) provided ample evidence on balance and gait improvements, the therapeutic effects on cardiopulmonary and psychological elements as well as fall confidence are unknown in stroke survivors.

OBJECTIVE

The present study aimed to compare the effects of Walkbot locomotor training (WLT) with conventional locomotor training (CLT) on balance and gait, cardiopulmonary and psychological functions and fall confidence in acute hemiparetic stroke.

METHODS

Fourteen patients with acute hemiparetic stroke were randomized into either the WLT (60-minute physical therapy +30-minute Walkbot-assisted gait training) or CLT (60min physical therapy +30min gait training) groups, 7 days/week over 2 weeks. Clinical outcomes included the Berg balance scale (BBS), functional ambulation category (FAC), heart rate (HR) and Borg rating of perceived exertion (BRPE), Beck depression inventory-II (BDI-II), and the activities-specific balance confidence (ABC) scale. The analysis of covariance (ANCOVA) was conducted at P<0.05.

RESULTS

ANCOVA showed that WLT showed superior effects, compared to CLT, on FAC, HR, BRPE, BDI-II, and ABC scale (P<0.05), but not on BBS (P=0.061).

CONCLUSIONS

Our results provide novel, promising clinical evidence that WLT improved balance and gait function as well as cardiopulmonary and psychological functions, and fall confidence in acute stroke survivors who were unable to ambulate independently.

Keywords:Neurorehabilitation, stroke, hemiplegia, robotic-assisted gait training, walkbot, cardiopulmonary function, psychological function

DOI:10.3233/NRE-203086

Journal:NeuroRehabilitation, vol. Pre-press, no. Pre-press, pp. 1-11, 2020

Published:12 June 2020

첨부파일 :Effects of innovative hip-knee-ankle interlimb coordinated robot training on ambulation.pdf