Prospective, Blinded, Randomized Crossover Study of Gait Rehabilitation in Stroke Patients Using the Lokomat Gait Orthosis

Department of Neurology, Hospital Hochzirl, Zirl, Austria.
Neurorehabilitation and neural repair (Impact Factor: 3.98). 05/2007; 21(4):307-14. DOI: 10.1177/1545968307300697
Source: PubMed


Treadmill training with partial body weight support has been suggested as a useful strategy for gait rehabilitation after stroke. This prospective, blinded, randomized controlled study of gait retraining tested the feasibility and potential efficacy of using an electromechanical-driven gait orthosis (Lokomat) for treadmill training.
Sixteen stroke patients, mostly within 3 months after onset, were randomized into 2 treatment groups, ABA or BAB (A = 3 weeks of Lokomat training, B = 3 weeks of conventional physical therapy) for 9 weeks of treatment. The outcome measures were the EU-Walking Scale, Rivermead Motor Assessment Scale, 10-m timed walking speed, 6-minute timed walking distance, Motricity Index, Medical Research Council Scale of strength, and Ashworth Scale of tone.
The EU-Walking Scale, Rivermead Motor Assessment Scale, 6-minute timed walking distance, Medical Research Council Scale, and Ashworth Scale demonstrated significantly more improvement during the Lokomat training phase than during the conventional physical therapy phase within each 3-week interval.
Despite the small number of patients, the present data suggest that the Lokomat robotic assistive device provides innovative possibilities for gait training in stroke rehabilitation while eliminating prolonged repetitive movements in a nonergonomic position on the part of the physical therapist.

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    • "Locomotion training robots (LTRs) possess structures with smaller mass and liberate physicians' workforce, as the actuator can be applied for motion transmission. There are two kinds of LTRs, namely, traction type and exoskeleton type LTRs [3]. The traction type LTRs are commonly used with fixed platform to which the users cannot move relatively. "
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    Advances in Mechanical Engineering 11/2014; 2014:1-10. DOI:10.1155/2014/173518 · 0.58 Impact Factor
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    • "Barbeau and Visintin showed that manual BWSTT improves balance in patients with stroke [41]. However, as participants are strongly fixated in the robot, it remains questionable whether balance becomes trained during RAGT, as recently discussed for patients with stroke [9,42]. As a performance-based measure of balance, we used the Berg Balance Scale (BBS) [43]. "
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    • "45 chronic * * fIM, MRc, MMAS, RpE, SSS, postural sway (force plate), hR, fAc, MAS werner et al., 2002 (62) 30 Subacute * * RMAS, bI, MAS hesse et al., 2001 (63) 14 chronic * * RMAS, EMg, Stgp, MAS hesse et al., 2000 (64) 2 Subacute * RMAS, MAS hesse et al., 2000 (65) 2 Subacute * RMAS, MAS Lk chang et al., 2011 (66) 37 Subacute * * fM motor, Ac, cR, vR Magagnin et al., 2010 (67) 5 chronic * bI, fIM, tct, Ecg Lewek et al., 2009 (68) 19 chronic MMSE, Stgp, Jk hidler et al., 2009 (69) 63 Subacute * * * * 5Mwt, fAI, MoAS, nIhSS, Sf-36, MMSE, cES-d, Stgp Schwartz et al., 2009 (70) 67 Subacute * * 2Mwt, fIM, nIhSS, SAS, tug westlake et al., 2009 (71) 16 chronic * * fM motor, LLfdI, Sppb, Stgp hornby et al., 2008 (72) 48 chronic * * cES-d, fAI, MEfAp, MRc, MMSE, Sf-36, Stgp, MAS Mayr et al., 2007 (73) "
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