Gait Recovery with an Overground Powered Exoskeleton: A Randomized Controlled Trial on Subacute Stroke Subjects

Brain Sciences

On behalf of Italian Eksogait Study Group¹  Serena Filoni²  Sanaz Pournajaf³  Daniele Galafate³  Michela Goffredo³  Marco Franceschini³  Domenica Le Pera³  Rocco Salvatore Calabrò⁴  Placido Bramanti⁴  Silvano Baratta⁵  Franco Molteni⁶  Giulio Gasperini⁶  Marina Gaffuri⁶  Eleonora Guanziroli⁶ 

[1] ;Fondazione Centri di Riabilitazione Padre Pio Onlus, 71013 Foggia, Italy;Neurorehabilitation Research Laboratory, IRCCS San Raffaele Pisana, 00163 Rome, Italy;Neurorobotic Rehabilitation, IRCCS Centro Neurolesi “Bonino-Pulejo”, 98124 Messina, Italy;SCRIN Trevi Dipartimento di Riabilitazione USL Umbria 2, 06039 Perugia, Italy;Villa Beretta Rehabilitation Center, Valduce Hospital, Costa Masnaga, 23845 Lecco, Italy;

关键词: stroke;    robot-assisted gait training;    exoskeleton device;    neurologic gait disorders;    rehabilitation;   

DOI  :  10.3390/brainsci11010104

来源: DOAJ

【 摘 要 】

Background: Overground Robot-Assisted Gait Training (o-RAGT) provides intensive gait rehabilitation. This study investigated the efficacy of o-RAGT in subacute stroke subjects, compared to conventional gait training. Methods: A multicenter randomized controlled trial was conducted on 75 subacute stroke subjects (38 in the Experimental Group (EG) and 37 in the Control Group (CG)). Both groups received 15 sessions of gait training (5 sessions/week for 60 min) and daily conventional rehabilitation. The subjects were assessed at the beginning (T1) and end (T2) of the training period with the primary outcome of a 6 Minutes Walking Test (6MWT), the Modified Ashworth Scale of the Affected lower Limb (MAS-AL), the Motricity Index of the Affected lower Limb (MI-AL), the Trunk Control Test (TCT), Functional Ambulation Classification (FAC), a 10 Meters Walking Test (10MWT), the modified Barthel Index (mBI), and the Walking Handicap Scale (WHS). Results: The 6MWT increased in both groups, which was confirmed by both frequentist and Bayesian analyses. Similar outcomes were registered in the MI-AL, 10MWT, mBI, and MAS-AL. The FAC and WHS showed a significant number of subjects improving in functional and community ambulation in both groups at T2. Conclusions: The clinical effects of o-RAGT were similar to conventional gait training in subacute stroke subjects. The results obtained in this study are encouraging and suggest future clinical trials on the topic.

【 授权许可】

Unknown