An Observational Report of Intensive Robotic and Manual Gait Training in Sub-acute Stroke

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An Observational Report of Intensive Robotic and Manual Gait Training in Sub-acute Stroke

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dc.contributor.author Conesa, Lucas
dc.contributor.author Costa, Úrsula
dc.contributor.author Morales, Eva
dc.contributor.author Cortes, Mar
dc.contributor.author León, Daniel
dc.contributor.author Bernabeu, Montserrat
dc.contributor.author Medina, Josep
dc.contributor.author Edwards, Dylan James
dc.date.accessioned 2012-05-22T19:28:30Z
dc.date.issued 2012
dc.identifier.citation Conesa, Lucas, Úrsula Costa, Eva Morales, Dylan J. Edwards, Mar Cortes, Daniel León, Montserrat Bernabeu, and Josep Medina. 2012. An observational report of intensive robotic and manual gait training in sub-acute stroke. Journal of NeuroEngineering and Rehabilitation 9(1): 13. en_US
dc.identifier.issn 1743-0003 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:8796677
dc.description.abstract Background: The use of automated electromechanical devices for gait training in neurological patients is increasing, yet the functional outcomes of well-defined training programs using these devices and the characteristics of patients that would most benefit are seldom reported in the literature. In an observational study of functional outcomes, we aimed to provide a benchmark for expected change in gait function in early stroke patients, from an intensive inpatient rehabilitation program including both robotic and manual gait training. Methods: We followed 103 sub-acute stroke patients who met the clinical inclusion criteria for Body Weight Supported Robotic Gait Training (BWSRGT). Patients completed an intensive 8-week gait-training program comprising robotic gait training (weeks 0-4) followed by manual gait training (weeks 4-8). A change in clinical function was determined by the following assessments taken at 0, 4 and 8 weeks (baseline, mid-point and end-point respectively): Functional Ambulatory Categories (FAC), 10 m Walking Test (10 MWT), and Tinetti Gait and Balance Scales. Results: Over half of the patients made a clinically meaningful improvement on the Tinetti Gait Scale (>3 points) and Tinetti Balance Scale (>5 points), while over 80% of the patients increased at least 1 point on the FAC scale (0-5) and improved walking speed by more than 0.2 m/s. Patients responded positively in gait function regardless of variables gender, age, aetiology (hemorrhagic/ischemic), and affected hemisphere. The most robust and significant change was observed for patients in the FAC categories two and three. The therapy was well tolerated and no patients withdrew for factors related to the type or intensity of training. Conclusions: Eight-weeks of intensive rehabilitation including robotic and manual gait training was well tolerated by early stroke patients, and was associated with significant gains in function. Patients with mid-level gait dysfunction showed the most robust improvement following robotic training. en_US
dc.language.iso en_US en_US
dc.publisher BioMed Central en_US
dc.relation.isversionof doi:10.1186/1743-0003-9-13 en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3305481/pdf/ en_US
dash.license LAA
dc.subject gait training en_US
dc.subject stroke en_US
dc.subject body weight support en_US
dc.subject rehabilitation en_US
dc.title An Observational Report of Intensive Robotic and Manual Gait Training in Sub-acute Stroke en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal Journal of NeuroEngineering and Rehabilitation en_US
dash.depositing.author Edwards, Dylan James
dc.date.available 2012-05-22T19:28:30Z

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