Stroke Gait Rehabilitation: A Comparison of End-Effector, Overground Exoskeleton, and Conventional Gait Training

Gait recovery is one of the main goals of post-stroke rehabilitation and Robot-Assisted Gait Training (RAGT) has shown positive outcomes. However, there is a lack of studies in the literature comparing the effects of different devices. This paper aims to study the effects, in terms of clinical and g...

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Main Authors: Michela Goffredo, Chiara Iacovelli, Emanuele Russo, Sanaz Pournajaf, Chiara Di Blasi, Daniele Galafate, Leonardo Pellicciari, Maurizio Agosti, Serena Filoni, Irene Aprile, Marco Franceschini
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/9/13/2627
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author Michela Goffredo
Chiara Iacovelli
Emanuele Russo
Sanaz Pournajaf
Chiara Di Blasi
Daniele Galafate
Leonardo Pellicciari
Maurizio Agosti
Serena Filoni
Irene Aprile
Marco Franceschini
author_facet Michela Goffredo
Chiara Iacovelli
Emanuele Russo
Sanaz Pournajaf
Chiara Di Blasi
Daniele Galafate
Leonardo Pellicciari
Maurizio Agosti
Serena Filoni
Irene Aprile
Marco Franceschini
author_sort Michela Goffredo
collection DOAJ
description Gait recovery is one of the main goals of post-stroke rehabilitation and Robot-Assisted Gait Training (RAGT) has shown positive outcomes. However, there is a lack of studies in the literature comparing the effects of different devices. This paper aims to study the effects, in terms of clinical and gait outcomes, of treadmill-based and overground RAGT, compared to conventional gait training in stroke subjects. The results showed a significant improvement of clinical outcomes in both robotic treatments and in conventional therapy. The performance of locomotor tasks was clinically significant in the robotic groups only. The spatio-temporal gait parameters did not reveal any significant difference. Results suggest future multicentre studies on a larger number of subjects.
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spelling doaj.art-e8e9b7b3829f4be2b522e9626eb463552022-12-22T02:53:59ZengMDPI AGApplied Sciences2076-34172019-06-01913262710.3390/app9132627app9132627Stroke Gait Rehabilitation: A Comparison of End-Effector, Overground Exoskeleton, and Conventional Gait TrainingMichela Goffredo0Chiara Iacovelli1Emanuele Russo2Sanaz Pournajaf3Chiara Di Blasi4Daniele Galafate5Leonardo Pellicciari6Maurizio Agosti7Serena Filoni8Irene Aprile9Marco Franceschini10IRCCS San Raffaele Pisana, Department of Neurorehabilitation, Via della Pisana, 235, 00163 Rome, ItalyIRCCS Fondazione Don Carlo Gnocchi, 20121 Milan, ItalyFondazione Centri di Riabilitazione Padre Pio Onlus, San Giovanni Rotondo, 71013 Foggia, ItalyIRCCS San Raffaele Pisana, Department of Neurorehabilitation, Via della Pisana, 235, 00163 Rome, ItalyIRCCS Fondazione Don Carlo Gnocchi, 20121 Milan, ItalyIRCCS San Raffaele Pisana, Department of Neurorehabilitation, Via della Pisana, 235, 00163 Rome, ItalyIRCCS San Raffaele Pisana, Department of Neurorehabilitation, Via della Pisana, 235, 00163 Rome, ItalyRehabilitation Medicine Service, Rehabilitation Geriatrics Department of the NHS-University Hospital of Parma, 43126 Parma, ItalyFondazione Centri di Riabilitazione Padre Pio Onlus, San Giovanni Rotondo, 71013 Foggia, ItalyIRCCS Fondazione Don Carlo Gnocchi, 20121 Milan, ItalyIRCCS San Raffaele Pisana, Department of Neurorehabilitation, Via della Pisana, 235, 00163 Rome, ItalyGait recovery is one of the main goals of post-stroke rehabilitation and Robot-Assisted Gait Training (RAGT) has shown positive outcomes. However, there is a lack of studies in the literature comparing the effects of different devices. This paper aims to study the effects, in terms of clinical and gait outcomes, of treadmill-based and overground RAGT, compared to conventional gait training in stroke subjects. The results showed a significant improvement of clinical outcomes in both robotic treatments and in conventional therapy. The performance of locomotor tasks was clinically significant in the robotic groups only. The spatio-temporal gait parameters did not reveal any significant difference. Results suggest future multicentre studies on a larger number of subjects.https://www.mdpi.com/2076-3417/9/13/2627robot-assisted gait trainingstrokegait analysis
spellingShingle Michela Goffredo
Chiara Iacovelli
Emanuele Russo
Sanaz Pournajaf
Chiara Di Blasi
Daniele Galafate
Leonardo Pellicciari
Maurizio Agosti
Serena Filoni
Irene Aprile
Marco Franceschini
Stroke Gait Rehabilitation: A Comparison of End-Effector, Overground Exoskeleton, and Conventional Gait Training
Applied Sciences
robot-assisted gait training
stroke
gait analysis
title Stroke Gait Rehabilitation: A Comparison of End-Effector, Overground Exoskeleton, and Conventional Gait Training
title_full Stroke Gait Rehabilitation: A Comparison of End-Effector, Overground Exoskeleton, and Conventional Gait Training
title_fullStr Stroke Gait Rehabilitation: A Comparison of End-Effector, Overground Exoskeleton, and Conventional Gait Training
title_full_unstemmed Stroke Gait Rehabilitation: A Comparison of End-Effector, Overground Exoskeleton, and Conventional Gait Training
title_short Stroke Gait Rehabilitation: A Comparison of End-Effector, Overground Exoskeleton, and Conventional Gait Training
title_sort stroke gait rehabilitation a comparison of end effector overground exoskeleton and conventional gait training
topic robot-assisted gait training
stroke
gait analysis
url https://www.mdpi.com/2076-3417/9/13/2627
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