Gait quality after robot therapy compared with physiotherapy in the patient with incomplete spinal cord injured: A systematic review
Background: Spinal cord injury results in the interruption of neuronal conduction in the spinal cord, a condition that occurs in 0.1% of the world's population. This results in severe limitations in autonomy including locomotor function. Its recovery can be pursued through conventional isolated...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | eNeurologicalSci |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405650223000254 |
| _version_ | 1797802209349468160 |
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| author | Isabella Fabbri Fabio Betti Roberto Tedeschi |
| author_facet | Isabella Fabbri Fabio Betti Roberto Tedeschi |
| author_sort | Isabella Fabbri |
| collection | DOAJ |
| description | Background: Spinal cord injury results in the interruption of neuronal conduction in the spinal cord, a condition that occurs in 0.1% of the world's population. This results in severe limitations in autonomy including locomotor function. Its recovery can be pursued through conventional isolated physiotherapeutic rehabilitation (overground walking training - OGT) or associated with Robot-assisted gait training - RAGT (e.g.: Lokomat ®). Aim: The aim of this review is to compare the effectiveness of RAGT combined with conventional physiotherapy. Methods: The databases consulted, from March 2022 to November 2022, were PubMed, PEDro, Cochrane Central Register of Controlled Trials (Cochrane Library) and CINAHL. RCT studies of people with incomplete spinal cord injuries treated with RAGT and/or OGT with the aim of improving walking were analysed. Results: Among the 84 RCTs identified, 4 were included in the synthesis, with a total of 258 participants. The outcomes analysed concerned both locomotor function through lower limb muscle strength and the need for assistance in walking, using the WISCI-II scale and the LEMS. Robotic treatment stimulated the greatest improvements in the four studies; however, they were not always statistically significant. Conclusion: A rehabilitation protocol combining RAGT with conventional physiotherapy is more effective than isolated OGT in improving ambulation in the subacute phase. |
| first_indexed | 2024-03-13T05:02:16Z |
| format | Article |
| id | doaj.art-f114fbbcd0084400b175bddac03e8b92 |
| institution | Directory Open Access Journal |
| issn | 2405-6502 |
| language | English |
| last_indexed | 2024-03-13T05:02:16Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | eNeurologicalSci |
| spelling | doaj.art-f114fbbcd0084400b175bddac03e8b922023-06-17T05:19:28ZengElseviereNeurologicalSci2405-65022023-06-0131100467Gait quality after robot therapy compared with physiotherapy in the patient with incomplete spinal cord injured: A systematic reviewIsabella Fabbri0Fabio Betti1Roberto Tedeschi2Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, ItalyDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy; Department of Physical Medicine and Rehabilitation, Ospedale Maggiore, Bologna, ItalyDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy; Corresponding author at: Department of Biomedical and Neuromotor Sciences, University of Bologna, Via Zamboni 33, 40126 Bologna, Italy.Background: Spinal cord injury results in the interruption of neuronal conduction in the spinal cord, a condition that occurs in 0.1% of the world's population. This results in severe limitations in autonomy including locomotor function. Its recovery can be pursued through conventional isolated physiotherapeutic rehabilitation (overground walking training - OGT) or associated with Robot-assisted gait training - RAGT (e.g.: Lokomat ®). Aim: The aim of this review is to compare the effectiveness of RAGT combined with conventional physiotherapy. Methods: The databases consulted, from March 2022 to November 2022, were PubMed, PEDro, Cochrane Central Register of Controlled Trials (Cochrane Library) and CINAHL. RCT studies of people with incomplete spinal cord injuries treated with RAGT and/or OGT with the aim of improving walking were analysed. Results: Among the 84 RCTs identified, 4 were included in the synthesis, with a total of 258 participants. The outcomes analysed concerned both locomotor function through lower limb muscle strength and the need for assistance in walking, using the WISCI-II scale and the LEMS. Robotic treatment stimulated the greatest improvements in the four studies; however, they were not always statistically significant. Conclusion: A rehabilitation protocol combining RAGT with conventional physiotherapy is more effective than isolated OGT in improving ambulation in the subacute phase.http://www.sciencedirect.com/science/article/pii/S2405650223000254Overground walking trainingRobot-assisted gait trainingSpinal cord injuryLocomotor functionPhysiotherapy |
| spellingShingle | Isabella Fabbri Fabio Betti Roberto Tedeschi Gait quality after robot therapy compared with physiotherapy in the patient with incomplete spinal cord injured: A systematic review eNeurologicalSci Overground walking training Robot-assisted gait training Spinal cord injury Locomotor function Physiotherapy |
| title | Gait quality after robot therapy compared with physiotherapy in the patient with incomplete spinal cord injured: A systematic review |
| title_full | Gait quality after robot therapy compared with physiotherapy in the patient with incomplete spinal cord injured: A systematic review |
| title_fullStr | Gait quality after robot therapy compared with physiotherapy in the patient with incomplete spinal cord injured: A systematic review |
| title_full_unstemmed | Gait quality after robot therapy compared with physiotherapy in the patient with incomplete spinal cord injured: A systematic review |
| title_short | Gait quality after robot therapy compared with physiotherapy in the patient with incomplete spinal cord injured: A systematic review |
| title_sort | gait quality after robot therapy compared with physiotherapy in the patient with incomplete spinal cord injured a systematic review |
| topic | Overground walking training Robot-assisted gait training Spinal cord injury Locomotor function Physiotherapy |
| url | http://www.sciencedirect.com/science/article/pii/S2405650223000254 |
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