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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: a randomized controlled trial
Wright, Amy Stone, Keeron Martinelli, Louis Fryer, Simon Smith, Grace Lambrick, Danielle Stoner, Lee Jobson, Simon Faulkner, James
Wright, Amy
Stone, Keeron
Martinelli, Louis
Fryer, Simon
Smith, Grace
Lambrick, Danielle
Stoner, Lee
Jobson, Simon
Faulkner, James
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Other Contributors
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Publication Date
2020-12-27
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Abstract
Objectives:To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg orthosis on clinical functional outcomes in people with chronic stroke.
Design:Randomized controlled trial.
Setting:Home.
Participants:Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy.
Intervention:Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program (n=16), using the device for 30 minutes per day, or (2)control group (n=18), 30 minutes of physical activity per day.
Measurements:The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10- and 22-weeks after baseline.
Results:Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10-weeks for over-ground robotic-assisted gait training (135±81m vs. 158±93m, respectively; P0.001) but not for control (122±92m vs. 119±84m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10-weeks (all P<.05). The differences observed in all of the aforementioned outcome measures were maintained at 22-weeks, 12 weeks after completing the intervention (all P >.05).
Conclusion:Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks.
Citation
Wright, A., Stone, K., Martinelli, L., Fryer, S., Smith, G., Lambrick, D., Stoner, L., Jobson, S. & Faulkner, J. (2021). Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: A randomized controlled trial. Clinical Rehabilitation, 35(6), 882-893. https://doi.org/10.1177/0269215520984133
Publisher
SAGE Publications
Journal
Clinical Rehabilitation
Research Unit
DOI
10.1177/0269215520984133
PubMed ID
PubMed Central ID
Type
Article
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Description
Wright, A., Stone, K., Martinelli, L., Fryer, S., Smith, G., Lambrick, D., Stoner, L., Jobson, S. & Faulkner, J., Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: a randomized controlled trial, Clinical Rehabilitation, 35(6), pp. 882-893. Copyright © [2020] (Copyright Holder). Reprinted by permission of SAGE Publications.
Series/Report no.
ISSN
0269-2155
EISSN
1477-0873