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Apparativ-assistive bewegungstherapie in der schlaganfallrehabilitation (Use of an assistive movement training apparatus in the rehabilitation of stroke patients) [German]
Dobke B, Schule K, Diehl W, Kaiser T
Neurologie und Rehabilitation 2010;16(4):173-185
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

In the majority of industrial nations stroke appears to be the most life-threatening diagnosis of all neurological diseases and is deemed to be the main cause for disabilities in the adult population. Besides medical and physical therapy, movement therapy plays an important role in rehabilitation of a stroke patient. This trial investigates the effects of a home-based training on mobility and quality of life of stroke patients. The training was performed individually by the patient, with a software-controlled and motor-assisted movement therapy device (MOTOmed viva2), additional to conventional therapy. STUDY DESIGN: 31 stroke patients were randomized in two groups. Patients of the intervention group (n = 16; age 63.1 +/- 8.1) received a Reck MOTOmed movement therapy device for home use. The only guidelines were to train twice a day, at least for ten minutes in a period of four months, additional to their regular therapy, at an intensity level corresponding to stage 13 of the BORG-Scale ("slightly strenuous"). The effect of MOTOmed therapy on walking ability and endurance was tested in particular, measured by 10 m Short Distance Speed Test and 2/6 Minutes Endurance Test. Quality of life parameter was evaluated by generic questionnaire SF-36. The control group (n = 15, age 65.8 +/- 10.7) received only conventional therapy (occupational and physical therapy). RESULTS: The patients of the intervention group showed significant improvements in mobility (2/6 Minutes Endurance Test; p = 0.015; p = 0.003), in the 10 m Short Distance Speed Test at comfortable cadence (p = 0.024) as well as in quality of life (related to physical functions; p = 0.0018). The training was controlled by BORG-Scale so that the patients were able to improve their average performance about 6.3 Watts (p = 0.009). PROSPECTIVE: Additional treatment with the MOTOmed movement therapy device can be considered as a beneficial addition to regular therapy. It allows the patient to counteract consequences of lack of movement and contribute as well as positively influence the personal therapy progress.

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