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Robot-assisted gait training plan for patients in poststroke recovery period: a single blind randomized controlled trial |
Yu D, Yang Z, Lei L, Chaoming N, Ming W |
BioMed Research International 2021;(5820304):Epub |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; 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* |
BACKGROUND: Walking dysfunction exists in most patients after stroke. Evidence regarding gait training in two weeks is scarce in resource-limited settings; this study was conducted to investigate the effects of a short-term robot-assisted gait training plan for patients with stroke. METHODS: 85 patients were randomly assigned to one of two treatment groups, with 31 patients in withdrawal before treatment. The training program comprised 14 2-hour sessions, for 2 consecutive weeks. Patients allocated to the robot-assisted gait training group were treated using the Gait Training and Evaluation System A3 from NX (RT group, n = 27). Another group of patients was allocated to the conventional overground gait training group (PT group, n = 27). Outcome measurements were assessed using time-space parameter gait analysis, Fugl-Meyer Assessment (FMA), and Timed Up and Go test (TUG) scores. RESULTS: In the time-space parameter analysis of gait, the two groups exhibited no significant changes in time parameters, but the RT group exhibited a significant effect on changes in space parameters (stride length, walk velocity, and toe out angle, p < 0.05). After training, FMA scores (20.22 +/- 2.68) of the PT group and FMA scores (25.89 +/- 4.6) of the RT group were significant. In the Timed Up and Go test, FMA scores of the PT group (22.43 +/- 3.95) were significant, whereas those in the RT group (21.31 +/- 4.92) were not. The comparison between groups revealed no significant differences. CONCLUSION: Both the RT group and the PT group can partially improve the walking ability of stroke patients within 2 weeks.
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