Objective: The objective of the article is to analyze the effects of the end-effector technology for gait rehabilitation on acute, subacute, and chronic stroke in order to verify the efficacy of the treatment in older people, based on evidence from randomized controlled trials, and thus increase the clinical knowledge for future applications in the hospital setting.
Design: A systematic review of the literature was conducted in October 2018. The data were collected from Cochrane, Embase, Scopus, and PubMed databases, analyzing manuscripts and articles of the last 10 years.
Setting: We included only randomized controlled trials written in English and aimed to study the effects of end-effector devices in improving walking in stroke patients. We selected 20 studies, and the results were divided into subacute stroke patients and chronic stroke patients.
Measures: Quality evaluation was performed using the PEDro scale. Of the 10 studies considered, 9 were randomized controlled trials. The PEDro scale score ranged from 7 to 10.
Results: Robotic-assisted gait trainer is more effective for subacute stroke patients with a lower function ambulation assessment, showing significant changes in independent walking ability. One possible explanation of the improvement of the gait speed and functional ambulation is the opportunity of receiving a more intensive and repetitive task-oriented training through end-effector robotic-based intervention.
Conclusions And Implications: The use of robotic-assisted gait trainer, together with a conventional treatment, seems to improve the walking capability of patients. Future research trials should take into account the impact of the robotic end-effector gait training on the oldest population, as this target was only partially included in the studies examined. Availability of new evidence will support the design of innovative assistive models for the clinical rehabilitation setting, which will take into account the need of personalizing the intervention to support the growing oldest old population.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jamda.2019.10.010 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Anterior chain activation and high intensity gait training to improve walking in an adult with cerebral palsy: a case report.
Physiother Theory Pract
December 2024
Doctor of Physical Therapy Program, DeSales University, Center Valley, PA, USA.
Background And Purpose: Adults living with Cerebral Palsy (CP) who are non-ambulatory are at increased risk for falls, contractures, reduced bone density, and pain. There is limited evidence for core strength training, anterior chain activation exercises, or high intensity gait training (HIGT) to improve gait function in adults with CP. The purpose of this case report is to describe the use of anterior chain muscle activation and HIGT to improve walking in a non-ambulatory adult male with quadriplegic CP.
View Article and Find Full Text PDFGiven the current American health insurance environment, many patients do not access physical therapy in the mid and later stages of recovery from anterior cruciate ligament (ACL) reconstruction. This trend is well established in the literature and seems very unlikely to change in the future. While highly competitive athletes generally have year-round access to therapists and trainers to guide them through months of recovery, most patients recovering from ACL reconstruction are recreational athletes with jobs, families, and varying levels of insurance coverage.
View Article and Find Full Text PDFThe association between aerobic capacity and spinal curvature and mobility in young soccer players.
Gait Posture
October 2024
Izmir Katip Celebi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Izmir, Turkey; Izmir Katip Celebi University, Physiotherapy and Rehabilitation Application and Research Center, Izmir, Turkey. Electronic address:
Background: There is a lot of research in terms of injuries and performance in football and nowadays aerobic capacity, spinal posture and mobility have been taken into consideration separately in terms of performance. Considering from a biomechanical perspective, we thought spinal curvature and mobility may affect aerobic performance and investigated the relationship between them.
Research Question: Do young soccer players' segmental spinal curvature and mobility affect their aerobic capacity and maximal exercise performance?
Methods: Thirty-four young league players (mean age 16.
Impact of community-based precision functional training on older adults' walking and cognitive abilities in rural Taiwan: a pre-posttest study.
BMC Geriatr
October 2024
Department of Athletic Sports, National Chung Cheng University, Chiayi County, Taiwan.
Article Synopsis
- Functional training is crucial for older adults, particularly in rural areas, to maintain their independence, and this study evaluates the effectiveness of the Precision Functional Training (PFT) program on mobility and cognitive outcomes in community-dwelling older adults.
- The study involved 158 participants aged 65 and older, who underwent a 12-week PFT program combining aerobic, strength, and cognitive exercises, with significant improvements in cognitive function and gait observed immediately after training.
- However, these benefits diminished after one year, indicating a need for ongoing practice, alongside recommendations for community interventions to address fall risks among older adults.
Walking in a controlled ankle motion (CAM) boot: In-boot measurement of joint kinematics and kinetics.
J Biomech
November 2024
Carnegie School of Sport, Leeds Beckett University, Leeds, United Kingdom. Electronic address:
Research investigating ankle function during walking in a controlled ankle motion (CAM) boot has either placed markers on the outside of the boot or made major alterations to the structure of the CAM boot to uncover key landmarks. The aim of this study was to quantify joint kinematics and kinetics using "in-boot" skin markers whilst making only minimal structural alterations. Seventeen healthy participants walked at their preferred walking speed in two conditions: (1) in standard athletic trainers (ASICS patriot 8, ASICS Oceania Pty Ltd, USA), and (2) using a hard-cased CAM boot (Rebound® Air Walker, Össur, Iceland) fitted on the right foot.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!