Deans' stroke musings: A comparison of locomotor therapy interventions: Partial-body weight-supported treadmill, Lokomat, and G-EO training in people with traumatic brain injury

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, January 14, 2018

A comparison of locomotor therapy interventions: Partial-body weight-supported treadmill, Lokomat, and G-EO training in people with traumatic brain injury

Your doctor can analyze this and see what can be translated for stroke rehab.

A comparison of locomotor therapy interventions: Partial-body weight-supported treadmill, Lokomat, and G-EO training in people with traumatic brain injury

PM & R , Volume 9(9) , Pgs. 839-946.

NARIC Accession Number: J77461. What's this?
ISSN: 1934-1482.
Author(s): Esquenazi, Alberto; Lee, Stella; Wikoff, Amanda; Packel, Andrew; Toczylowski, Theresa; Feeley, John.
Publication Year: 2017.
Number of Pages: 8.
Abstract: Study examined the impact of 3 different modes of locomotor therapy using an end-effector robot (G-EO), a robotic exoskeleton (Lokomat), and manual-assisted partial-body weight-supported treadmill training (PBWSTT) on gait velocity and spatiotemporal symmetry in participants with traumatic brain injury (TBI). Twenty-two individuals with chronic TBI completed 18 sessions of training that included 45 minutes of assigned locomotor training. Outcome measures included overground walking self-selected velocity (SSV), maximal velocity (MV), spatiotemporal asymmetry ratio, endurance measure by the 6-Minute Walk Test (6MWT), and mobility domain of Stroke Impact Scale (MSIS). Severity in walking dysfunction was similar across groups as determined by walking velocity data. At baseline, participants in the Lokomat group had a baseline velocity that was slightly slower compared with the other groups. Training elicited a statistically significant median increase in SSV for all groups compared with pretraining and MV excluding the G-EO group. There were no pre-post significant differences in swing time, stance time, and step length asymmetry ratios at SSV or MV for any of the interventions. Mean rank in the change of SSV and MV was not statistically significantly different between groups. Participants in the G-EO and PBWSTT groups significantly improved their 6MWT posttraining. The MSIS significantly improved only for the Lokomat group. The data did not elicit between-groups significant differences for 6MWT and MSIS. There was less use of staff for Lokomat than G-EO. Finding indicate locomotor therapy using G-EO, Lokomat, or PBWSTT in individuals with chronic TBI increased SSV and MV without significant changes in gait symmetry.
Descriptor Terms: AMBULATION, BIOENGINEERING, BRAIN INJURIES, INTERVENTION, MOBILITY TRAINING, OUTCOMES, PHYSICAL THERAPY, REHABILITATION TECHNOLOGY, ROBOTICS.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Esquenazi, Alberto, Lee, Stella, Wikoff, Amanda, Packel, Andrew, Toczylowski, Theresa, Feeley, John. (2017). A comparison of locomotor therapy interventions: Partial-body weight-supported treadmill, Lokomat, and G-EO training in people with traumatic brain injury. PM & R , 9(9), Pgs. 839-946. Retrieved 1/14/2018, from REHABDATA database.