Deans' stroke musings: Robot-assisted end-effector-based gait training in chronic stroke patients: A multicentric uncontrolled observational retrospective clinical study

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.

Wednesday, October 11, 2017

Robot-assisted end-effector-based gait training in chronic stroke patients: A multicentric uncontrolled observational retrospective clinical study

You can see what they are talking about in this PDF. I liked using the Lokomat because it was the only thing strong enough to stop my leg spasticity. My doctor didn't think much of it, he was an idiot in that respect. I had to change clinics to get Lokomat training.

End-effector Machines for Gait Rehabilitation - ISA-UMH

http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J76608&phrase=no&rec=134493&article_source=Rehab&international=0&international_language=&international_location=
NeuroRehabilitation , Volume 40(4) , Pgs. 483-492.

NARIC Accession Number: J76608. What's this?
ISSN: 1053-8135.
Author(s): Mazzoleni, Stefano; Focacci, Antonella; Franceschini, Marco; Waldner, Andreas; Spagnuolo, Chiara; Battini, Elena; Bonaiuti, Donatella.
Publication Year: 2017.
Number of Pages: 10.
Abstract: Study evaluated the feasibility and effectiveness of exclusive use of robot-assisted end-effector-based gait training in patients with chronic stroke. One hundred chronic post-stroke patients from five rehabilitation centers underwent a robot-assisted end-effector-based gait training as their only rehabilitation treatment. Motor and gait functions were measured before and after the training using the following outcome measures: 6-Minute Walk Test (6MWT), 10-Meter Walk Test (10MWT), Timed Up and Go test (TUG), Modified Ashworth Scale, Motricity Index (MI), Functional Ambulation Classification (FAC) and Walking Handicap Scale. In order to investigate possible effects following the robot-assisted gait training based on the severity of gait impairment, patients were divided into two groups for analysis: those with severe impairment, assessed as FAC < 3 (Group 1) and those with moderate impairment, i.e., FAC ≥ 3 (Group 2). Statistically significant changes were observed in each clinical outcome measure after treatment. Significant changes were observed in the MI, TUG, and FAC in the Group 1 and in all clinical outcomes, with the exception of the 10MWT, in the Group 2. Fifty percent of patients in the Group 1 achieved the minimal clinically important difference (MCID) on the TUG and 61.4 percent of patients in the Group 2 reached the MCID on the 6MWT. This study demonstrated that chronic stroke patients exposed to only robot-assisted end-effector-based gait training showed significant improvements in global motor performances, gait endurance, balance and coordination, lower-limb strength, and even spasticity.
Descriptor Terms: AMBULATION, FEASIBILITY STUDIES, MOBILITY TRAINING, REHABILITATION TECHNOLOGY, ROBOTICS, STROKE.

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

Citation: Mazzoleni, Stefano, Focacci, Antonella, Franceschini, Marco, Waldner, Andreas, Spagnuolo, Chiara, Battini, Elena, Bonaiuti, Donatella. (2017). Robot-assisted end-effector-based gait training in chronic stroke patients: A multicentric uncontrolled observational retrospective clinical study. NeuroRehabilitation , 40(4), Pgs. 483-492. Retrieved 10/11/2017, from REHABDATA database.