http://www.jocn-journal.com/article/S0967-5868(17)31166-9/abstract
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Objective
The aim of this study was to compare the effects of different robotic devices in improving post-stroke gait abnormalities.
Methods
A
computerized literature research of articles was conducted in the
databases MEDLINE, PEDro, COCHRANE, besides a search for the same items
in the Library System of the University of Parma (Italy). We selected 13
randomized controlled trials, and the results were divided into
sub-acute stroke patients and chronic stroke patients. We selected
studies including at least one of the following test: 10-Meter Walking
Test, 6-Minute Walk Test, Timed-Up-and-Go, 5-Meter Walk Test, and
Functional Ambulation Categories.
Results
Stroke
patients who received physiotherapy treatment in combination with
robotic devices, such as Lokomat or Gait Trainer, were more likely to
reach better results, compared to patients who receive conventional gait
training alone. Moreover, electromechanical-assisted gait training in
association with Functional Electrical Stimulations produced more
benefits than the only robotic treatment (−0.80 [−1.14; −0.46],
p > .05).
Conclusions
The
evaluation of the results confirm that the use of robotics can
positively affect the outcome of a gait rehabilitation in patients with
stroke. The effects of different devices seems to be similar on the most
commonly outcome evaluated by this review.
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