I never even consider the body weight support of the Lokomat useful, the most important part to me was the restriction of spasticity since you were totally strapped in and spasticity was put into submission. My doctor thought the Lokomat was useless, he was wrong. And with no protocol written up on this this research will fall by the wayside and have been a waste of time.
Prospective, Blinded, Randomized Crossover Study of Gait Rehabilitation in Stroke Patients Using the Lokomat Gait Orthosis
Andreas Mayr,MS,Markus Kofler,MD,Ellen Quirbach,PT,Heinz Matzak,MD,Katrin Fröhlich,MD,and Leopold Saltuari,MDObjective
.Treadmill training with partial body weight support has been suggested as a useful strategy for gait rehabilitation after stroke.This prospective,blinded,randomized controlled study of gait retraining tested the feasibility and potential efficacy of using an electromechanical-driven gait orthosis (Lokomat) for treadmill training.
Methods
.Sixteen stroke patients,mostly within 3 months after onset,were randomized into 2 treatment groups,ABA or BAB (A=3 weeks of Lokomat training,B=3 weeks ofc onventional physical ther-apy) for 9 weeks oftreatment.The outcome measures were theEU-Walking Scale,Rivermead Motor Assessment Scale,10-mtimed walking speed,6-minute timed walking distance,Motricity Index,Medical Research Council Scale of strength,and Ashworth Scale oftone.
Results
.The EU-Walking Scale,Rivermead Motor Assessment Scale,6-minute timed walking distance,Medical Research Council Scale,and Ashworth Scale demonstrated significantly more improvement during the Lokomat training phase than during the conventional physical therapy phase within each 3-week interval.
Conclusions
.Despite the small number of patients,the present data suggest that the Lokomat robotic assistive device provides innovative possibilities for gait training in stroke rehabilitation while eliminating prolonged repetitive movements in a non ergonomic position on the part of the physical therapist.
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