Robot-assisted gait training promotes brain reorganization after stroke: A randomized controlled pilot study

Well then, write up a protocol on what works. Just this writeup is totally fucking useless, doctors and stroke hospitals do not read and implement research.

 Robot-assisted gait training promotes brain reorganization after stroke: A randomized controlled pilot study

NeuroRehabilitation , Volume 46(4) , Pgs. 483-489.

NARIC Accession Number: J84273.  What's this?
ISSN: 1053-8135.
Author(s): Kim, Dae H. ; Kang, Chang S. ; Kyeong, Sohyun.
Publication Year: 2020.
Number of Pages: 7.

Abstract: 

Study evaluated the changes in the injured brain after robot-assisted gait training (RAGT) and compared the effects of early versus late start of RAGT. Eleven patients with post-stroke hemiplegia undergoing inpatient rehabilitation were examined within 3 months of stroke onset and were randomly divided into two groups. Group 1 started RAGT with conventional physiotherapy immediately after enrollment, whereas Group 2 underwent conventional physiotherapy for 4 weeks before starting RAGT. RAGT consisted of twenty 45-minute sessions of gait training with Walkbot, a robotic-driven gait orthosis for control of posture, a body-weight support system, and a treadmill. Diffusion tensor imaging data were acquired after enrollment and at 4 and 8 weeks after treatment. Fractional anisotropy (FA) and mean diffusivity (MD) maps were used to analyze the neural changes. Repeated measures analysis of variance of the data at 4 weeks after treatment showed a significant interaction between time and groups for the FA and MD values in the non-lesioned hemisphere, indicating that the non-lesioned hemisphere was significantly reorganized by RAGT compared with conventional physiotherapy. Analysis of the data at 8 weeks after treatment showed a significant interaction between time and groups (early and late start of RAGT) for the MD values in the motor-related areas bilaterally, indicating that early start of RAGT significantly accelerated bi-hemispheric reorganization as compared with late start of RAGT. Findings indicate that RAGT can facilitate reorganization in the intact superior temporal, cingulate, and postcentral gyri. Furthermore, early start of RAGT can accelerate bi-hemispheric reorganization in the motor-related brain regions.
Descriptor Terms: AMBULATION, BRAIN, EARLY INTERVENTION, FUNCTIONAL STATUS, IMAGING, MOBILITY AIDS, MOBILITY TRAINING, ORTHOTICS, ROBOTICS, STROKE.


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Citation: Kim, Dae H. , Kang, Chang S. , Kyeong, Sohyun. (2020). Robot-assisted gait training promotes brain reorganization after stroke: A randomized controlled pilot study.  NeuroRehabilitation , 46(4), Pgs. 483-489. Retrieved 9/19/2020, from REHABDATA database.