Saturday, April 4, 2026

Postural control and gait quality in individuals in the chronic phase of stroke undergoing mobile robotic-assisted training: a pilot randomized clinical trial

 Since this didn't work, ask your competent? doctor WHAT EXACT PROTOCOLS WILL RECOVER YOUR GAIT AND PROVIDE POSTURAL CONTROL! Oh darn, HAS NOTHING; So completely fucking incompetent!

And your board of directors is so incompetent they can't recognize incompetence in their hospital!

Postural control and gait quality in individuals in the chronic phase of stroke undergoing mobile robotic-assisted training: a pilot randomized clinical trial


Kamila Niewolak
1
,
 
Joanna Antkiewicz
1
,
 
Laura Jadwiga Piejko
2, 3
,
 
Julia Duda
3
,
 
Bogna Szołtys-Brzezowska
3, 4
,
 
Agnieszka Nawrat-Szołtysik
4, 5
,
 
Cezary Kucio
4, 5
,
 
Anna Polak
3, 4

  1. Medical and Rehabilitation Center, “Solanki”, Poland
  2. Clinical Department of Physiotherapy in Psychiatry, Faculty of Physical Therapy, Academy of Physical Education in Katowice, Katowice, Poland
  3. Department of Clinical Physiotherapy, Academy of Physical Education in Katowice, Institute of Physiotherapy and Health Sciences, Katowice, Poland
  4. Institute of Physiotherapy and Health Sciences, Academy of Physical Education in Katowice, Katowice, Poland
  5. Department of Physiotherapy in Internal Diseases, Academy of Physical Education in Katowice, Katowice
Research, Physiotherapy Review, 2026, 30(1), 62-81
Online publish date: 2026/03/26
Article file
art7_1_2026.pdf  [0.35 MB]
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Abstract 

Background: 
Stroke is the second leading cause of death world wide, after ischemic heart disease. The consequences of stroke can be reduced through systematic rehabilitation of patients, including various types of therapeutic exercises that mitigate neurological deficits and stimulate brain plasticity. Among the most common consequences of stroke are disturbances in body balance and gait. In stroke patients, rehabilitation robots may contribute to improvements in motor function, increased muscle strength, and enhanced gait quality. There is therefore a need for further research to determine which rehabilitation robots are most effective at different stages after stroke and for various types of motor deficits. Aims: The aim of this pilot study was to obtain preliminary evidence on whether and how exercises performed using a mobile rehabilitation robot improve body balance and gait quality in individuals in the chronic phase after stroke. 
Material and methods: 
The study included chronic post-stroke patients (n = 23) randomly divided into two groups. In the experimental group (EG), participants performed gait exercises using a mobile rehabilitation robot for 20–40 minutes once daily, 6 days per week, for 3 weeks (a total of 18 training sessions). In the control group (CG), participants performed traditional ground-based gait exercises for 10–20 minutes once daily, 6 days per week, for 3 weeks. Patients in both groups also underwent conventional post-stroke rehabilitation for 2.5 hours per day, 6 days per week, based on best clinical practice principles. 
Results: 
Eighteen training sessions performed either on a mobile robot in the EG or as ground based gait training in the CG did not significantly improve patients’ body balance or gait quality in the chronic phase after stroke. 
Conclusions: 
There is no basis to conclude that ground-based gait training has a statistically significantly greater effect on body balance than training using a mobile robot in individuals in the chronic phase after stroke. Further studies are needed to provide a clear answer as to whether and to what extent mobile robot training can im prove body balance and gait quality in individuals in the chronic phase after stroke. Future clinical trials should consider implementing training protocols consisting of more than 18 sessions

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