The effect of tilt-table robot-assisted training on functional outcomes in people with stroke and sarcopenia: a retrospective cohort study

 Since your competent? hospital can't even afford music therapy they'll never get a tilt-table!  Your hospital is into the NOT DOING ANYTHING for stroke patients that is newer than your latest doctor's medical degree! Don't expect anything new at all because INCOMPETENCE!

Your board of directors is so incompetent they all need to be fired! 

As proven by doing nothing with this:

Effect of head-down tilt on clinical outcome and cerebral perfusion in ischemic stroke patients: A case series September 2022 

Or this: Lower extremity muscle activation and function in progressive task-oriented training on the supplementary tilt table during stepping-like movements in patients with acute stroke hemiparesis April 2015 

The latest here:

The effect of tilt-table robot-assisted training on functional outcomes in people with stroke and sarcopenia: a retrospective cohort study

• Jun-Ho Seo,
• Chi-Bok Park &
• So-Yeong Kim !

We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Abstract

Background

This study compared changes in physical function following tilt-table robot-assisted training between stroke patients with and without sarcopenia. The aim was to investigate whether sarcopenia influences functional recovery during rehabilitation.

Methods

A total of 74 stroke patients who received tilt-table robot-assisted training at Gwangju G Rehabilitation Hospital between July 2022 and June 2024 were included. Participants were classified into sarcopenia (SRG, n = 45) and non-sarcopenia (NSRG, n = 29) groups according to the 2019 Asian Working Group for Sarcopenia criteria. All participants underwent a 4-week tilt-table robot-assisted training program combined with the hospital's standard multidisciplinary convalescent rehabilitation program. Functional outcomes, including muscle strength (MMT), balance (BBS), gait (FAC), and activities of daily living (K-MBI), were assessed before and after the intervention. Within-group and between-group comparisons were performed using the Wilcoxon signed-rank test and Mann–Whitney U test, respectively. Multivariable linear regression analyses were performed to identify factors independently associated with post-intervention functional outcomes.

Results

Both groups showed significant improvements in muscle strength, balance, gait, and activities of daily living following the intervention (all p < .05). Participants without sarcopenia demonstrated significantly greater improvements in balance and activities of daily living than those with sarcopenia (both p < .05), whereas no between-group differences were observed for muscle strength or gait. Multivariable regression analysis demonstrated that sarcopenia remained independently associated with lower post-intervention K-MBI scores after adjustment for age, sex, baseline cognition, and baseline functional status.

Conclusions

Both groups demonstrated significant functional improvements during the intervention period. Although participants with sarcopenia showed relatively smaller improvements in balance and activities of daily living, they also achieved meaningful functional gains. These findings suggest that individualized rehabilitation strategies may be particularly important for stroke patients with sarcopenia. Further controlled prospective studies are needed to clarify the independent effects of tilt-table robot-assisted training.

Trial registration: This trial was approved by the Public Institutional Review Board of the Ministry of Health and Welfare (P01-202411-01-011) and registered in the Clinical Research Information Service of Korea (KCT0010038).