Combined transcranial direct current stimulation and robot-assisted gait training in patients with chronic stroke: a preliminary comparison

Geroin, Christian; Picelli, Alessandro; Munari, Daniele; Waldner, Andreas; Tomelleri, Christopher; Smania, Nicola

doi:10.1177/0269215510389497

Cited by 116 publications

(152 citation statements)

References 37 publications

(65 reference statements)

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“…4Y6 Their efficacy has been demonstrated in many studies on patients with subacute stroke 7Y10 but is less evident in those with chronic stroke. Positive results were, in fact, also found in chronic stroke patients 11 but not superior to those of an intensive conventional training. 12 Subsequently, robotic therapy has been shown to be more effective in patients with greater motor impairments, suggesting also who benefits most from such therapy.…”

mentioning

confidence: 85%

Influence of Psychologic Features on Rehabilitation Outcomes in Patients with Subacute Stroke Trained with Robotic-Aided Walking Therapy

Bragoni

Broccoli

Iosa

et al. 2013

American Journal of Physical Medicine &Amp; Rehabilitation

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confidence: 85%

Influence of Psychologic Features on Rehabilitation Outcomes in Patients with Subacute Stroke Trained with Robotic-Aided Walking Therapy

Bragoni

Broccoli

Iosa

et al. 2013

American Journal of Physical Medicine &Amp; Rehabilitation

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“…In our study we delivered 2.0 mA for 20 minutes before the training. It is possible that the intensity, duration and timing of their tDCS protocol were not optimal for gait rehabilitation in stroke (15).…”

Section: Discussionmentioning

confidence: 99%

Effect of Transcranial Direct Current Stimulation on Gait of Stroke Patients

Ahmed¹

2017

jmscr

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“…Three studies compared therapeutic effects on motor recovery, gait function, and balance between a combination of the robotassisted gait training and conventional gait training and conventional gait training alone in patients with chronic stroke (> 6 to 12 months) [7][8][9]. Combined robotic and conventional gait training produced greater improvements in gait function than did conventional gait training alone.…”

Section: End-effector Type Of Robot-assisted Gait Trainingmentioning

confidence: 99%

A Review of Robot-Assisted Gait Training in Stroke Patients

Kim

You

2017

Brain Neurorehabil

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Highlights• End-effector type robot-assisted gait training systems were found to be more effective in locomotor recovery in stroke patients when they were applied in conjunction with conventional gait training rather than conventional gait training alone. However, this study does not confirm that the exoskeleton type robot-assisted gait training was more effective when it was applied in conjunction with the conventional gait training rather than the conventional gait training alone.• The robot-assisted gait training paradigm offers intensive, repetitive, accurate kinematic feedback and symmetrical gait practice while reducing the workload for the therapist, reducing the cost of stroke rehabilitation. ABSTRACTWhile a variety of robot-assisted gait training systems have been widely applied for locomotor rehabilitation in stroke patients, the best supporting evidence for robot-assisted gait training systems remains unknown. The purpose of this study was to provide the best robot-assisted gait training and clinical evidence by comparing the effects of exoskeleton and end-effector type robot-assisted gait training in stroke rehabilitation. The present study underwent a review of the literature to determine the best clinical evidence of the most commonly utilized robot-assisted gait training paradigms (end-effector and exoskeleton types) in stroke gait rehabilitation. The review corroborates the compelling evidence that combined robotassisted gait training was advantageous in stroke rehabilitation, as it offers additive special therapeutic effects that were not afforded by conventional therapy alone. Most importantly, the robot-assisted gait training paradigm provided more intensive, repetitive, accurate kinematic feedback and symmetrical gait practice, while reducing therapist labor, which is often not affordable in current stroke rehabilitation care. Both the robot-assisted gait training with either the end-effector type or exoskeleton type was beneficial for improving motor recovery, gait function, and balance in stroke patients when it was combined with the conventional physical therapy. The robot-assisted gait training should be used as an augmented gait intervention for stroke population.

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Combined transcranial direct current stimulation and robot-assisted gait training in patients with chronic stroke: a preliminary comparison

Abstract: In the present pilot study transcranial direct current stimulation had no additional effect on robot-assisted gait training in patients with chronic stroke. Larger studies are required to confirm these preliminary findings.

Cited by 116 publications

References 37 publications

Influence of Psychologic Features on Rehabilitation Outcomes in Patients with Subacute Stroke Trained with Robotic-Aided Walking Therapy

Influence of Psychologic Features on Rehabilitation Outcomes in Patients with Subacute Stroke Trained with Robotic-Aided Walking Therapy

Effect of Transcranial Direct Current Stimulation on Gait of Stroke Patients

A Review of Robot-Assisted Gait Training in Stroke Patients

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