Gait rehabilitation in patients with spastic hemiparesis: new opportunities

Коваленко, А. П.; Rodionov, Alexandr; Kremlyov, D. I.; Averkiev, D. V.; Lobzin, V. Yu.; Guseva, Anastasia

doi:10.14412/2074-2711-2021-2-56-64

Cited by 2 publications

(3 citation statements)

References 25 publications

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“…Walking with passive RD (Exoband) showed that walking distance and gait speed increased in people with stroke after training compared to baseline (Panizzolo et al, 2021 ). Rehabilitation using ExoAtlet RD in chronic stroke showed that the speed, BBS, and TS showed improvement after RD training (Kovalenko et al, 2021 ).…”

Section: Resultsmentioning

confidence: 99%

“…Similar results have also been observed in chronic stroke. Various RDs such as Ekso, HAL, Ankle RD's, ExoAtlet, ReWalk Restore, Myosuit, and H2 have shown improvement in speed, endurance, and balance; though not all metrics were significant across all RDs (Kawamoto et al, 2013 ; Bortole et al, 2015 ; Yoshimoto et al, 2015 , 2016 ; Molteni et al, 2017 ; Yeung et al, 2018 ; Pournajaf et al, 2019 ; Schröder et al, 2019 ; Tanaka et al, 2019 ; Awad et al, 2020 ; De Luca et al, 2020 ; Haufe et al, 2020 ; Jyräkoski et al, 2021 ; Kovalenko et al, 2021 ; Panizzolo et al, 2021 ). The results do suggest that repeated consistent practice provided by RDs has the potential to induce recovery even during the chronic phase of stroke, where spontaneous plasticity reduces and recovery trajectory is slow.…”

Section: Discussionmentioning

confidence: 99%

“…Patients can control the level of support they receive from the exoskeleton through various types of control systems. These include tablets, buttons on the control handles or smart crutches Multi joint Subacute (Kotov et al, 2021) and chronic stroke (Kotov et al, 2021;Kovalenko et al, 2021) Vanderbilt…”

Section: Rd Name Known Technical Characteristics Of the Rd Diagnosismentioning

confidence: 99%

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Lower extremity robotic exoskeleton devices for overground ambulation recovery in acquired brain injury—A review

Karunakaran,

Pamula,

Bach

et al. 2023

Front. Neurorobot.

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Acquired brain injury (ABI) is a leading cause of ambulation deficits in the United States every year. ABI (stroke, traumatic brain injury and cerebral palsy) results in ambulation deficits with residual gait and balance deviations persisting even after 1 year. Current research is focused on evaluating the effect of robotic exoskeleton devices (RD) for overground gait and balance training. In order to understand the device effectiveness on neuroplasticity, it is important to understand RD effectiveness in the context of both downstream (functional, biomechanical and physiological) and upstream (cortical) metrics. The review identifies gaps in research areas and suggests recommendations for future research. We carefully delineate between the preliminary studies and randomized clinical trials in the interpretation of existing evidence. We present a comprehensive review of the clinical and pre-clinical research that evaluated therapeutic effects of RDs using various domains, diagnosis and stage of recovery.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Rd Name Known Technical Characteristics Of the Rd Diagnosismentioning

confidence: 99%

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Lower extremity robotic exoskeleton devices for overground ambulation recovery in acquired brain injury—A review

Karunakaran,

Pamula,

Bach

et al. 2023

Front. Neurorobot.

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Treatment of spasticity in patients with the consequences of traumatic brain injury

Коваленко

Вознюк

Naumov

et al. 2022

RJTAO

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Up to 16–20% of patients with a history of traumatic brain injury (TBI), regardless of its severity, suffer from pronounced spasticity, cognitive, vestibular and motor disorders. At the same time, data on the effectiveness of botulinum neurotoxin (BoNT) in the treatment of post-traumatic spasticity is lacking.Objective: to assess the effectiveness of peripheral myorelaxants (botulinum neurotoxin type A) in the treatment of past-traumatic spasticity.Patients and methods. 21 male patients aged 25 to 48 years with post-traumatic spastic hemiparesis (at least 6 months after the injury) were examined. 450 to 850 U (mean – 650 U) of BoNT (incobotulinumtoxin) was injected into the spastic muscles of the upper and lower extremities. The follow-up assessment of spasticity and paresis was performed 24±3 days after BoNT injection. Patterns of spasticity were studied: shoulder adduction, elbow joint flexion, forearm pronation, hand and finger flexion, hip adduction, shin flexion, foot flexion, toe flexion. The following methods were used: original methods of manual testing (MMT) of spasticity, Tardieu scale (TS), modified Ashworth scale (MAS), Medical Research Council Scale (MRCS) to assess paresis.Results and discussion. 24±3 days after incobotulotoxin administration, we observed a significant 1.5–2-fold decrease in spasticity angle (xS) and a reduction in the angle of neuromuscular reactivity (xV3) by 15–30° in all the studied patterns. Changes of xV1 (muscle extensibility) and xA (muscle strength) were not significant. No adverse reactions were observed. The use of MMT and TS has shown its effectiveness and specificity in the evaluation of spasticity and effectiveness of BoNT, and in the dynamics of muscle condition.Conclusion. The study showed the feasibility of using MMT and TS in the evaluation and assessment of spasticity, as well as the effectiveness and safety of incobotulinumtoxin (Xeomin) in dosages from 450 to 850 U in the treatment of spasticity of the upper and lower extremities in patients with the consequences of TBI.

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Gait rehabilitation in patients with spastic hemiparesis: new opportunities

Cited by 2 publications

References 25 publications

Lower extremity robotic exoskeleton devices for overground ambulation recovery in acquired brain injury—A review

Lower extremity robotic exoskeleton devices for overground ambulation recovery in acquired brain injury—A review

Treatment of spasticity in patients with the consequences of traumatic brain injury

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