Robot-assisted gait training in multiple sclerosis patients: a randomized trial

Schwartz, Isabella; Sajin, Anna; Moreh, Elior; Fisher, Iris; Neeb, Martin; Forest, Adina; Vaknin‐Dembinsky, Adi; Karusis, Dimitrios; Meiner, Zeev

doi:10.1177/1352458511431075

Cited by 83 publications

(126 citation statements)

References 47 publications

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“…In the experiment, body weight support was progressively reduced weekly, from 40% of the body weight for the first week after the beginning of the training program to 30% for the second week and 20% for the third week [5,24,25]. The participants' average forward walking speeds were 0.6-1.0 km/h and average backward walking speeds were 0.4-0.9 km/h.…”

Section: Interventionmentioning

confidence: 99%

Effects of forward & backward walking training with progressive body weight supported on stroke patients’ ambulatory ability

Kim

Lee

2014

PTRS

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Objective: In the present study, the effects of progressive body weight support treadmill forward & backward walking training (FBWT), progressive body weight support treadmill forward walking training (FWT), and progressive body weight support treadmill backward walking training (BWT), and on stroke patients' ambulatory abilities were examined. Design: Randomized controlled trial. Methods: A total of 36 chronic stroke patients were divided into three groups with 12 subjects in each group. Each of the groups performed one of the progressive body weight supported treadmill training methods for 30 minute, six times per week for three weeks, and then received general physical therapy without any other intervention until the follow-up tests. For the assessment of the step length, total double support, cadence, gait were measured using optogait and the 10-m walk test (10MWT), 6 minutes walk test (6MWT). Results: In the within group comparisons, all the three groups showed significant differences between before and after the intervention (p<0.05). In the comparison of the three groups, there were significant differences among the three groups in stride length, double limb support stance, cadence, 10MWT, and 6MWT in the third week, and only in stride length, 10MWT, and 6MWT test in the sixth week (p<0.05). Conclusions: This study verified that progressive body weight-supported treadmill gait training positively affected the gait ability of stroke patients in an actual gait environment. It also showed that FBWT group was more effective than FWT group and BWT group training.

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Section: Interventionmentioning

confidence: 99%

Effects of forward & backward walking training with progressive body weight supported on stroke patients’ ambulatory ability

Kim

Lee

2014

PTRS

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“…Functional independence and healthrelated quality of life (HRQoL) are among the outcome measures more investigated. Some studies showed as rehabilitation can improve the motor parameters of functional independence measures (FIM) in PwMS [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Inpatient versus outpatient rehabilitation for multiple sclerosis patients: effects on disability and quality of life

Pappalardo¹,

D’Amico²,

Leone³

et al. 2016

Mult Scler Demyelinating Disord

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Background: The most suitable setting of rehabilitation for Persons with Multiple Sclerosis (PwMS) has not been identified so far because there is a general lacking of controlled studies. Aim of this study was to evaluate the treatment efficacy in terms of functional independence between two different settings. Methods: A randomized, wait-list controlled study was performed at the MS Center of the University of Catania, and Rehabilitation Center of the Hospital of Acireale, Italy. Inclusion criteria were: a) range of age 18-75, b) Expanded Disability Status Scale ≥4.0 and ≤8.0 c) self-reported worsening of standing or walking abilities in the last 6 months. The examining physician was blind to patient allocation program. The Functional Independence Measure (FIM), and the 36-Health Survey Questionnaire (SF-36) data were collected at T0 (baseline) and T1 (follow-up). Results: One-hundred forty-six patients were randomly assigned to three groups. Forty-nine PwMS were allocated in the outpatient treatment group (Group A), 49 patients in the inpatients treatment group (Group B) and 48 patients in the control waiting list (Group C). Both Group A and Group B showed a significant improvement in total FIM scores (p = 0.03, p = 0.008; respectively) at T1 compared to T0. No difference was found between Group A and B with regard to the FIM scores in the intergroup analysis. Group A showed significant improvement at T1 compared to T0 in all sub-items of SF-36 (p < 0.05), contrary to Group B. A significant difference in total FIM score between the three groups was found (p = 0.0003). The pairwise comparisons showed a significant difference between Group A vs Group C (p = 0.003) and Group B versus Group C (p = 0.001). Conclusions: Inpatients and oupatients rehabilitation approaches both showed efficacy in improving total FIM score. Outpatient rehabilitation setting seems to be more effective in improving patients QoL.

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“…LOKOMAT is a more advanced device which consists of a treadmill relief system and a computer control system of the movement of the lower limb orthoses connected to sensors. 30 Another stimulus in the field of physiotherapy, which comprehensively acts on the body of the patient, is hydrotherapy. The physical properties of water such as hydrostatic pressure, hydrodynamic pressure, viscosity and buoyancy make the unloaded gymnastics of the motor system feasible so that it is possible to obtain a greater range of joint movement without pain components.…”

Section: Impairment-based Approachmentioning

confidence: 99%

Rehabilitation in multiple sclerosis.

Kubsik-Gidlewska

Klimkiewicz

et al. 2017

Adv Clin Exp Med

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The aim of the study is to present a strategy of rehabilitation in multiple sclerosis on the basis of the latest developments in the field of physiotherapy. The publications on the problem discuss a wide range of methods of physiotherapy that can be used in order to reduce the degree of disability and alleviate the symptoms associated with the disease. The complexity of the disease, the difficulty in determining the appropriate treatment and a wide range of symptoms require a comprehensive approach to the patient, which would include both pharmacology and neurorehabilitation. Rehabilitation, which includes psychotherapy and symptomatic therapy, is regarded nowadays as the best form of treatment for multiple sclerosis. An indepth diagnostic assessment of functional status and prognosis should be carried out before the start of the rehabilitation process. The prognosis should take into account the mental state, the neurological status and the awareness of the patient. The kinesiotherapy program in multiple sclerosis is based on a gradation of physiotherapy which assumes a gradual transition from basic movements to more complex ones till global functions are obtained. The most appropriate form of treatment is functional rehabilitation combined with physical procedures. Recent reports indicate the need for aerobic training to be included in the rehabilitation program. The introduction of physical activities, regardless of the severity of the disease, will reduce the negative effects of akinesia, and thus increase the functional capabilities of all body systems.

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Robot-assisted gait training in multiple sclerosis patients: a randomized trial

Abstract: Robot-assisted gait training is feasible and safe and may be an effective additional therapeutic option in MS patients with severe walking disabilities.

Cited by 83 publications

References 47 publications

Effects of forward & backward walking training with progressive body weight supported on stroke patients’ ambulatory ability

Effects of forward & backward walking training with progressive body weight supported on stroke patients’ ambulatory ability

Inpatient versus outpatient rehabilitation for multiple sclerosis patients: effects on disability and quality of life

Rehabilitation in multiple sclerosis.

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Robot-assisted gait training in multiple sclerosis patients: a randomized trial

Abstract: Robot-assisted gait training is feasible and safe and may be an effective additional therapeutic option in MS patients with severe walking disabilities.

Cited by 83 publications

References 47 publications

Effects of forward &amp; backward walking training with progressive body weight supported on stroke patients’ ambulatory ability

Effects of forward &amp; backward walking training with progressive body weight supported on stroke patients’ ambulatory ability

Inpatient versus outpatient rehabilitation for multiple sclerosis patients: effects on disability and quality of life

Rehabilitation in multiple sclerosis.

Contact Info

Product

Resources

About

Effects of forward & backward walking training with progressive body weight supported on stroke patients’ ambulatory ability

Effects of forward & backward walking training with progressive body weight supported on stroke patients’ ambulatory ability