The effects of body weight-supported treadmill training on static and dynamic balance in stroke patients: A pilot, single-blind, randomized trial

Mustafaoğlu, Rüstem; Erhan, Belgin; Yeldan, İpek; Hüseyinsinoğlu, Burcu Ersöz; Gündüz, Berrin; Özdinçler, Arzu Razak

doi:10.5606/tftrd.2018.2672

Cited by 25 publications

(37 citation statements)

References 32 publications

(40 reference statements)

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“…The methodological quality of the studies included in this review was globally more than acceptable (average total score 5.5 ± 1.0, range 4–7). Here, 46.2% of trial reports are moderate to high quality, scoring ≥6/10 on the PEDro scale ( 34 , 37 , 38 , 40 , 41 , 43 ).…”

Section: Resultsmentioning

confidence: 99%

“…In all studies, the results of the intergroup comparison were reported for at least one of the main outcome measures. Mean and variability data for at least one of the main outcome measures were reported in 11 (84.6%) studies ( 31 – 34 , 36 – 41 , 43 ).…”

Section: Resultsmentioning

confidence: 99%

“…In six studies (46.2%), the assignment of the subjects was carried out blindly (32,34,37,38,40,43). In all papers (except for 55), the groups were similar at the beginning of the study regarding the most relevant prognostic indicators; of these, eight studies included blind assessors in evaluating at least one of the primary outcome measures of the study (31,35,(37)(38)(39)(40)(41)(42). In eight studies (61.5%), the results of at least one outcome measure were obtained in more than 85% of the subjects initially assigned to the groups (31,33,34,37,(40)(41)(42)(43).…”

Section: Methodological Quality Of the Included Studiesmentioning

confidence: 99%

“…In seven studies (53.8%), training with the Lokomat R was combined with conventional physiotherapy and compared to conventional therapy (neuromotor rehabilitation according to stroke guidelines) (35)(36)(37)(39)(40)(41)(42), while in the remaining six studies, patients performed training with the Lokomat R only compared to conventional physiotherapy (32-35, 38, 43).…”

Section: Characteristics Of the Interventions In The Study Groups (Lokomat ® Assisted Gait Training)mentioning

confidence: 99%

“…subjects, of which 239 (53.7%) were randomly assigned to the experimental group treated with the Lokomat R and 206 (46.3%) were assigned to the control group, receiving conventional neuromotor rehabilitation and/or treadmill training. In the total sample, 171 (38.4%) were female and 274 (61.6%) were male; the mean age was 58.16 ± 2.38 years in the study group and 64.38 ± 2.19 years in the control group, without statistically significant differences.Chronic stroke patients were enrolled in seven studies (53.8%)(32,34,35,37,39,41,42), while six papers (46.2%) involved subacute patients.The characteristics of the participants of each study are shown in…”

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confidence: 99%

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The Effect of Robotic Assisted Gait Training With Lokomat® on Balance Control After Stroke: Systematic Review and Meta-Analysis

et al. 2021

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Introduction: Disturbances of balance control are common after stroke, affecting the quality of gait and increasing the risk of falls. Because balance and gait disorders may persist also in the chronic stage, reducing individual independence and participation, they represent primary goals of neurorehabilitation programs. For this purpose, in recent years, numerous technological devices have been developed, among which one of the most widespread is the Lokomat®, an actuated exoskeleton that guide the patient's limbs, simulating a symmetrical bilateral gait. Preliminary evidence suggests that beyond gait parameters, robotic assisted gait training may also improve balance. Therefore, the aim of this systematic review was to summarize evidence about the effectiveness of Lokomat® in improving balance in stroke patients.Methods: Randomized controlled trials published between January 1989 and August 2020, comparing Lokomat® training to conventional therapy for stroke patients, were retrieved from seven electronic databases. Balance, assessed by means of validated clinical scales, was considered as outcome measure. The Physiotherapy Evidence Database (PEDro) scale was used to evaluate the methodological quality of the studies. The study protocol was registered on PROSPERO (no. CRD42020197531).Results: After the removal of the duplicates, according to the inclusion criteria, 13 studies were selected, involving 445 subacute or chronic stroke patients. Eleven papers contributed to three meta-analyses. Favorable results for recovery of balance in stroke survivors treated with Lokomat® were shown using Timed Up and Go (pooled mean difference = −3.40, 95% CI −4.35 to −2.44; p < 0.00001) and Rivermead Mobility Index as outcome measures (pooled mean difference = 0.40, 95% CI 0.26–0.55; p < 0.00001). Inconclusive results were found when balance was measured by means of the Berg Balance Scale (pooled mean difference = 0.17, 95% CI −0.26 to 0.60; p = 0.44).Conclusions: Overall, most studies have shown beneficial effects of Lokomat® on balance recovery for stroke survivors, at least comparable to conventional physical therapy. However, due to the limited number of studies and their high heterogeneity, further research is needed to draw more solid and definitive conclusions.

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