PM & R : the journal of injury, function, and rehabilitation · 2025
Effects of lower-extremity exoskeleton robot-assisted dual-task training versus walking training on gait and postural control after stroke: A randomized controlled trial.
СтатьяРандомизированное исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Zhang Tingyu, Zheng Jiejiao, Tao Jiming, Xu Yueying, Zhang Xinglai, Chen Chen, Liao Dongdong, Li Xingyuan
Аннотация
BACKGROUND: Therapeutic tools are critical for poststroke rehabilitation. The potential benefits of dual-task training assisted by a lower-extremity exoskeleton robot to enhance gait and postural control have yet to be studied.
OBJECTIVE: To determine the effects of lower-extremity exoskeleton robot-assisted dual-task training on gait and postural control after stroke.
DESIGN: Single-blind, randomized controlled trial.
SETTING: Outpatient clinic and ward, Department of Rehabilitation Medicine, Huadong Hospital affiliated with Fudan University.
PARTICIPANTS: Forty-four participants in the recovery and sequela phases of stroke with deficits in gait and postural control.
INTERVENTIONS: Participants were randomly assigned to two groups: lower-extremity exoskeleton robot-assisted walking cognitive dual-task training (experimental group) or lower-extremity exoskeleton robot-assisted walking training (control group). Each participant received 40 minutes per intervention, 1 time per day, 6 times per week for 3 weeks.
MAIN OUTCOME MEASURES: The primary outcome was gait variability performance. The secondary outcomes included the Timed Up and Go, Berg Balance Scale, Montreal Cognitive Assessment, Fugl-Meyer assessment of lower extremity, and International Classification of Functioning, Disability and Health-activities and participation assessment scale.
RESULTS: Individuals who participated in exoskeleton robot-assisted walking cognitive dual-task training improved more than those in the control group in partial gait variability performance analysis, Timed Up and Go test, Berg Balance Scale, and Fugl-Meyer assessment for the lower extremities (p < .05).
CONCLUSIONS: Compared to lower-extremity exoskeleton robot-assisted walking training, robot-assisted dual-task training improves gait and postural control, walking, balance, and lower extremity motor function in survivors of stroke.
OBJECTIVE: To determine the effects of lower-extremity exoskeleton robot-assisted dual-task training on gait and postural control after stroke.
DESIGN: Single-blind, randomized controlled trial.
SETTING: Outpatient clinic and ward, Department of Rehabilitation Medicine, Huadong Hospital affiliated with Fudan University.
PARTICIPANTS: Forty-four participants in the recovery and sequela phases of stroke with deficits in gait and postural control.
INTERVENTIONS: Participants were randomly assigned to two groups: lower-extremity exoskeleton robot-assisted walking cognitive dual-task training (experimental group) or lower-extremity exoskeleton robot-assisted walking training (control group). Each participant received 40 minutes per intervention, 1 time per day, 6 times per week for 3 weeks.
MAIN OUTCOME MEASURES: The primary outcome was gait variability performance. The secondary outcomes included the Timed Up and Go, Berg Balance Scale, Montreal Cognitive Assessment, Fugl-Meyer assessment of lower extremity, and International Classification of Functioning, Disability and Health-activities and participation assessment scale.
RESULTS: Individuals who participated in exoskeleton robot-assisted walking cognitive dual-task training improved more than those in the control group in partial gait variability performance analysis, Timed Up and Go test, Berg Balance Scale, and Fugl-Meyer assessment for the lower extremities (p < .05).
CONCLUSIONS: Compared to lower-extremity exoskeleton robot-assisted walking training, robot-assisted dual-task training improves gait and postural control, walking, balance, and lower extremity motor function in survivors of stroke.