Early Poststroke Rehabilitation Using a Robotic Tilt-Table Stepper and Functional Electrical Stimulation
| Autor: | Vadim D. Daminov, Natalia V. Rybalko, Andreas R. Luft, Alexey N. Kuznetsov |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Mean arterial pressure medicine.diagnostic_test Article Subject business.industry medicine.disease Impedance cardiography Orthostatic vital signs Physical medicine and rehabilitation Hemiparesis Blood pressure Cerebral blood flow Clinical Study medicine Physical therapy Functional electrical stimulation Neurology. Diseases of the nervous system Neurology (clinical) medicine.symptom RC346-429 business Stroke |
| Zdroj: | Stroke Research and Treatment Stroke Research and Treatment, Vol 2013 (2013) |
| ISSN: | 2090-8105 |
| DOI: | 10.1155/2013/946056 |
| Popis: | Background. Stroke frequently leaves survivors with hemiparesis. To prevent persistent deficits, rehabilitation may be more effective if started early. Early training is often limited because of orthostatic reactions. Tilt-table stepping robots and functional electrical stimulation (FES) may prevent these reactions. Objective. This controlled convenience sample study compares safety and feasibility of robotic tilt-table training plus FES (ROBO-FES) and robotic tilt-table training (ROBO) against tilt-table training alone (control). A preliminary assessment of efficacy is performed. Methods. Hemiparetic ischemic stroke survivors (age 58.3 ± 1.2 years, 4.6 ± 1.2 days after stroke) were assigned to 30 days of ROBO-FES (n = 38), ROBO (n = 35), or control (n = 31) in addition to conventional physical therapy. Impedance cardiography and transcranial doppler sonography were performed before, during, and after training. Hemiparesis was assessed using the British Medical Research Council (MRC) strength scale. Results. No serious adverse events occurred; 8 patients in the tilt-table group prematurely quit the study because of orthostatic reactions. Blood pressure and CBFV dipped |
| Databáze: | OpenAIRE |
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