Lokomat robotic-assisted versus overground training within 3 to 6 months of incomplete spinal cord lesion: randomized controlled trial

Autor: Jose Luis R. Martin, Monica Alcobendas-Maestro, Ana Esclarín-Ruz, Alejandro Muñoz-González, Guillermo Perez-Mateos, Rosa M. Casado-Lopez, Esteban Gonzalez-Valdizan
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Adult
Male
Spinal Cord Injuries/Physiopathology
medicine.medical_specialty
Robotic assisted
medicine.medical_treatment
Pain
Walking
Muscle Strength/Physiology
law.invention
Physical medicine and rehabilitation
Randomized controlled trial
law
Pain/Etiology
medicine
Odds Ratio
Humans
Muscle Strength
Spinal cord injury
Gait
Ciencias médicas
Spinal Cord Injuries
Pain Measurement
Rehabilitation
business.industry
General Medicine
Odds ratio
Robotics
Gait/Physiology
Recovery of Function
Middle Aged
medicine.disease
Functional Independence Measure
Exercise Therapy
Preferred walking speed
Pain/Psychology
Physical Endurance/Physiology
Logistic Models
Treatment Outcome
Walking/*Physiology
Physical therapy
Physical Endurance
Spinal cord lesion
Female
business
human activities
Spinal Cord Injuries/*Rehabilitation
Zdroj: ABACUS. Repositorio de Producción Científica
Universidad Europea (UEM)
Popis: Background. About 75% of persons with ASIA (American Spinal Injury Association) Impairment Scale C and D incomplete spinal cord injury (SCI) achieve walking ability. Objective. To compare a walking reeducation program using Lokomat with conventional overground training among individuals with incomplete SCI of both traumatic and nontraumatic etiology. Methods. A total of 80 participants from 3 to 6 months after onset admitted to 1 site for rehabilitation were included in a single-blind randomized clinical trial of 2 parallel groups, with blind evaluation by independent observers. Patients received 40 walking reeducation sessions of equal time using a Lokomat program with overground practice or overground mobility therapy alone. Primary measurements of outcome were walking speed and the Walking Index for Spinal Cord Injury (WISCI II). Secondary outcomes were the 6-minute walk test, locomotor section of the Functional Independence Measure, Lower Extremity Motor Score (LEMS), Ashworth Scale, and Visual Analog Scale for pain. Results. No significant differences were found at entry between treatment groups. Walking speed for Lokomat (0.4m/s [0.6-0.2]) and overground therapy (0.3m/s [0.5-0.2]) groups did not differ. The WISCI II for the Lokomat group (16 [8.5-19]) was better than for overground therapy (9 [8-16]). The 6-minute walk test and LEMS displayed significant differences in favor of Lokomat therapy but were not corrected for multiple comparisons. Conclusions. Robotic-assisted training was equivalent to conventional walk training in patients with a variety of nonprogressive spinal cord pathologies for walking speed, but the need for orthotics and assistive devices was reduced, perhaps because of greater leg strength in the robotic group.
Databáze: OpenAIRE
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