Beneficial Effects of Robot-Assisted Gait Training on Functional Recovery in Women after Stroke: A Cohort Study
Autor: | Nino Basaglia, Fabio Manfredini, Sofia Straudi, Susanna Lavezzi, Nicola Lamberti, Luc Oscar Lissom |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Male
medicine.medical_specialty Medicine (General) medicine.medical_treatment Population exercise prescription Women’s health Article NO Cohort Studies walking Exercise prescription Gender Multidisciplinary rehabilitation Robot-assisted gait training Stroke Walking R5-920 Gait training gender Medicine Humans education multidisciplinary rehabilitation Gait LS4_7 education.field_of_study Rehabilitation business.industry Stroke Rehabilitation General Medicine Robotics medicine.disease Functional Independence Measure stroke robot-assisted gait training Exercise Therapy Cohort Physical therapy Female business human activities Cohort study |
Zdroj: | Medicina, Vol 57, Iss 1200, p 1200 (2021) Medicina Volume 57 Issue 11 |
ISSN: | 1648-9144 |
Popis: | Background and Objectives: Robot-assisted gait training (RAGT) could be a rehabilitation option for patients after experiencing a stroke. This study aims to determine the sex-related response to robot-assisted gait training in a cohort of subacute stroke patients considering mixed results previously reported. Materials and Methods: In this study, 236 participants (145 males, 91 females) were admitted to a rehabilitation facility after experiencing a stroke and performed RAGT within a multidisciplinary rehabilitation program. Functional Independence Measure (FIM) and Functional Ambulatory Category (FAC) were assessed at admission and discharge to determine sex-related outcomes. Results: At the baseline, no significant difference among sexes was observed. At the end of rehabilitation, both males and females exhibited significant improvements in FIM (71% of males and 80% of females reaching the MCID cut-off value) and FAC (∆score: men 1.9 ± 1.0 women 2.1 ± 1.1). A more remarkable improvement was observed in women of the whole population during the study, but statistical significance was not reached. When analysing the FAC variations with respect to the total number of RAGT sessions, a more significant improvement was observed in women than men (p = 0.025). Conclusion: In conclusion, among subacute stroke patients, benefits were observed following RAGT during a multidisciplinary rehabilitation program in both sexes. A greater significant recovery for women with an ischemic stroke or concerning the number of sessions attended was also highlighted. The use of gait robotics for female patients may favour a selective functional recovery after stroke. |
Databáze: | OpenAIRE |
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