Effects of robot-assisted gait training in chronic stroke patients treated by botulinum toxin-a: A pivotal study
| Autor: | Akyüz Merve, Gokbel Tugba, Dursun Nigar, Öztürk Akay, Karacan Cagla, Topcu Hasan Murat, Akarsu Melike, Dursun Erbil, Çiftçi Can Mehmetali |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Modified Ashworth scale Physical Therapy Sports Therapy and Rehabilitation Timed Up and Go test 03 medical and health sciences 0302 clinical medicine Gait training medicine Humans Spasticity Prospective Studies Botulinum Toxins Type A Stroke Gait Postural Balance Physical Therapy Modalities business.industry Stroke Rehabilitation Robotics Middle Aged medicine.disease Treatment Outcome Muscle Spasticity Berg Balance Scale Gait analysis Physical therapy Female medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Physiotherapy research international : the journal for researchers and clinicians in physical therapy. 23(3) |
| ISSN: | 1471-2865 |
| Popis: | OBJECTIVE To investigate combined effects of robot-assisted training (RAT) and physical therapy versus physical therapy only on balance and gait function of chronic stroke patients after botulinum toxin-A (BoNT-A) treatment. METHODS Forty-eight chronic stroke patients, received BoNT-A treatment for lower extremity spastic muscles, were randomly assigned to RAT (n = 32) and control (n = 16) groups in a 2:1 ratio. RAT group received 30 min of RAT (RoboGait®) plus 60 min of physical therapy, whereas controls received 90 min of physical therapy for 3 weeks during weekdays. Outcome assessments were measured at baseline and post-treatment Weeks 6 and 12. Spasticity was assessed by Modified Ashworth Scale and Tardieu Scale. Balance and gait functions were assessed by Berg Balance Scale, Timed Up and Go test, and Rivermead Visual Gait Assessment. RESULTS Demographic and baseline characteristics were similar in both groups (p > .05) for all parameters. Significant improvements were determined in both RAT and control groups regarding spasticity, balance, and gait functions after treatment. However, at post-treatment Weeks 6 and 12, change from baseline Timed Up and Go test (p = .003 and p = .002, respectively), Berg Balance Scale (p = .001 and p |
| Databáze: | OpenAIRE |
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