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  4. Persistent Effect of Gait Exercise Assist Robot Training on Gait Ability and Lower Limb Function of Patients With Subacute Stroke: A Matched Case–Control Study With Three-Dimensional Gait Analysis

Persistent Effect of Gait Exercise Assist Robot Training on Gait Ability and Lower Limb Function of Patients With Subacute Stroke: A Matched Case–Control Study With Three-Dimensional Gait Analysis

Frontiers in Neurorobotics, 2020 · DOI: 10.3389/fnbot.2020.00042 · Published: July 24, 2020

Assistive TechnologyNeurorehabilitationBiomechanics

Simple Explanation

This study investigates whether a gait exercise robot (GEAR) can help stroke patients improve their walking ability and if these improvements last over time. The researchers compared patients who used the GEAR with a control group that received standard therapy. They looked at clinical assessments and 3D gait analysis to measure walking ability. The results suggest that GEAR training leads to significant and lasting improvements in walking ability and gait patterns in patients with subacute stroke, more so than standard therapy alone.

Study Duration
9 ± 3 weeks (GEAR group), 10 ± 4 weeks (control group)
Participants
20 patients (10 GEAR, 10 control) with subacute stroke
Evidence Level
Matched Case-Control Study

Key Findings

  • 1
    Patients in the GEAR group showed significant improvement in FIM-walk score and SIAS-L/E score at discharge compared to post-training, indicating improved motor skills and functional gait.
  • 2
    The GEAR group exhibited improved cadence and single stance time on the affected side at discharge, suggesting greater stability and confidence in weight shifting.
  • 3
    The GEAR group demonstrated a significant reduction in knee extensor thrust and insufficient knee flexion at discharge, indicating better control of knee movements.

Research Summary

This study investigated the persistent effects of gait exercise assist robot (GEAR) training on gait ability and lower limb function in subacute stroke patients using a matched case-control design with 3D gait analysis. The results indicated that GEAR training led to significant improvements in clinical parameters and gait pattern indices, which were maintained at discharge, suggesting the effectiveness of GEAR in conferring persistently efficient gait patterns. The study highlights the potential of early, repetitive, and intensive gait-focused training with GEAR to facilitate long-lasting motor recovery and improved gait patterns in stroke patients.

Practical Implications

Enhanced Rehabilitation Strategies

Incorporating GEAR into rehabilitation programs can lead to more effective and durable improvements in gait for stroke patients.

Personalized Therapy Adjustments

The adjustability of GEAR allows for tailored therapy, optimizing gait patterns based on individual patient needs and motor impairment levels.

Improved Motor Learning

Repetitive training with GEAR can facilitate motor relearning, leading to better postural stability and dynamic balance control.

Study Limitations

  • 1
    Retrospective study design
  • 2
    Small sample size
  • 3
    Limited observation period after intervention (2-8 weeks)

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