The Effects of Robot-Asssissted Gait Training on Balance and Fear of Falling in Patients with Stroke: A Randomized Controlled Clinical Trial.

IF 2.2 4区医学 Q1 REHABILITATION

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-03 DOI:10.1097/PHM.0000000000002674

Merve Sevinc Gunduz, Rustem Mustafaoglu, Ibrahim Halil Ural

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引用次数: 0

Abstract

Objective: The aim of this study was compare the effects of Combined Training (CombT), which included Robot-Assisted Gait Training in addition to Traditional Balance Training (TBT), and TBT alone on balance and fear of falling (FoF) in patients with stroke based on objective assessment methods.

Design: Patients were randomized into CombT Group (CombTG) (n = 21) and TBT Group (TBTG) (n = 21) for duration of 5-weeks. Balance were assessed with EncephaLog App recorded stand-up time (SUT), sit-down time (SDT), and directional sways during walking, Berg Balance Scale (BBS) and Timed Up and Go Test (TUG). International Fall Efficacy Scale (FES-I) measured fear of falling (FoF). Fugl Meyer Assessment-Lower Extremity (FMA-LE) assessed limb impairment. Foot posture were assessed with Foot Posture Index (FPI-6).

Results: After the treatments, EncephaLog sways (anterior, medial, lateral: P = 0.04, P = 0.01, P = 0.02), SUT (P = 0.006), SDT (P = 0.002); BBS (P < 0.001); FES-I (P = 0.002) improved in CombTG. TUG (P = 0.01) and FMA-LE (P < 0.001) improved in TBTG. SUT (P = 0.01) and SDT (P = 0.04) showed statistically significant improvement in CombTG compared to TBTG; FMA-LE (P = 0.002) demonstrated statistically significant improvement in TBTG compared to CombTG.

Conclusion: Objective assessment indicated that combined treatments in subacute and chronic stroke rehabilitation enhance balance and reduce FoF more effectively than isolated approaches.

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机器人辅助步态训练对脑卒中患者平衡和跌倒恐惧的影响：一项随机对照临床试验。

目的：基于客观评价方法，比较传统平衡训练（TBT）与机器人辅助步态训练（CombT）联合训练（CombT）对脑卒中患者平衡和跌倒恐惧（FoF）的影响。设计：患者随机分为CombT组（CombTG）（n = 21）和TBT组（TBTG）（n = 21），疗程5周。通过EncephaLog App记录的站立时间（SUT）、坐下时间（SDT）和行走时的方向摆动、Berg平衡量表（BBS）和定时起身和行走测试（TUG）来评估平衡。国际跌倒效能量表（FES-I）测量了对跌倒的恐惧（FoF）。Fugl Meyer评估-下肢（FMA-LE）评估肢体损伤。采用足部姿势指数（FPI-6）评价足部姿势。结果：治疗后脑电图（前、中、外侧：P = 0.04, P = 0.01, P = 0.02）、SUT （P = 0.006）、SDT (P = 0.002)；BBS (p < 0.001)；FES-I （P = 0.002）改善CombTG。TBTG的TUG （P = 0.01）和FMA-LE （P < 0.001）均有改善。与TBTG相比，SUT （P = 0.01）和SDT （P = 0.04）改善CombTG有统计学意义；FMA-LE （P = 0.002）显示TBTG与CombTG相比有统计学意义的改善。结论：客观评价表明，亚急性和慢性脑卒中康复联合治疗比单独治疗更有效地改善平衡和减少FoF。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Physical Medicine & Rehabilitation 医学-康复医学

CiteScore

4.60

自引率

6.70%

发文量

423

审稿时长

1 months

期刊介绍： American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).