Effects of robotic intervention associated with conventional therapy on gait speed and resistance and trunk control in stroke patients

Authors

  • Cristhina Bonilha Huster Siegle Instituto de Medicina Física e Reabilitação, Hospital das Clinicas, Faculdade de Medicina da Universidade de São Paulo
  • Joyce Karoline Friosi de Carvalho Instituto de Medicina Física e Reabilitação, Hospital das Clinicas, Faculdade de Medicina da Universidade de São Paulo
  • Daniela Mitiyo Odagiri Utiyama Instituto de Medicina Física e Reabilitação, Hospital das Clinicas, Faculdade de Medicina da Universidade de São Paulo
  • Denise Matheus Instituto de Medicina Física e Reabilitação, Hospital das Clinicas, Faculdade de Medicina da Universidade de São Paulo
  • Fabio Marcon Alfieri Instituto de Medicina Física e Reabilitação, Hospital das Clinicas, Faculdade de Medicina da Universidade de São Paulo https://orcid.org/0000-0002-5242-3246
  • Denise Vianna Machado Ayres Instituto de Medicina Física e Reabilitação, Hospital das Clinicas, Faculdade de Medicina da Universidade de São Paulo
  • Pedro Claudio Gonsales de Castro Instituto de Medicina Física e Reabilitação, Hospital das Clinicas, Faculdade de Medicina da Universidade de São Paulo https://orcid.org/0000-0002-8071-2993
  • Linamara Rizzo Battistella Faculdade de Medicina, Universidade de São Paulo https://orcid.org/0000-0001-5275-0733

DOI:

https://doi.org/10.11606/issn.2317-0190.v26i3a167178

Keywords:

Stroke, Gait, Recovery of Function, Neurological Rehabilitation, Robotics

Abstract

Objective: To verify the effects of gait and robotic stair training with G-EO System, associated with conventional rehabilitation, on gait speed and endurance and trunk control of stroke participants. Methods: Retrospective study with 28 participants in the chronic phase of the disease. G-EO System was used for gait and stair robotic intervention. 20-session protocol of 20 minutes associated with conventional multidisciplinary therapy. The 10-meter Walk Test (10mWT), 6-minute Walk Test (6MWT) and Trunk Impairment Scale (TIS) tools were used. P values <0.05 were considered statistically significant with Wilcoxon test before and after intervention. Results: Significant differences found in the tests. TIS presented initial mean value of 14.29 (± 5.30) and final value of 17.04 (± 4.49), with p = 0.00044. 10mWT presented average initial velocity of 0.498 m/s (± 0.27) and final velocity of 0.597 m/s (± 0.32), p = 0.00008. 6mWT presented mean initial value of 155.89m (± 85.96) and final value of 195.39m (± 109.78), p = 0.00152. Conclusion: Gait and stair robotic therapy, associated with conventional therapy, was effective in promoting increased speed, endurance aptitude for greater gait distances and trunk control in individuals with chronic stroke after stroke.

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References

Waldner A, Tomelleri C, Hesse S. Transfer of scientific concepts to clinical practice: recent robot-assisted training studies. Funct Neurol. 2009;24(4):173-7.

Hesse S, Waldner A, Tomelleri C. Innovative gait robot for the repetitive practice of floor walking and stair climbing up and down in stroke patients. J Neuroeng Rehabil. 2010;7:30. DOI: http://dx.doi.org/10.1186/1743-0003-7-30

Cho JE, Yoo JS, Kim KE, Cho ST, Jang WS, Cho KH, Lee WH. Systematic Review of Appropriate Robotic Intervention for Gait Function in Subacute Stroke Patients. Biomed Res Int. 2018;2018:4085298. DOI: http://dx.doi.org/10.1155/2018/4085298

Hesse S, Tomelleri C, Bardeleben A, Werner C, Waldner A. Robot-assisted practice of gait and stair climbing in nonambulatory stroke patients. J Rehabil Res Dev. 2012;49(4):613-22. DOI: http://dx.doi.org/10.1682/jrrd.2011.08.0142

Mazzoleni S, Focacci A, Franceschini M, Waldner A, Spagnuolo C, Battini E, et al. Robot-assisted end-effector-based gait training in chronic stroke patients: A multicentric uncontrolled observational retrospective clinical study. NeuroRehabilitation. 2017;40(4):483-92. DOI: http://dx.doi.org/10.3233/NRE-161435

Jung K, Kim Y, Chung Y, Hwang S. Weight-shift training improves trunk control, proprioception, and balance in patients with chronic hemiparetic stroke. Tohoku J Exp Med. 2014;232(3):195-9. DOI: http://dx.doi.org/10.1620/tjem.232.195

Tyson S, Connell L. The psychometric properties and clinical utility of measures of walking and mobility in neurological conditions: a systematic review. Clin Rehabil. 2009;23(11):1018-33. DOI: http://dx.doi.org/10.1177/0269215509339004

Ng SS, Yu PC, To FP, Chung JS, Cheung TH. Effect of walkway length and turning direction on the distance covered in the 6-minute walk test among adults over 50 years of age: a cross-sectional study. Physiotherapy. 2013;99(1):63-70. DOI: http://dx.doi.org/10.1016/j.physio.2011.11.005

Castelassi CS, Ribeiro EAF, Fonseca VC, Beinotti F, Oberg TD, Lima NMFV. Confiabilidade da versão brasileira da escala de deficiências de tronco em hemiparéticos. Fisioter Mov. 2009;22(2):189-99.

de Haan R, Limburg M, Bossuyt P, van der Meulen J, Aaronson N. The clinical meaning of Rankin 'handicap' grades after stroke. Stroke. 1995;26(11):2027-30. DOI: http://dx.doi.org/10.1161/01.str.26.11.2027

Lee SK. The effects of abdominal drawing-in maneuver during stair climbing on muscle activities of the trunk and legs. J Exerc Rehabil. 2019;15(2):224-8. DOI: http://dx.doi.org/10.12965/jer.1938056.028

Morone G, Matamala-Gomez M, Sanchez-Vives MV, Paolucci S, Iosa M. Watch your step! Who can recover stair climbing independence after stroke? Eur J Phys Rehabil Med. 2018;54(6):811-818. DOI: http://dx.doi.org/10.23736/S1973-9087.18.04809-8

Wu M, Landry JM, Kim J, Schmit BD, Yen SC, Macdonald J. Robotic resistance/assistance training improves locomotor function in individuals poststroke: a randomized controlled study. Arch Phys Med Rehabil. 2014;95(5):799-806. DOI: http://dx.doi.org/10.1016/j.apmr.2013.12.021

Esquenazi A, Packel A. Robotic-assisted gait training and restoration. Am J Phys Med Rehabil. 2012;91(11 Suppl 3):S217-27; quiz S228-31. DOI: http://dx.doi.org/10.1097/PHM.0b013e31826bce18

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Published

2019-09-30

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Section

Original Article

How to Cite

1.
Siegle CBH, Carvalho JKF de, Utiyama DMO, Matheus D, Alfieri FM, Ayres DVM, et al. Effects of robotic intervention associated with conventional therapy on gait speed and resistance and trunk control in stroke patients. Acta Fisiátr. [Internet]. 2019 Sep. 30 [cited 2024 Jul. 18];26(3):127-9. Available from: https://periodicos.usp.br/actafisiatrica/article/view/167178