Publication
Title
Feasibility and effectiveness of repetitive gait training early after stroke : a systematic review and meta-analysis
Author
Abstract
Background: Pre-clinical evidence suggests a period early after stroke during which the brain is most receptive to rehabilitation, if it is provided as high-dose motor training. Objective: To evaluate the feasibility of repetitive gait training within the first 3 months post-stroke and the effects on gait-specific outcomes. Methods: PubMed, Web of Science, Cochrane Library, Rehab Data and PEDro databases were searched systematically. Randomized controlled trials were included to descriptively analyse the feasibility and quantitatively investigate the effectiveness of repetitive gait training compared with conventional therapy. Results: Fifteen randomized controlled trials were included. Repetitive training can safely be provided through body weight support and locomotor assistance from therapists or a robotic device. No difference in drop-out rates was reported despite the demanding nature of the intervention. The meta-analysis yielded significant, but small, effects on walking independence and endurance. Training with end-effector robots appears most effective. Conclusion: Robots enable a substantial, yet feasible, increase in the quantity of walking practice early post-stroke, which might enhance functional recovery. However, the mechanisms underlying these effects remain poorly understood.
Language
English
Source (journal)
Journal of rehabilitation medicine. - Basingstoke
Journal of rehabilitation medicine. - Basingstoke
Publication
Uppsala : Foundation rehabilitation information , 2019
ISSN
1650-1977 [Print]
1651-2081 [Online]
Volume/pages
51 :2 (2019) , p. 78-88
ISI
000457153100001
Pubmed ID
30516821
Full text (Publisher's DOI)
Full text (open access)
UAntwerpen
Faculty/Department
Research group
Project info
Robot-assisted gait training: a way to investigate a critical time window for stroke rehabilitation.
Can stroke survivors re-learn normal walking? Understanding functional recovery and effects of exoskeleton-assisted training.
Investigation on a critical time window for gait training in stroke rehabilitation.
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 10.12.2018
Last edited 21.10.2021
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