S Straudi1, M G Benedetti2, E Venturini3, M Manca3, C Foti4, N Basaglia3. 1. Physical Medicine and Rehabilitation Department, Ferrara University Hospital, Ferrara, Italy Doctoral Program in Advanced Sciences in Rehabilitation Medicine and Sport, Tor Vergata University, Rome, Italy. 2. Physical Medicine and Rehabilitation Unit, Istituto Ortopedico Rizzoli, Bologna, Italy. 3. Physical Medicine and Rehabilitation Department, Ferrara University Hospital, Ferrara, Italy. 4. Doctoral Program in Advanced Sciences in Rehabilitation Medicine and Sport, Tor Vergata University, Rome, Italy.
Abstract
BACKGROUND: Gait disorders are common in multiple sclerosis (MS) and lead to a progressive reduction of function and quality of life. OBJECTIVE: Test the effects of robot-assisted gait rehabilitation in MS subjects through a pilot randomized-controlled study. METHODS: We enrolled MS subjects with Expanded Disability Status Scale scores within 4.5-6.5. The experimental group received 12 robot-assisted gait training sessions over 6 weeks. The control group received the same amount of conventional physiotherapy. Outcomes measures were both biomechanical assessment of gait, including kinematics and spatio-temporal parameters, and clinical test of walking endurance (six-minute walk test) and mobility (Up and Go Test). RESULTS:16 subjects (n = 8 experimental group, n = 8 control group) were included in the final analysis. At baseline the two groups were similar in all variables, except for step length. Data showed walking endurance, as well as spatio-temporal gait parameters improvements after robot-assisted gait training. Pelvic antiversion and reduced hip extension during terminal stance ameliorated after aforementioned intervention. CONCLUSIONS:Robot-assisted gait training seems to be effective in increasing walking competency in MS subjects. Moreover, it could be helpful in restoring the kinematic of the hip and pelvis.
RCT Entities:
BACKGROUND: Gait disorders are common in multiple sclerosis (MS) and lead to a progressive reduction of function and quality of life. OBJECTIVE: Test the effects of robot-assisted gait rehabilitation in MS subjects through a pilot randomized-controlled study. METHODS: We enrolled MS subjects with Expanded Disability Status Scale scores within 4.5-6.5. The experimental group received 12 robot-assisted gait training sessions over 6 weeks. The control group received the same amount of conventional physiotherapy. Outcomes measures were both biomechanical assessment of gait, including kinematics and spatio-temporal parameters, and clinical test of walking endurance (six-minute walk test) and mobility (Up and Go Test). RESULTS: 16 subjects (n = 8 experimental group, n = 8 control group) were included in the final analysis. At baseline the two groups were similar in all variables, except for step length. Data showed walking endurance, as well as spatio-temporal gait parameters improvements after robot-assisted gait training. Pelvic antiversion and reduced hip extension during terminal stance ameliorated after aforementioned intervention. CONCLUSIONS: Robot-assisted gait training seems to be effective in increasing walking competency in MS subjects. Moreover, it could be helpful in restoring the kinematic of the hip and pelvis.
Authors: Christina Salchow-Hömmen; Matej Skrobot; Magdalena C E Jochner; Thomas Schauer; Andrea A Kühn; Nikolaus Wenger Journal: Front Hum Neurosci Date: 2022-02-03 Impact factor: 3.169
Authors: Augustine J Devasahayam; Arthur R Chaves; Wendy O Lasisi; Marie E Curtis; Katie P Wadden; Liam P Kelly; Ryan Pretty; Alice Chen; Elizabeth M Wallack; Caitlin J Newell; John B Williams; Hannah Kenny; Matthew B Downer; Jason McCarthy; Craig S Moore; Michelle Ploughman Journal: BMC Neurol Date: 2020-01-22 Impact factor: 2.474