Robot-assisted gait training to reduce pusher behavior: A randomized controlled trial

Neurology
Jeannine BergmannFriedemann Müller

Abstract

To determine the effects of 2 weeks of intensive robot-assisted gait training (RAGT) on pusher behavior compared to nonrobotic physiotherapy (nR-PT). In a single-blind, randomized, controlled trial with 2 parallel arms, we compared 2 weeks of daily RAGT (intervention group) with the same amount of nR-PT (control group). Patients with subacute stroke who had pusher behavior according to the Scale for Contraversive Pushing (SCP) were included. The primary research questions were whether changes in pusher behavior would differ between groups post intervention, and at a follow-up 2 weeks afterward (SCP and Burke Lateropulsion Scale, Class II evidence). Secondary outcomes included the Performance-Oriented Mobility Assessment, the Functional Ambulation Classification, and the Subjective Visual Vertical. Thirty-eight patients were randomized. Thereof, 30 patients received the allocated intervention and were included in the analyses. RAGT led to a larger reduction of pusher behavior than nR-PT at post test (SCP: U = 69.00, r = -0.33, p = 0.037; Burke Lateropulsion Scale: U = 47.500, r = -0.50, p = 0.003) and at follow-up (SCP: U = 54.00, r = -0.44, p = 0.008). Pusher behavior had ceased in 6 of 15 participants in the intervention group...Continue Reading

References

Feb 1, 1986·Journal of the American Geriatrics Society·M E Tinetti
Feb 7, 2004·Clinical Rehabilitation·Michael A D'AquilaMichael Reding
Sep 17, 2004·Journal of Rehabilitation Medicine·Matteo Paci, Luca Nannetti
Nov 25, 2004·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Doris BroetzHans-Otto Karnath
Sep 16, 2006·International Journal of Geriatric Psychiatry·Eneida MioshiJohn R Hodges
Nov 4, 2006·Neurorehabilitation and Neural Repair·Marco BacciniLucio A Rinaldi
Oct 3, 2007·Archives of Physical Medicine and Rehabilitation·Jan MehrholzMarcus Pohl
Aug 6, 2008·Brain : a Journal of Neurology·D A PérennouA M Bronstein
May 13, 2009·Neurology·A ZwergalM Strupp
Nov 26, 2010·Brain : a Journal of Neurology·Julien BarraDominic Pérennou
Aug 9, 2011·Neuropsychological Rehabilitation·Matteo PaciStefano Baldassi
Dec 28, 2011·Archives of Physical Medicine and Rehabilitation·Ellen ClarkT David Punt
Aug 15, 2012·Gait & Posture·Carmen KrewerEberhard Koenig
Jul 31, 2013·Topics in Stroke Rehabilitation·Carmen KrewerEberhard Koenig
Feb 8, 2014·Neurophysiologie clinique = Clinical neurophysiology·D PérennouJ Barra
Apr 15, 2016·Topics in Stroke Rehabilitation·Jeannine BergmannKlaus Jahn
Sep 12, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Suzanne R BabyarMichael Reding

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Citations

Oct 23, 2020·The Cochrane Database of Systematic Reviews·Jan MehrholzBernhard Elsner
Nov 13, 2020·Neurology·Shenhao DaiDominic Pérennou
Sep 10, 2021·Physiotherapy Theory and Practice·Masahide InoueHidetoshi Takahashi

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