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Behavioural Neurology
Volume 2018, Article ID 2892065, 6 pages
https://doi.org/10.1155/2018/2892065
Clinical Study

A Comparative Study of Conventional Physiotherapy versus Robot-Assisted Gait Training Associated to Physiotherapy in Individuals with Ataxia after Stroke

1Physiology Department, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
2Physiotherapy Department, Associação de Assistência a Criança Deficiente (AACD), São Paulo, SP, Brazil
3Faculty of Medicine, University of Sao Paulo (USP), São Paulo, SP, Brazil

Correspondence should be addressed to Marcia Belas dos Santos; moc.liamg@sotnassalebm

Received 26 September 2017; Revised 4 December 2017; Accepted 1 January 2018; Published 20 February 2018

Academic Editor: Tauheed Ishrat

Copyright © 2018 Marcia Belas dos Santos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. A. Pennycott, D. Wyss, H. Vallery, V. Klamroth-Marganska, and R. Riener, “Towards more effective robotic gait training for stroke rehabilitation: a review,” Journal of NeuroEngineering and Rehabilitation, vol. 9, no. 1, pp. 65–13, 2012. View at Publisher · View at Google Scholar · View at Scopus
  2. D. Lloyd-Jones, R. J. Adams, T. M. Brown et al., “Executive summary: heart disease and stroke statistics-2010 update: a report from the American heart association,” Circulation, vol. 121, no. 7, pp. 948–954, 2010. View at Publisher · View at Google Scholar · View at Scopus
  3. U. Bultmann, D. Pierscianek, E. R. Gizewski et al., “Functional recovery and rehabilitation of postural impairment and gait ataxia in patients with acute cerebellar stroke,” Gait & Posture, vol. 39, no. 1, pp. 563–569, 2014. View at Publisher · View at Google Scholar · View at Scopus
  4. B. Husemann, F. Müller, C. Krewer, S. Heller, and E. Koenig, “Effects of locomotion training with assistance of a robot-driven gait orthosis in hemiparetic patients after stroke: a randomized controlled pilot study,” Stroke, vol. 38, no. 2, pp. 349–354, 2007. View at Publisher · View at Google Scholar · View at Scopus
  5. C. Krishnan, D. Kotsapouikis, Y. Y. Dhaher, and W. Z. Rymer, “Reducing robotic guidance during robot-assisted gait training improves gait function: a case report on a stroke survivor,” Archives of Physical Medicine and Rehabilitation, vol. 94, no. 6, pp. 1202–1206, 2013. View at Publisher · View at Google Scholar · View at Scopus
  6. B. Indredavik, G. Rohweder, E. Naalsund, and S. Lydersen, “Medical complications in a comprehensive stroke unit and an early supported discharge service,” Stroke, vol. 39, no. 2, pp. 414–420, 2008. View at Publisher · View at Google Scholar · View at Scopus
  7. S. Bonnì, V. Ponzo, C. Caltagirone, and G. Koch, “Cerebellar theta burst stimulation in stroke patients with ataxia,” Functional Neurology, vol. 29, no. 1, pp. 41–45, 2014. View at Publisher · View at Google Scholar
  8. S. Maeshima, A. Osawa, Y. Miyazaki, H. Takeda, and N. Tanahashi, “Functional outcome in patients with pontine infarction after acute rehabilitation,” Neurological Sciences, vol. 33, no. 4, pp. 759–764, 2012. View at Publisher · View at Google Scholar · View at Scopus
  9. S. Datar and A. A. Rabinstein, “Cerebellar hemorrhage,” Neurologic Clinics, vol. 32, no. 4, pp. 993–1007, 2014. View at Publisher · View at Google Scholar · View at Scopus
  10. W. Ilg, H. Golla, P. Thier, and M. A. Giese, “Specific influences of cerebellar dysfunctions on gait,” Brain, vol. 130, no. 3, pp. 786–798, 2007. View at Publisher · View at Google Scholar · View at Scopus
  11. S. M. Morton, Y.-W. Tseng, K. M. Zackowski, J. R. Daline, and A. J. Bastian, “Longitudinal tracking of gait and balance impairments in cerebellar disease,” Movement Disorders, vol. 25, no. 12, pp. 1944–1952, 2010. View at Publisher · View at Google Scholar · View at Scopus
  12. Z. Sawacha, E. Carraro, P. Contessa, A. Guiotto, S. Masiero, and C. Cobelli, “Relationship between clinical and instrumental balance assessments in chronic post-stroke hemiparesis subjects,” Journal of NeuroEngineering and Rehabilitation, vol. 10, no. 1, p. 95, 2013. View at Publisher · View at Google Scholar · View at Scopus
  13. S. Hesse, “Treadmill training with partial body weight support after stroke: a review,” NeuroRehabilitation, vol. 23, no. 1, pp. 55–65, 2008. View at Google Scholar
  14. D. Y. Cho, S.-W. Park, M. J. Lee, D. S. Park, and E. J. Kim, “Effects of robot-assisted gait training on the balance and gait of chronic stroke patients: focus on dependent ambulators,” Journal of Physical Therapy Science, vol. 27, no. 10, pp. 3053–3057, 2015. View at Publisher · View at Google Scholar · View at Scopus
  15. S. Kubota, Y. Nakata, K. Eguchi et al., “Feasibility of rehabilitation training with a newly developed wearable robot for patients with limited mobility,” Archives of Physical Medicine and Rehabilitation, vol. 94, no. 6, pp. 1080–1087, 2013. View at Publisher · View at Google Scholar · View at Scopus
  16. S. Jezernik, G. Colombo, T. Keller, H. Frueh, and M. Morari, “Robotic orthosis lokomat: a rehabilitation and research tool,” Neuromodulation: Technology at the Neural Interface, vol. 6, no. 2, pp. 108–115, 2003. View at Publisher · View at Google Scholar · View at Scopus
  17. L. Wallard, G. Dietrich, Y. Kerlirzin, and J. Bredin, “Effects of robotic gait rehabilitation on biomechanical parameters in the chronic hemiplegic patients,” Neurophysiologie Clinique/Clinical Neurophysiology, vol. 45, no. 3, pp. 215–219, 2015. View at Publisher · View at Google Scholar · View at Scopus
  18. E. Swinnen, D. Beckwée, R. Meeusen, J.-P. Baeyens, and E. Kerckhofs, “Does robot-assisted gait rehabilitation improve balance in stroke patients? A systematic review,” Topics in Stroke Rehabilitation, vol. 21, no. 2, pp. 87–100, 2014. View at Publisher · View at Google Scholar · View at Scopus
  19. C. Tefertiller, B. Pharo, N. Evans, and P. Winchester, “Efficacy of rehabilitation robotics for walking training in neurological disorders: a review,” Journal of Rehabilitation Research & Development, vol. 48, no. 4, pp. 387–416, 2011. View at Publisher · View at Google Scholar · View at Scopus
  20. T. G. Hornby, D. D. Campbell, J. H. Kahn, T. Demott, J. L. Moore, and H. R. Roth, “Enhanced gait-related improvements after therapist-versus robotic-assisted locomotor training in subjects with chronic stroke: a randomized controlled study,” Stroke, vol. 39, no. 6, pp. 1786–1792, 2008. View at Publisher · View at Google Scholar · View at Scopus
  21. J. F. Israel, D. D. Campbell, J. H. Kahn, and T. G. Hornby, “Metabolic costs and muscle activity patterns during robotic- and therapist-assisted treadmill walking in individuals with incomplete spinal cord injury,” Physical Therapy, vol. 86, no. 11, pp. 1466–1478, 2006. View at Publisher · View at Google Scholar · View at Scopus
  22. U. Dundar, H. Toktas, O. Solak, A. M. Ulasli, and S. Eroglu, “A comparative study of conventional physiotherapy versus robotic training combined with physiotherapy in patients with stroke,” Topics in Stoke Rehabilitation, vol. 21, no. 6, pp. 453–461, 2014. View at Publisher · View at Google Scholar · View at Scopus
  23. S. T. Miyamoto, I. Lombardi Junior, K. O. Berg, L. R. Ramos, and J. Natour, “Brazilian version of the Berg balance scale,” Brazilian Journal of Medical and Biological Research, vol. 37, no. 9, pp. 1411–1421, 2004. View at Publisher · View at Google Scholar
  24. T. B. Hafsteinsdóttir, M. Rensink, and M. Schuurmans, “Clinimetric properties of the timed up and go test for patients with stroke: a systematic review,” Topics in Stroke Rehabilitation, vol. 21, no. 3, pp. 197–210, 2014. View at Publisher · View at Google Scholar · View at Scopus
  25. B.-R. Kim, J.-Y. Lee, M. J. Kim, H. Jung, and J. Lee, “Korean version of the scale for the assessment and rating of ataxia in ataxic stroke patients,” Annals of Rehabilitation Medicine, vol. 38, no. 6, pp. 742–751, 2014. View at Publisher · View at Google Scholar · View at Scopus
  26. B.-R. Kim, J.-H. Lim, S. A. Lee et al., “Usefulness of the scale for the assessment and rating of ataxia (SARA) in ataxic stroke patients,” Annals of Rehabilitation Medicine, vol. 35, no. 6, pp. 772–780, 2011. View at Publisher · View at Google Scholar
  27. P. Braga-Neto, C. Godeiro-Junior, L. A. Dutra, J. L. Pedroso, and O. G. P. Barsottini, “Translation and validation into Brazilian version of the scale of the assessment and rating of ataxia (SARA),” Arquivos de Neuro-Psiquiatria, vol. 68, no. 2, pp. 228–230, 2010. View at Publisher · View at Google Scholar
  28. G. Taveggia, A. Borboni, C. Mulé, J. H. Villafañe, and S. Negrini, “Conflicting results of robot-assisted versus usual gait training during postacute rehabilitation of stroke patients: a randomized clinical trial,” International Journal of Rehabilitation Research, vol. 39, no. 1, pp. 29–35, 2016. View at Publisher · View at Google Scholar · View at Scopus
  29. P. G. Lopes, J. A. F. Lopes, C. M. Brito, F. M. Alfieri, and L. Rizzo Battistella, “Relationships of balance, gait performance, and functional outcome in chronic stroke patients: a comparison of left and right lesions,” BioMed Research International, vol. 2015, Article ID 716042, 8 pages, 2015. View at Publisher · View at Google Scholar · View at Scopus
  30. C. B. de Oliveira, I. R. de Medeiros, N. A. Frota, M. E. Greters, and A. B. Conforto, “Balance control in hemiparetic stroke patients: main tools for evaluation,” Journal of Rehabilitation Research & Development, vol. 45, no. 8, pp. 1215–1226, 2008. View at Google Scholar
  31. L. Conesa, Ú. Costa, E. Morales et al., “An observational report of intensive robotic and manual gait training in sub-acute stroke,” Journal of NeuroEngineering and Rehabilitation, vol. 9, no. 1, p. 13, 2012. View at Publisher · View at Google Scholar · View at Scopus
  32. R. K. Tong, M. F. Ng, and L. S. Li, “Effectiveness of gait training using an electromechanical gait trainer, with and without functional electric stimulation, in subacute stroke: a randomized controlled trial,” Archives of Physical Medicine and Rehabilitation, vol. 87, no. 10, pp. 1298–1304, 2006. View at Publisher · View at Google Scholar · View at Scopus
  33. J. Hidler, D. Nichols, M. Pelliccio et al., “Multicenter randomized clinical trial evaluating the effectiveness of the lokomat in subacute stroke,” Neurorehabilitation and Neural Repair, vol. 23, no. 1, pp. 5–13, 2009. View at Publisher · View at Google Scholar · View at Scopus
  34. D. Dias, J. Laíns, A. Pereira et al., “Can we improve gait skills in chronic hemiplegics? A randomised control trial with gait trainer,” Europa Medicophysica, vol. 43, no. 4, pp. 499–504, 2007. View at Google Scholar
  35. M. F. W. Ng, R. K. Y. Tong, and L. S. W. Li, “A pilot study of randomized clinical controlled trial of gait training in subacute stroke patients with partial body-weight support electromechanical gait trainer and functional electrical stimulation: six-month follow-up,” Stroke, vol. 39, no. 1, pp. 154–160, 2008. View at Publisher · View at Google Scholar · View at Scopus
  36. A. Marquer, G. Barbieri, and D. Pérennou, “The assessment and treatment of postural disorders in cerebellar ataxia: a systematic review,” Annals of Physical and Rehabilitation Medicine, vol. 57, no. 2, pp. 67–78, 2014. View at Publisher · View at Google Scholar · View at Scopus
  37. K. Cernak, V. Stevens, R. Price, and A. Shumway-Cook, “Locomotor training using body-weight support on a treadmill in conjunction with ongoing physical therapy in a child with severe cerebellar ataxia,” Physical Therapy, vol. 88, no. 1, pp. 88–97, 2007. View at Publisher · View at Google Scholar · View at Scopus
  38. J. E. Freund and D. M. Stetts, “Use of trunk stabilization and locomotor training in an adult with cerebellar ataxia: a single system design,” Physiotherapy Theory and Practice, vol. 26, no. 7, pp. 447–458, 2010. View at Publisher · View at Google Scholar · View at Scopus
  39. D. V. Vaz, C. Schettino R de, T. R. Rolla de Castro, V. R. Teixeira, S. R. Cavalcanti Furtado, and E. de Mello Figueiredo, “Treadmill training for ataxic patients: a single-subject experimental design,” Clinical Rehabilitation, vol. 22, no. 3, pp. 234–241, 2008. View at Publisher · View at Google Scholar · View at Scopus
  40. T. J. Kim, K. M. Seo, D.-K. Kim, and S. H. Kang, “The relationship between initial trunk performances and functional prognosis in patients with stroke,” Annals of Rehabilitation Medicine, vol. 39, no. 1, pp. 66–73, 2015. View at Publisher · View at Google Scholar · View at Scopus
  41. J. Mehrholz, C. Werner, J. Kugler, and M. Pohl, “Electromechanical-assisted training for walking after stroke-review,” The Cochrane Collaboration, no. 9, 2010. View at Google Scholar
  42. D. E. Uçar, N. Paker, and D. Buğdaycı, “Lokomat: a therapeutic chance for patients with chronic hemiplegia,” NeuroRehabilitation, vol. 34, no. 3, pp. 447–453, 2014. View at Publisher · View at Google Scholar · View at Scopus
  43. B. H. Dobkin, “Progressive staging of pilot studies to improve phase III trials for motor interventions,” Neurorehabilitation and Neural Repair, vol. 23, no. 3, pp. 197–206, 2009. View at Publisher · View at Google Scholar · View at Scopus