Effects of Robot-Assisted Gait Training on Balance and Fear of Falling in Patients With Stroke

害怕跌倒 平衡(能力) 医学 物理医学与康复 步态 随机对照试验 物理疗法 冲程(发动机) 平衡训练 坠落(事故) 毒物控制 伤害预防 外科 医疗急救 精神科 工程类 机械工程
作者
Merve Gündüz,Rüstem Mustafaoğlu,İbrahim Halil Ural
出处
期刊:American Journal of Physical Medicine & Rehabilitation [Lippincott Williams & Wilkins]
卷期号:104 (6): 558-566 被引量:1
标识
DOI:10.1097/phm.0000000000002674
摘要

Objective The aim of this study was compare the effects of combined training, which included robot-assisted gait training in addition to traditional balance training, and traditional balance training alone on balance and fear of falling in patients with stroke based on objective assessment methods. Design Patients were randomized into combined training group ( n = 21) and traditional balance training group ( n = 21) for duration of 5 wks. Balance were assessed with EncephaLog App recorded stand-up time, sit-down time, and directional sways during walking, Berg Balance Scale, and Timed Up and Go Test. International Fall Efficacy Scale measured fear of falling. Fugl-Meyer Assessment–Lower Extremity assessed limb impairment. Foot posture was assessed with Foot Posture Index. Results After the treatments, EncephaLog sways (anterior, medial, lateral: P = 0.04, P = 0.01, P = 0.02), stand-up time ( P = 0.006), sit-down time ( P = 0.002), Berg Balance Scale ( P < 0.001), and International Fall Efficacy Scale ( P = 0.002) improved in combined training group. Timed Up and Go Test ( P = 0.01) and Fugl-Meyer Assessment–Lower Extremity ( P < 0.001) improved in traditional balance training group. Stand-up time ( P = 0.01) and sit-down time ( P = 0.04) showed statistically significant improvement in combined training group compared to traditional balance training group; Fugl-Meyer Assessment–Lower Extremity ( P = 0.002) demonstrated statistically significant improvement in traditional balance training group compared to combined training group. Conclusions Objective assessment indicated that combined treatments in subacute and chronic stroke rehabilitation enhance balance and reduce fear of falling more effectively than isolated approaches.
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