Does robot-assisted gait training improve ambulation in highly disabled multiple sclerosis people? A pilot randomized control trial.
Mult Scler
; 23(5): 696-703, 2017 Apr.
Article
em En
| MEDLINE
| ID: mdl-27486219
ABSTRACT
BACKGROUND:
Robotic training is commonly used to assist walking training in patients affected by multiple sclerosis (MS) with non-conclusive results.OBJECTIVE:
To compare the effect of robot-assisted gait training (RAGT) with that of conventional walking training (CWT) on gait competencies, global ability, fatigue and spasticity in a group of severely affected patients with MS.METHODS:
A pilot, single-blind randomized controlled trial was conducted in 43 severe (Expanded Disability Status Scale (EDSS) score of 6-7.5) and non-autonomous ambulant in-patients with MS. Experimental group performed 12 sessions of RAGT, whereas control group performed the same amount of CWT. Primary outcome measures were gait ability assessed by 2 minutes walking test and Functional Ambulatory Category; secondary outcomes were global ability (modified Barthel Index), global mobility (Rivermead Mobility Index), severity of disease (EDSS) and subjectively perceived fatigue (Fatigue Severity Scale).RESULTS:
The number of subjects who achieved a clinical significant improvement was significantly higher in RAGT than in CWT ( p < 0.05 for both primary outcome measures). RAGT also led to an improvement in all the other clinical parameters (global ability p < 0.001, global mobility p < 0.001, EDSS p = 0.014 and fatigue p = 0.001).CONCLUSIONS:
RAGT improved the walking competencies in non-autonomous ambulant patients with MS, with benefits in terms of perceived fatigue.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Robótica
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Caminhada
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Terapia por Exercício
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Marcha
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Esclerose Múltipla
Tipo de estudo:
Clinical_trials
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article