Early Poststroke Rehabilitation Using a Robotic Tilt-Table Stepper and Functional Electrical Stimulation
Joint Authors
Daminov, Vadim D.
Rybalko, Natalia V.
Luft, Andreas R.
Kuznetsov, Alexey N.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-14
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Stroke frequently leaves survivors with hemiparesis.
To prevent persistent deficits, rehabilitation may be more effective if started early.
Early training is often limited because of orthostatic reactions.
Tilt-table stepping robots and functional electrical stimulation (FES) may prevent these reactions.
Objective.
This controlled convenience sample study compares safety and feasibility of robotic tilt-table training plus FES (ROBO-FES) and robotic tilt-table training (ROBO) against tilt-table training alone (control).
A preliminary assessment of efficacy is performed.
Methods.
Hemiparetic ischemic stroke survivors (age 58.3±1.2 years, 4.6±1.2 days after stroke) were assigned to 30 days of ROBO-FES (n=38), ROBO (n=35), or control (n=31) in addition to conventional physical therapy.
Impedance cardiography and transcranial doppler sonography were performed before, during, and after training.
Hemiparesis was assessed using the British Medical Research Council (MRC) strength scale.
Results.
No serious adverse events occurred; 8 patients in the tilt-table group prematurely quit the study because of orthostatic reactions.
Blood pressure and CBFV dipped <10% during robot training.
In 52% of controls mean arterial pressure decreased by ≥20%.
ROBO-FES increased leg strength by 1.97±0.88 points, ROBO by 1.50±0.85 more than control (1.03±0.61, P<0.05).
CBFV increased in both robotic groups more than in controls (P<0.05).
Conclusions.
Robotic tilt-table exercise with or without FES is safe and may be more effective in improving leg strength and cerebral blood flow than tilt table alone.
American Psychological Association (APA)
Kuznetsov, Alexey N.& Rybalko, Natalia V.& Daminov, Vadim D.& Luft, Andreas R.. 2013. Early Poststroke Rehabilitation Using a Robotic Tilt-Table Stepper and Functional Electrical Stimulation. Stroke Research and Treatment،Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-510346
Modern Language Association (MLA)
Kuznetsov, Alexey N.…[et al.]. Early Poststroke Rehabilitation Using a Robotic Tilt-Table Stepper and Functional Electrical Stimulation. Stroke Research and Treatment No. 2013 (2013), pp.1-9.
https://search.emarefa.net/detail/BIM-510346
American Medical Association (AMA)
Kuznetsov, Alexey N.& Rybalko, Natalia V.& Daminov, Vadim D.& Luft, Andreas R.. Early Poststroke Rehabilitation Using a Robotic Tilt-Table Stepper and Functional Electrical Stimulation. Stroke Research and Treatment. 2013. Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-510346
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-510346