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Overground walking training with the i-Walker, a robotic servo-assistive device, enhances balance in patients with subacute stroke: a randomized controlled trial
dc.contributor.author | Morone, Giovanni |
dc.contributor.author | Annicchiarico, Roberta |
dc.contributor.author | Iosa, Marco |
dc.contributor.author | Federici, Alessia |
dc.contributor.author | Paolucci, Stefano |
dc.contributor.author | Cortés García, Claudio Ulises |
dc.contributor.author | Caltagirone, Carlo |
dc.contributor.other | Universitat Politècnica de Catalunya. Departament de Ciències de la Computació |
dc.date.accessioned | 2016-07-21T08:46:18Z |
dc.date.available | 2016-07-21T08:46:18Z |
dc.date.issued | 2016-05-26 |
dc.identifier.citation | Morone, G., Annicchiarico, R., Iosa, M., Federici, A., Paolucci, S., Cortés, C., Caltagirone, C. Overground walking training with the i-Walker, a robotic servo-assistive device, enhances balance in patients with subacute stroke: a randomized controlled trial. "Journal of neuroengineering and rehabilitation", 26 Maig 2016, vol. 13, núm. 47, p. 1-10. |
dc.identifier.issn | 1743-0003 |
dc.identifier.uri | http://hdl.handle.net/2117/89005 |
dc.description.abstract | Background: Patients affected by mild stroke benefit more from physiological overground walking training than walking-like training performed in place using specific devices. The aim of the study was to evaluate the effects of overground robotic walking training performed with the servo-assistive robotic rollator (i-Walker) on walking, balance, gait stability and falls in a community setting in patients with mild subacute stroke. Methods: Forty-four patients were randomly assigned to two different groups that received the same therapy in two daily 40-min sessions 5 days a week for 4 weeks. Twenty sessions of standard therapy were performed by both groups. In the other 20 sessions the subjects enrolled in the i-Walker-Group (iWG) performed with the i-Walker and the Control-Group patients (CG) performed the same amount of conventional walking oriented therapy. Clinical and instrumented gait assessments were made pre- and post-treatment. The follow-up observation consisted of recording the number of fallers in the community setting after 6 months. Results: Treatment effectiveness was higher in the iWG group in terms of balance improvement (Tinetti: 68.4 ± 27.6 % vs. 48.1 ± 33.9 %, p= 0.033) and 10-m and 6-min timed walking tests (significant interaction between group and time: F(1,40) = 14.252, p = 0.001; and F (1,40) = 7.883, p = 0.008, respectively). When measured, latero-lateral upper body accelerations were reduced in iWG (F= 4.727, p= 0.036), suggesting increased gait stability, which was supported by a reduced number of falls at home. Conclusions: A robotic servo-assisted i-Walker improved walking performance and balance in patients affected by mild/moderate stroke, leading to increased gait stability and reduced falls in the community. |
dc.format.extent | 10 p. |
dc.language.iso | eng |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ |
dc.subject | Àrees temàtiques de la UPC::Informàtica::Robòtica |
dc.subject | Àrees temàtiques de la UPC::Informàtica::Intel·ligència artificial |
dc.subject.lcsh | Robotics in medicine |
dc.subject.lcsh | Self-help devices for people with disabilities |
dc.subject.other | Assistive tecnologies |
dc.subject.other | i-Walker |
dc.subject.other | Floor training |
dc.subject.other | Robotic-assisted therapy |
dc.subject.other | Rehabilitation |
dc.subject.other | Gait |
dc.title | Overground walking training with the i-Walker, a robotic servo-assistive device, enhances balance in patients with subacute stroke: a randomized controlled trial |
dc.type | Article |
dc.subject.lemac | Robòtica en medicina |
dc.subject.lemac | Ajuts tecnològics per als discapacitats |
dc.contributor.group | Universitat Politècnica de Catalunya. KEMLG - Grup d'Enginyeria del Coneixement i Aprenentatge Automàtic |
dc.identifier.doi | 10.1186/s12984-016-0155-4 |
dc.description.peerreviewed | Peer Reviewed |
dc.relation.publisherversion | http://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-016-0155-4 |
dc.rights.access | Open Access |
local.identifier.drac | 18771836 |
dc.description.version | Postprint (published version) |
local.citation.author | Morone, G.; Annicchiarico, R.; Iosa, M.; Federici, A.; Paolucci, S.; Cortés, C.; Caltagirone, C. |
local.citation.publicationName | Journal of neuroengineering and rehabilitation |
local.citation.volume | 13 |
local.citation.number | 47 |
local.citation.startingPage | 1 |
local.citation.endingPage | 10 |
dc.identifier.pmid | 27225043 |
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