Does robot-assisted gait training ameliorate gait abnormalities in multiple sclerosis? A pilot randomized-control trial

被引:49
作者
Straudi, S. [1 ,2 ]
Benedetti, M. G. [3 ]
Venturini, E. [1 ]
Manca, M. [1 ]
Foti, C. [2 ]
Basaglia, N. [1 ]
机构
[1] Ferrara Univ Hosp, Phys Med & Rehabil Dept, I-44100 Ferrara, Italy
[2] Univ Roma Tor Vergata, Doctoral Program Adv Sci Rehabil Med & Sport, Rome, Italy
[3] Ist Ortoped Rizzoli, Phys Med & Rehabil Unit, Bologna, Italy
关键词
Rehabilitation; robot-driven gait orthosis; gait analysis; multiple sclerosis; BODY-WEIGHT SUPPORT; DISABILITY STATUS SCALE; MOTOR CORTEX; WALKING; MOBILITY; FATIGUE; PEOPLE; REHABILITATION; PHYSIOTHERAPY; LOKOMAT;
D O I
10.3233/NRE-130990
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: Gait disorders are common in multiple sclerosis (MS) and lead to a progressive reduction of function and quality of life. OBJECTIVE: Test the effects of robot-assisted gait rehabilitation in MS subjects through a pilot randomized-controlled study. METHODS: We enrolled MS subjects with Expanded Disability Status Scale scores within 4.5-6.5. The experimental group received 12 robot-assisted gait training sessions over 6 weeks. The control group received the same amount of conventional physiotherapy. Outcomes measures were both biomechanical assessment of gait, including kinematics and spatio-temporal parameters, and clinical test of walking endurance (six-minute walk test) and mobility (Up and Go Test). RESULTS: 16 subjects (n = 8 experimental group, n = 8 control group) were included in the final analysis. At baseline the two groups were similar in all variables, except for step length. Data showed walking endurance, as well as spatio-temporal gait parameters improvements after robot-assisted gait training. Pelvic antiversion and reduced hip extension during terminal stance ameliorated after aforementioned intervention. CONCLUSIONS: Robot-assisted gait training seems to be effective in increasing walking competency in MS subjects. Moreover, it could be helpful in restoring the kinematic of the hip and pelvis.
引用
收藏
页码:555 / 563
页数:9
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