A Comparative Study of Conventional Physiotherapy versus Robot-Assisted Gait Training Associated to Physiotherapy in Individuals with Ataxia after Stroke

Objectives. To assess the influence of RAGT on balance, coordination, and functional independence in activities of daily living of chronic stroke survivors with ataxia at least one year of injury. Methods. It was a randomized controlled trial. The patients were allocated to either therapist-assisted...

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Main Authors: Marcia Belas dos Santos, Clarissa Barros de Oliveira, Arly dos Santos, Cristhiane Garabello Pires, Viviana Dylewski, Ricardo Mario Arida
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2018/2892065
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author Marcia Belas dos Santos
Clarissa Barros de Oliveira
Arly dos Santos
Cristhiane Garabello Pires
Viviana Dylewski
Ricardo Mario Arida
author_facet Marcia Belas dos Santos
Clarissa Barros de Oliveira
Arly dos Santos
Cristhiane Garabello Pires
Viviana Dylewski
Ricardo Mario Arida
author_sort Marcia Belas dos Santos
collection DOAJ
description Objectives. To assess the influence of RAGT on balance, coordination, and functional independence in activities of daily living of chronic stroke survivors with ataxia at least one year of injury. Methods. It was a randomized controlled trial. The patients were allocated to either therapist-assisted gait training (TAGT) or robotic-assisted gait training (RAGT). Both groups received 3 weekly sessions of physiotherapy with an estimated duration of 60 minutes each and prescribed home exercises. The following outcome measures were evaluated prior to and after the completion of the 5-month protocol treatment: BBS, TUG test, FIM, and SARA. For intragroup comparisons, the Wilcoxon test was used, and the Mann–Whitney test was used for between-group comparison. Results. Nineteen stroke survivors with ataxia sequel after one year of injury were recruited. Both groups showed statistically significant improvement (P<0.05) in balance, functional independencein, and general ataxia symptoms. There were no statistically significant differences (P<0.05) for between-group comparisons both at baseline and after completion of the protocol. Conclusions. Chronic stroke patients with ataxia had significant improvements in balance and independence in activities of daily living after RAGT along with conventional therapy and home exercises. This trial was registered with trial registration number 39862414.6.0000.5505.
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spelling doaj-art-7dca0772ea834782b68a2d69c38db60c2025-02-03T05:52:48ZengWileyBehavioural Neurology0953-41801875-85842018-01-01201810.1155/2018/28920652892065A Comparative Study of Conventional Physiotherapy versus Robot-Assisted Gait Training Associated to Physiotherapy in Individuals with Ataxia after StrokeMarcia Belas dos Santos0Clarissa Barros de Oliveira1Arly dos Santos2Cristhiane Garabello Pires3Viviana Dylewski4Ricardo Mario Arida5Physiology Department, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, BrazilPhysiotherapy Department, Associação de Assistência a Criança Deficiente (AACD), São Paulo, SP, BrazilPhysiology Department, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, BrazilFaculty of Medicine, University of Sao Paulo (USP), São Paulo, SP, BrazilPhysiotherapy Department, Associação de Assistência a Criança Deficiente (AACD), São Paulo, SP, BrazilPhysiology Department, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, BrazilObjectives. To assess the influence of RAGT on balance, coordination, and functional independence in activities of daily living of chronic stroke survivors with ataxia at least one year of injury. Methods. It was a randomized controlled trial. The patients were allocated to either therapist-assisted gait training (TAGT) or robotic-assisted gait training (RAGT). Both groups received 3 weekly sessions of physiotherapy with an estimated duration of 60 minutes each and prescribed home exercises. The following outcome measures were evaluated prior to and after the completion of the 5-month protocol treatment: BBS, TUG test, FIM, and SARA. For intragroup comparisons, the Wilcoxon test was used, and the Mann–Whitney test was used for between-group comparison. Results. Nineteen stroke survivors with ataxia sequel after one year of injury were recruited. Both groups showed statistically significant improvement (P<0.05) in balance, functional independencein, and general ataxia symptoms. There were no statistically significant differences (P<0.05) for between-group comparisons both at baseline and after completion of the protocol. Conclusions. Chronic stroke patients with ataxia had significant improvements in balance and independence in activities of daily living after RAGT along with conventional therapy and home exercises. This trial was registered with trial registration number 39862414.6.0000.5505.http://dx.doi.org/10.1155/2018/2892065
spellingShingle Marcia Belas dos Santos
Clarissa Barros de Oliveira
Arly dos Santos
Cristhiane Garabello Pires
Viviana Dylewski
Ricardo Mario Arida
A Comparative Study of Conventional Physiotherapy versus Robot-Assisted Gait Training Associated to Physiotherapy in Individuals with Ataxia after Stroke
Behavioural Neurology
title A Comparative Study of Conventional Physiotherapy versus Robot-Assisted Gait Training Associated to Physiotherapy in Individuals with Ataxia after Stroke
title_full A Comparative Study of Conventional Physiotherapy versus Robot-Assisted Gait Training Associated to Physiotherapy in Individuals with Ataxia after Stroke
title_fullStr A Comparative Study of Conventional Physiotherapy versus Robot-Assisted Gait Training Associated to Physiotherapy in Individuals with Ataxia after Stroke
title_full_unstemmed A Comparative Study of Conventional Physiotherapy versus Robot-Assisted Gait Training Associated to Physiotherapy in Individuals with Ataxia after Stroke
title_short A Comparative Study of Conventional Physiotherapy versus Robot-Assisted Gait Training Associated to Physiotherapy in Individuals with Ataxia after Stroke
title_sort comparative study of conventional physiotherapy versus robot assisted gait training associated to physiotherapy in individuals with ataxia after stroke
url http://dx.doi.org/10.1155/2018/2892065
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