Lokomat: A therapeutic chance for patients with chronic hemiplegia

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dc.contributor.authorUcar, Demet Erdogan
dc.contributor.authorPaker, Nurdan
dc.contributor.authorBugdayci, Derya
dc.date.accessioned2024-04-24T17:20:43Z
dc.date.available2024-04-24T17:20:43Z
dc.date.issued2014
dc.departmentDicle Üniversitesien_US
dc.description.abstractBACKGROUND: Treadmill training with partial body weight support has been suggested as a useful strategy for gait rehabilitation after stroke. OBJECTIVES: This prospective, randomized, controlled study of gait training tested the feasibility and potential efficacy of using a robotic-assisted gait device, Lokomat, for treadmill training with partial body weight support in subjects with chronic hemiplegia; the device was also compared with conventional home exercise. METHODS: Twenty-two male ambulatory ischemic or hemorrhagic induced stroke patients with chronic hemiplegia lasting at least 12 months were enrolled in this prospective study. The patients were assigned to either the Lokomat group or the conventional exercise group. The Lokomat group underwent active robotic training for ten sessions (five sessions per week for two weeks). Each session lasted 30 minutes. If a patient missed three consecutive training sessions, he was removed from the study. The Timed Up and Go Test is used to assess mobility and requires both static and dynamic balance. The 10-m Timed Walking Speed Test is designed to determine the patient's overground walking speed. The Mini-Mental State Examination and Hospital Anxiety and Depression Scale were used for mental and psychological evaluation; the Functional Ambulation Categories was used to assess ambulatory status. RESULTS: Within each eight-week interval, the patients undergoing the Lokomat training demonstrated significantly greater improvement on the Timed Up and Go Test and 10-m Timed Walking Speed Test than those undergoing conventional training. CONCLUSION: Despite the small number of patients in the study, the present data suggests that the robotic-assisted device, Lokomat, provides innovative possibilities for gait training in chronic hemiplegia rehabilitation by training at higher intensity levels for longer durations than traditional home exercise.en_US
dc.identifier.doi10.3233/NRE-141054
dc.identifier.endpage453en_US
dc.identifier.issn1053-8135
dc.identifier.issn1878-6448
dc.identifier.issue3en_US
dc.identifier.pmid24463231
dc.identifier.scopus2-s2.0-84902275150
dc.identifier.scopusqualityQ2
dc.identifier.startpage447en_US
dc.identifier.urihttps://doi.org/10.3233/NRE-141054
dc.identifier.urihttps://hdl.handle.net/11468/19216
dc.identifier.volume34en_US
dc.identifier.wosWOS:000337918400006
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherIos Pressen_US
dc.relation.ispartofNeurorehabilitation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRehabilitationen_US
dc.subjectLokomaten_US
dc.subjectHemiplegiaen_US
dc.subjectGait Trainingen_US
dc.titleLokomat: A therapeutic chance for patients with chronic hemiplegiaen_US
dc.titleLokomat: A therapeutic chance for patients with chronic hemiplegia
dc.typeArticleen_US

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