Effects of robotic-assistance gait training in adults stroke

Authors

DOI:

https://doi.org/10.33448/rsd-v11i16.37890

Keywords:

Stroke; Gait; Robotic; Neurological rehabilitation.

Abstract

Objective: To identify the effects generated by gait training with robotic assistance in post-stroke patients. Materials and methods: In order to achieve the proposed objective, a described and exploratory study of na Integrative Literature Review (ILR) was carried out. In order to develop the guiding question of this RIL, the domains of the PICO strategy were applied. The question at hand: “What are the effects of robotic-assisted gait training in post-stroke adults?” A bibliographic survey was carried out in October 2022 in the following databases: Embase via Cochrane Library, LILACS via VHL and MEDLINE via PubMed. The search strategies were formulated from the mentioned descriptors in Portuguese and English, linked by the Boolean operator “AND”. Results: 14 scientific articles were selected to compose the final sample of the RIL. Discussion: With the use of robotic assistance, the equipment facilitates the symmetrical pattern, corresponding to the normal kinematics of the gait, providing important afferent tips for the rehabilitation process, minimizing vices and promoting substantial enthusiasm to optimize and increase the functional gain of gait, in addition to minimize the therapist’s effort. Final considerations: Therefore, most of the scientific evidence from the study showed that gait training with robotic assistance generates significant effects in post-stroke patients, among them, improvements in static and dynamic balance, lower limb functionality, speed, stride length, cadence and spatio-temporal parameters of gait.

References

Alingh, J. F., Fleerkotte, B. M., Groen, B. E., Rietman, J. S., Weerdesteyn, V., van Asseldonk, E. H. F., ... & Buurke, J. H. (2021). Effect of assist-as-needed robotic gait training on the gait pattern post stroke: a randomized controlled trial. Journal of neuroengineering and rehabilitation, 18(1), 1-12.

Bang, D. H., & Shin, W. S. (2016). Effects of robot-assisted gait training on spatiotemporal gait parameters and balance in patients with chronic stroke: a randomized controlled pilot trial. NeuroRehabilitation, 38(4), 343-349.

Brasil. (2013). Diretrizes de atenção à reabilitação da pessoa com acidente vascular cerebral / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. – Brasília: Ministério da Saúde, 2013. 72p.

Choi, W. (2022). Effects of Robot-Assisted Gait Training with Body Weight Support on Gait and Balance in Stroke Patients. International Journal of Environmental Research and Public Health, 19(10), 5814.

Friedlander, M. R., & Arbués-Moreira, M. T. (2007). Análise de um trabalho científico: um exercício. Revista Brasileira de Enfermagem, 60, 573-578.

Garlet, A. B., Plentz, R. D. M., Blauth, A. H. E. G., Righi, T. T., Righi, N. C., & Schardong, J. (2022). Reabilitação robótica em pacientes com AVC: protocolo de ensaio clínico randomizado. Fisioterapia e Pesquisa, 28, 483-490.

Kim, H. Y., Shin, J. H., Yang, S. P., Shin, M. A., & Lee, S. H. (2019). Robot-assisted gait training for balance and lower extremity function in patients with infratentorial stroke: a single-blinded randomized controlled trial. Journal of neuroengineering and rehabilitation, 16(1), 1-12.

Kooncumchoo, P., Namdaeng, P., Hanmanop, S., Rungroungdouyboon, B., Klarod, K., Kiatkulanusorn, S., & Luangpon, N. (2021). Gait Improvement in Chronic Stroke Survivors by Using an Innovative Gait Training Machine: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 19(1), 224.

Lima, A. P., & Cardoso, F. B. (2014). O efeito de um programa de exercícios físicos sobre a capacidade funcional da marcha hemiparética de indivíduos com acidente vascular cerebral. Rev bras ciênc saúde, 18(3), 203-8.

Mayr, A., Quirbach, E., Picelli, A., Kofler, M., Smania, N., & Saltuari, L. (2018). Early robot-assisted gait retraining in non-ambulatory patients with stroke: a single blind randomized controlled trial. European journal of physical and rehabilitation medicine, 54(6), 819-826.

Mehrholz, J., Thomas, S., Kugler, J., Pohl, M., & Elsner, B. (2020). Electromechanical‐assisted training for walking after stroke. Cochrane database of systematic reviews, (10).

Moucheboeuf, G., Griffier, R., Gasq, D., Glize, B., Bouyer, L., Dehail, P., & Cassoudesalle, H. (2020). Effects of robotic gait training after stroke: a meta-analysis. Annals of Physical and Rehabilitation Medicine, 63(6), 518-534.

Neves, M. V. M. Treinamento de marcha assistida por robô na reabilitação de AVC: um estudo piloto (Doctoral dissertation, Universidade de São Paulo).

Ovando, A. C. (2009). Acidente vascular encefálico: comprometimento motor dos membros inferiores e alterações na marcha. Revista Digital, 14(132), 1.

Radanovic, M. (2000). Características do atendimento de pacientes com acidente vascular cerebral em hospital secundário. Arquivos de Neuro-Psiquiatria, 58, 99-106.

Rodrigues, M. S., Fernandes, L., & Galvão, I. M. (2017). Fatores de risco modificáveis e não modificáveis do AVC isquêmico: uma abordagem descritiva. Revista de medicina, 96(3), 187-192.

Rolim, C. L. R. C., & Martins, M. (2011). Qualidade do cuidado ao acidente vascular cerebral isquêmico no SUS. Cadernos de Saúde Pública, 27, 2106-2116.

Ronchi, J. M., de Castro, P. C. G., & dos Santos Moreira, M. C. (2015). Efeitos do treino de marcha com assistência robótica em pacientes pós-acidente vascular encefálico. CEP, 4116, 040.

Santos, C. M. D. C., Pimenta, C. A. D. M., & Nobre, M. R. C (2007). A estratégia PICO para a construção da questão de pesquisa e busca de evidências. Revista latino-americana de enfermagem, 15, 508-511.

Segura, D. D. C. A., Bruschi, F. A., Golin, T. B., Gregol, F., Bianchini, K. M., & Rocha, P. (2008). A evolução da marcha através de uma conduta cinesioterapêutica em pacientes hemiparéticos com sequela de AVE. Arq Ciênc Saúde Unipar, 12(1), 25-33.

Seo, J. S., Yang, H. S., Jung, S., Kang, C. S., Jang, S., & Kim, D. H. (2018). Effect of reducing assistance during robot-assisted gait training on step length asymmetry in patients with hemiplegic stroke: a randomized controlled pilot trial. Medicine, 97(33).

Shumway-cook, A.; Woollacott, M. (2003). Controle Motor: Teoria e Aplicações Prática. 2.ed. Ed. Manole.

Son, C., Lee, A., Lee, J., Kim, D., Kim, S. J., Chun, M. H., & Choi, J. (2021). The effect of pelvic movements of a gait training system for stroke patients: a single blind, randomized, parallel study. Journal of NeuroEngineering and Rehabilitation, 18(1), 1-10.

Souza, M. T. D, Silva, M. D. D., & Carvalho, R. D. (2010). Revisão integrativa: o que é e como fazer. Einstein (São Paulo), 8, 102-106.

Tedla, J. S., Dixit, S., Gular, K., & Abohashrh, M. (2019). Robotic-assisted gait training effect on function and gait speed in subacute and chronic stroke population: a systematic review and meta-analysis of randomized controlled trials. European neurology, 81(3-4), 103-111.

Yeung, L. F., Ockenfeld, C., Pang, M. K., Wai, H. W., Soo, O. Y., Li, S. W., & Tong, K. Y. (2018). Randomized controlled trial of robot-assisted gait training with dorsiflexion assistance on chronic stroke patients wearing ankle-foot-orthosis. Journal of neuroengineering and rehabilitation, 15(1), 1-12.

Published

05/12/2022

How to Cite

MARQUES, D. S. .; VENANCIO, D. B. R. .; SANTOS , L. L. da S. .; PINHO, G. A. Q. de .; MARTINS, T. M. .; LACERDA, K. W. R. .; SILVA, F. J. A. da .; SILVA, M. A. G. de B. .; CAMPOS, F. W. M. .; LEAL, D. E. G. .; NEPOMUCENO, V. M. S. . Effects of robotic-assistance gait training in adults stroke . Research, Society and Development, [S. l.], v. 11, n. 16, p. e120111637890, 2022. DOI: 10.33448/rsd-v11i16.37890. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/37890. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences