Robot-Assisted Stair Climbing Training on Postural Control and Sensory Integration Processes in Chronic Post-stroke Patients: A Randomized Controlled Clinical Trial
BackgroundPostural control disturbances are one of the important causes of disability in stroke patients affecting balance and mobility. The impairment of sensory input integration from visual, somatosensory and vestibular systems contributes to postural control disorders in post-stroke patients. Ro...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Marialuisa Gandolfi [verfasserIn] Nicola Valè [verfasserIn] Eleonora Dimitrova [verfasserIn] Maria Elisabetta Zanolin [verfasserIn] Nicola Mattiuz [verfasserIn] Elisa Battistuzzi [verfasserIn] Marcello Beccari [verfasserIn] Christian Geroin [verfasserIn] Alessandro Picelli [verfasserIn] Andreas Waldner [verfasserIn] Nicola Smania [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2019 |
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| Übergeordnetes Werk: |
In: Frontiers in Neuroscience - Frontiers Media S.A., 2008, 13(2019) |
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| Übergeordnetes Werk: |
volume:13 ; year:2019 |
| Links: |
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| DOI / URN: |
10.3389/fnins.2019.01143 |
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| Katalog-ID: |
DOAJ007022972 |
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| 520 | |a BackgroundPostural control disturbances are one of the important causes of disability in stroke patients affecting balance and mobility. The impairment of sensory input integration from visual, somatosensory and vestibular systems contributes to postural control disorders in post-stroke patients. Robot-assisted gait training may be considered a valuable tool in improving gait and postural control abnormalities.ObjectiveThe primary aim of the study was to compare the effects of robot-assisted stair climbing training against sensory integration balance training on static and dynamic balance in chronic stroke patients. The secondary aims were to compare the training effects on sensory integration processes and mobility.MethodsThis single-blind, randomized, controlled trial involved 32 chronic stroke outpatients with postural instability. The experimental group (EG, n = 16) received robot-assisted stair climbing training. The control group (n = 16) received sensory integration balance training. Training protocols lasted for 5 weeks (50 min/session, two sessions/week). Before, after, and at 1-month follow-up, a blinded rater evaluated patients using a comprehensive test battery. Primary outcome: Berg Balance Scale (BBS). Secondary outcomes:10-meter walking test, 6-min walking test, Dynamic gait index (DGI), stair climbing test (SCT) up and down, the Time Up and Go, and length of sway and sway area of the Center of Pressure (CoP) assessed using the stabilometric assessment.ResultsThere was a non-significant main effect of group on primary and secondary outcomes. A significant Time × Group interaction was measured on 6-min walking test (p = 0.013) and on posturographic outcomes (p = 0.005). Post hoc within-group analysis showed only in the EG a significant reduction of sway area and the CoP length on compliant surface in the eyes-closed and dome conditions.ConclusionPostural control disorders in patients with chronic stroke may be ameliorated by robot-assisted stair climbing training and sensory integration balance training. The robot-assisted stair climbing training contributed to improving sensorimotor integration processes on compliant surfaces. Clinical trial registration (NCT03566901). | ||
| 650 | 4 | |a sensory feedback | |
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10.3389/fnins.2019.01143 doi (DE-627)DOAJ007022972 (DE-599)DOAJ31f507d9cfff43c2bccc0e84ffa26210 DE-627 ger DE-627 rakwb eng RC321-571 Marialuisa Gandolfi verfasserin aut Robot-Assisted Stair Climbing Training on Postural Control and Sensory Integration Processes in Chronic Post-stroke Patients: A Randomized Controlled Clinical Trial 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundPostural control disturbances are one of the important causes of disability in stroke patients affecting balance and mobility. The impairment of sensory input integration from visual, somatosensory and vestibular systems contributes to postural control disorders in post-stroke patients. Robot-assisted gait training may be considered a valuable tool in improving gait and postural control abnormalities.ObjectiveThe primary aim of the study was to compare the effects of robot-assisted stair climbing training against sensory integration balance training on static and dynamic balance in chronic stroke patients. The secondary aims were to compare the training effects on sensory integration processes and mobility.MethodsThis single-blind, randomized, controlled trial involved 32 chronic stroke outpatients with postural instability. The experimental group (EG, n = 16) received robot-assisted stair climbing training. The control group (n = 16) received sensory integration balance training. Training protocols lasted for 5 weeks (50 min/session, two sessions/week). Before, after, and at 1-month follow-up, a blinded rater evaluated patients using a comprehensive test battery. Primary outcome: Berg Balance Scale (BBS). Secondary outcomes:10-meter walking test, 6-min walking test, Dynamic gait index (DGI), stair climbing test (SCT) up and down, the Time Up and Go, and length of sway and sway area of the Center of Pressure (CoP) assessed using the stabilometric assessment.ResultsThere was a non-significant main effect of group on primary and secondary outcomes. A significant Time × Group interaction was measured on 6-min walking test (p = 0.013) and on posturographic outcomes (p = 0.005). Post hoc within-group analysis showed only in the EG a significant reduction of sway area and the CoP length on compliant surface in the eyes-closed and dome conditions.ConclusionPostural control disorders in patients with chronic stroke may be ameliorated by robot-assisted stair climbing training and sensory integration balance training. The robot-assisted stair climbing training contributed to improving sensorimotor integration processes on compliant surfaces. Clinical trial registration (NCT03566901). sensory feedback proprioception postural balance motor skill disorders sensory function Neurosciences. Biological psychiatry. Neuropsychiatry Marialuisa Gandolfi verfasserin aut Nicola Valè verfasserin aut Nicola Valè verfasserin aut Eleonora Dimitrova verfasserin aut Eleonora Dimitrova verfasserin aut Maria Elisabetta Zanolin verfasserin aut Nicola Mattiuz verfasserin aut Nicola Mattiuz verfasserin aut Elisa Battistuzzi verfasserin aut Elisa Battistuzzi verfasserin aut Marcello Beccari verfasserin aut Marcello Beccari verfasserin aut Christian Geroin verfasserin aut Alessandro Picelli verfasserin aut Alessandro Picelli verfasserin aut Andreas Waldner verfasserin aut Nicola Smania verfasserin aut Nicola Smania verfasserin aut In Frontiers in Neuroscience Frontiers Media S.A., 2008 13(2019) (DE-627)55908109X (DE-600)2411902-7 1662453X nnns volume:13 year:2019 https://doi.org/10.3389/fnins.2019.01143 kostenfrei https://doaj.org/article/31f507d9cfff43c2bccc0e84ffa26210 kostenfrei https://www.frontiersin.org/article/10.3389/fnins.2019.01143/full kostenfrei https://doaj.org/toc/1662-453X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 |
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10.3389/fnins.2019.01143 doi (DE-627)DOAJ007022972 (DE-599)DOAJ31f507d9cfff43c2bccc0e84ffa26210 DE-627 ger DE-627 rakwb eng RC321-571 Marialuisa Gandolfi verfasserin aut Robot-Assisted Stair Climbing Training on Postural Control and Sensory Integration Processes in Chronic Post-stroke Patients: A Randomized Controlled Clinical Trial 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundPostural control disturbances are one of the important causes of disability in stroke patients affecting balance and mobility. The impairment of sensory input integration from visual, somatosensory and vestibular systems contributes to postural control disorders in post-stroke patients. Robot-assisted gait training may be considered a valuable tool in improving gait and postural control abnormalities.ObjectiveThe primary aim of the study was to compare the effects of robot-assisted stair climbing training against sensory integration balance training on static and dynamic balance in chronic stroke patients. The secondary aims were to compare the training effects on sensory integration processes and mobility.MethodsThis single-blind, randomized, controlled trial involved 32 chronic stroke outpatients with postural instability. The experimental group (EG, n = 16) received robot-assisted stair climbing training. The control group (n = 16) received sensory integration balance training. Training protocols lasted for 5 weeks (50 min/session, two sessions/week). Before, after, and at 1-month follow-up, a blinded rater evaluated patients using a comprehensive test battery. Primary outcome: Berg Balance Scale (BBS). Secondary outcomes:10-meter walking test, 6-min walking test, Dynamic gait index (DGI), stair climbing test (SCT) up and down, the Time Up and Go, and length of sway and sway area of the Center of Pressure (CoP) assessed using the stabilometric assessment.ResultsThere was a non-significant main effect of group on primary and secondary outcomes. A significant Time × Group interaction was measured on 6-min walking test (p = 0.013) and on posturographic outcomes (p = 0.005). Post hoc within-group analysis showed only in the EG a significant reduction of sway area and the CoP length on compliant surface in the eyes-closed and dome conditions.ConclusionPostural control disorders in patients with chronic stroke may be ameliorated by robot-assisted stair climbing training and sensory integration balance training. The robot-assisted stair climbing training contributed to improving sensorimotor integration processes on compliant surfaces. Clinical trial registration (NCT03566901). sensory feedback proprioception postural balance motor skill disorders sensory function Neurosciences. Biological psychiatry. Neuropsychiatry Marialuisa Gandolfi verfasserin aut Nicola Valè verfasserin aut Nicola Valè verfasserin aut Eleonora Dimitrova verfasserin aut Eleonora Dimitrova verfasserin aut Maria Elisabetta Zanolin verfasserin aut Nicola Mattiuz verfasserin aut Nicola Mattiuz verfasserin aut Elisa Battistuzzi verfasserin aut Elisa Battistuzzi verfasserin aut Marcello Beccari verfasserin aut Marcello Beccari verfasserin aut Christian Geroin verfasserin aut Alessandro Picelli verfasserin aut Alessandro Picelli verfasserin aut Andreas Waldner verfasserin aut Nicola Smania verfasserin aut Nicola Smania verfasserin aut In Frontiers in Neuroscience Frontiers Media S.A., 2008 13(2019) (DE-627)55908109X (DE-600)2411902-7 1662453X nnns volume:13 year:2019 https://doi.org/10.3389/fnins.2019.01143 kostenfrei https://doaj.org/article/31f507d9cfff43c2bccc0e84ffa26210 kostenfrei https://www.frontiersin.org/article/10.3389/fnins.2019.01143/full kostenfrei https://doaj.org/toc/1662-453X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 |
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10.3389/fnins.2019.01143 doi (DE-627)DOAJ007022972 (DE-599)DOAJ31f507d9cfff43c2bccc0e84ffa26210 DE-627 ger DE-627 rakwb eng RC321-571 Marialuisa Gandolfi verfasserin aut Robot-Assisted Stair Climbing Training on Postural Control and Sensory Integration Processes in Chronic Post-stroke Patients: A Randomized Controlled Clinical Trial 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundPostural control disturbances are one of the important causes of disability in stroke patients affecting balance and mobility. The impairment of sensory input integration from visual, somatosensory and vestibular systems contributes to postural control disorders in post-stroke patients. Robot-assisted gait training may be considered a valuable tool in improving gait and postural control abnormalities.ObjectiveThe primary aim of the study was to compare the effects of robot-assisted stair climbing training against sensory integration balance training on static and dynamic balance in chronic stroke patients. The secondary aims were to compare the training effects on sensory integration processes and mobility.MethodsThis single-blind, randomized, controlled trial involved 32 chronic stroke outpatients with postural instability. The experimental group (EG, n = 16) received robot-assisted stair climbing training. The control group (n = 16) received sensory integration balance training. Training protocols lasted for 5 weeks (50 min/session, two sessions/week). Before, after, and at 1-month follow-up, a blinded rater evaluated patients using a comprehensive test battery. Primary outcome: Berg Balance Scale (BBS). Secondary outcomes:10-meter walking test, 6-min walking test, Dynamic gait index (DGI), stair climbing test (SCT) up and down, the Time Up and Go, and length of sway and sway area of the Center of Pressure (CoP) assessed using the stabilometric assessment.ResultsThere was a non-significant main effect of group on primary and secondary outcomes. A significant Time × Group interaction was measured on 6-min walking test (p = 0.013) and on posturographic outcomes (p = 0.005). Post hoc within-group analysis showed only in the EG a significant reduction of sway area and the CoP length on compliant surface in the eyes-closed and dome conditions.ConclusionPostural control disorders in patients with chronic stroke may be ameliorated by robot-assisted stair climbing training and sensory integration balance training. The robot-assisted stair climbing training contributed to improving sensorimotor integration processes on compliant surfaces. Clinical trial registration (NCT03566901). sensory feedback proprioception postural balance motor skill disorders sensory function Neurosciences. Biological psychiatry. Neuropsychiatry Marialuisa Gandolfi verfasserin aut Nicola Valè verfasserin aut Nicola Valè verfasserin aut Eleonora Dimitrova verfasserin aut Eleonora Dimitrova verfasserin aut Maria Elisabetta Zanolin verfasserin aut Nicola Mattiuz verfasserin aut Nicola Mattiuz verfasserin aut Elisa Battistuzzi verfasserin aut Elisa Battistuzzi verfasserin aut Marcello Beccari verfasserin aut Marcello Beccari verfasserin aut Christian Geroin verfasserin aut Alessandro Picelli verfasserin aut Alessandro Picelli verfasserin aut Andreas Waldner verfasserin aut Nicola Smania verfasserin aut Nicola Smania verfasserin aut In Frontiers in Neuroscience Frontiers Media S.A., 2008 13(2019) (DE-627)55908109X (DE-600)2411902-7 1662453X nnns volume:13 year:2019 https://doi.org/10.3389/fnins.2019.01143 kostenfrei https://doaj.org/article/31f507d9cfff43c2bccc0e84ffa26210 kostenfrei https://www.frontiersin.org/article/10.3389/fnins.2019.01143/full kostenfrei https://doaj.org/toc/1662-453X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 |
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10.3389/fnins.2019.01143 doi (DE-627)DOAJ007022972 (DE-599)DOAJ31f507d9cfff43c2bccc0e84ffa26210 DE-627 ger DE-627 rakwb eng RC321-571 Marialuisa Gandolfi verfasserin aut Robot-Assisted Stair Climbing Training on Postural Control and Sensory Integration Processes in Chronic Post-stroke Patients: A Randomized Controlled Clinical Trial 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundPostural control disturbances are one of the important causes of disability in stroke patients affecting balance and mobility. The impairment of sensory input integration from visual, somatosensory and vestibular systems contributes to postural control disorders in post-stroke patients. Robot-assisted gait training may be considered a valuable tool in improving gait and postural control abnormalities.ObjectiveThe primary aim of the study was to compare the effects of robot-assisted stair climbing training against sensory integration balance training on static and dynamic balance in chronic stroke patients. The secondary aims were to compare the training effects on sensory integration processes and mobility.MethodsThis single-blind, randomized, controlled trial involved 32 chronic stroke outpatients with postural instability. The experimental group (EG, n = 16) received robot-assisted stair climbing training. The control group (n = 16) received sensory integration balance training. Training protocols lasted for 5 weeks (50 min/session, two sessions/week). Before, after, and at 1-month follow-up, a blinded rater evaluated patients using a comprehensive test battery. Primary outcome: Berg Balance Scale (BBS). Secondary outcomes:10-meter walking test, 6-min walking test, Dynamic gait index (DGI), stair climbing test (SCT) up and down, the Time Up and Go, and length of sway and sway area of the Center of Pressure (CoP) assessed using the stabilometric assessment.ResultsThere was a non-significant main effect of group on primary and secondary outcomes. A significant Time × Group interaction was measured on 6-min walking test (p = 0.013) and on posturographic outcomes (p = 0.005). Post hoc within-group analysis showed only in the EG a significant reduction of sway area and the CoP length on compliant surface in the eyes-closed and dome conditions.ConclusionPostural control disorders in patients with chronic stroke may be ameliorated by robot-assisted stair climbing training and sensory integration balance training. The robot-assisted stair climbing training contributed to improving sensorimotor integration processes on compliant surfaces. Clinical trial registration (NCT03566901). sensory feedback proprioception postural balance motor skill disorders sensory function Neurosciences. Biological psychiatry. Neuropsychiatry Marialuisa Gandolfi verfasserin aut Nicola Valè verfasserin aut Nicola Valè verfasserin aut Eleonora Dimitrova verfasserin aut Eleonora Dimitrova verfasserin aut Maria Elisabetta Zanolin verfasserin aut Nicola Mattiuz verfasserin aut Nicola Mattiuz verfasserin aut Elisa Battistuzzi verfasserin aut Elisa Battistuzzi verfasserin aut Marcello Beccari verfasserin aut Marcello Beccari verfasserin aut Christian Geroin verfasserin aut Alessandro Picelli verfasserin aut Alessandro Picelli verfasserin aut Andreas Waldner verfasserin aut Nicola Smania verfasserin aut Nicola Smania verfasserin aut In Frontiers in Neuroscience Frontiers Media S.A., 2008 13(2019) (DE-627)55908109X (DE-600)2411902-7 1662453X nnns volume:13 year:2019 https://doi.org/10.3389/fnins.2019.01143 kostenfrei https://doaj.org/article/31f507d9cfff43c2bccc0e84ffa26210 kostenfrei https://www.frontiersin.org/article/10.3389/fnins.2019.01143/full kostenfrei https://doaj.org/toc/1662-453X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 |
| allfieldsSound |
10.3389/fnins.2019.01143 doi (DE-627)DOAJ007022972 (DE-599)DOAJ31f507d9cfff43c2bccc0e84ffa26210 DE-627 ger DE-627 rakwb eng RC321-571 Marialuisa Gandolfi verfasserin aut Robot-Assisted Stair Climbing Training on Postural Control and Sensory Integration Processes in Chronic Post-stroke Patients: A Randomized Controlled Clinical Trial 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundPostural control disturbances are one of the important causes of disability in stroke patients affecting balance and mobility. The impairment of sensory input integration from visual, somatosensory and vestibular systems contributes to postural control disorders in post-stroke patients. Robot-assisted gait training may be considered a valuable tool in improving gait and postural control abnormalities.ObjectiveThe primary aim of the study was to compare the effects of robot-assisted stair climbing training against sensory integration balance training on static and dynamic balance in chronic stroke patients. The secondary aims were to compare the training effects on sensory integration processes and mobility.MethodsThis single-blind, randomized, controlled trial involved 32 chronic stroke outpatients with postural instability. The experimental group (EG, n = 16) received robot-assisted stair climbing training. The control group (n = 16) received sensory integration balance training. Training protocols lasted for 5 weeks (50 min/session, two sessions/week). Before, after, and at 1-month follow-up, a blinded rater evaluated patients using a comprehensive test battery. Primary outcome: Berg Balance Scale (BBS). Secondary outcomes:10-meter walking test, 6-min walking test, Dynamic gait index (DGI), stair climbing test (SCT) up and down, the Time Up and Go, and length of sway and sway area of the Center of Pressure (CoP) assessed using the stabilometric assessment.ResultsThere was a non-significant main effect of group on primary and secondary outcomes. A significant Time × Group interaction was measured on 6-min walking test (p = 0.013) and on posturographic outcomes (p = 0.005). Post hoc within-group analysis showed only in the EG a significant reduction of sway area and the CoP length on compliant surface in the eyes-closed and dome conditions.ConclusionPostural control disorders in patients with chronic stroke may be ameliorated by robot-assisted stair climbing training and sensory integration balance training. The robot-assisted stair climbing training contributed to improving sensorimotor integration processes on compliant surfaces. Clinical trial registration (NCT03566901). sensory feedback proprioception postural balance motor skill disorders sensory function Neurosciences. Biological psychiatry. Neuropsychiatry Marialuisa Gandolfi verfasserin aut Nicola Valè verfasserin aut Nicola Valè verfasserin aut Eleonora Dimitrova verfasserin aut Eleonora Dimitrova verfasserin aut Maria Elisabetta Zanolin verfasserin aut Nicola Mattiuz verfasserin aut Nicola Mattiuz verfasserin aut Elisa Battistuzzi verfasserin aut Elisa Battistuzzi verfasserin aut Marcello Beccari verfasserin aut Marcello Beccari verfasserin aut Christian Geroin verfasserin aut Alessandro Picelli verfasserin aut Alessandro Picelli verfasserin aut Andreas Waldner verfasserin aut Nicola Smania verfasserin aut Nicola Smania verfasserin aut In Frontiers in Neuroscience Frontiers Media S.A., 2008 13(2019) (DE-627)55908109X (DE-600)2411902-7 1662453X nnns volume:13 year:2019 https://doi.org/10.3389/fnins.2019.01143 kostenfrei https://doaj.org/article/31f507d9cfff43c2bccc0e84ffa26210 kostenfrei https://www.frontiersin.org/article/10.3389/fnins.2019.01143/full kostenfrei https://doaj.org/toc/1662-453X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2019 |
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Marialuisa Gandolfi @@aut@@ Nicola Valè @@aut@@ Eleonora Dimitrova @@aut@@ Maria Elisabetta Zanolin @@aut@@ Nicola Mattiuz @@aut@@ Elisa Battistuzzi @@aut@@ Marcello Beccari @@aut@@ Christian Geroin @@aut@@ Alessandro Picelli @@aut@@ Andreas Waldner @@aut@@ Nicola Smania @@aut@@ |
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RC321-571 Robot-Assisted Stair Climbing Training on Postural Control and Sensory Integration Processes in Chronic Post-stroke Patients: A Randomized Controlled Clinical Trial sensory feedback proprioception postural balance motor skill disorders sensory function |
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Robot-Assisted Stair Climbing Training on Postural Control and Sensory Integration Processes in Chronic Post-stroke Patients: A Randomized Controlled Clinical Trial |
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Marialuisa Gandolfi Nicola Valè Eleonora Dimitrova Maria Elisabetta Zanolin Nicola Mattiuz Elisa Battistuzzi Marcello Beccari Christian Geroin Alessandro Picelli Andreas Waldner Nicola Smania |
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robot-assisted stair climbing training on postural control and sensory integration processes in chronic post-stroke patients: a randomized controlled clinical trial |
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Robot-Assisted Stair Climbing Training on Postural Control and Sensory Integration Processes in Chronic Post-stroke Patients: A Randomized Controlled Clinical Trial |
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BackgroundPostural control disturbances are one of the important causes of disability in stroke patients affecting balance and mobility. The impairment of sensory input integration from visual, somatosensory and vestibular systems contributes to postural control disorders in post-stroke patients. Robot-assisted gait training may be considered a valuable tool in improving gait and postural control abnormalities.ObjectiveThe primary aim of the study was to compare the effects of robot-assisted stair climbing training against sensory integration balance training on static and dynamic balance in chronic stroke patients. The secondary aims were to compare the training effects on sensory integration processes and mobility.MethodsThis single-blind, randomized, controlled trial involved 32 chronic stroke outpatients with postural instability. The experimental group (EG, n = 16) received robot-assisted stair climbing training. The control group (n = 16) received sensory integration balance training. Training protocols lasted for 5 weeks (50 min/session, two sessions/week). Before, after, and at 1-month follow-up, a blinded rater evaluated patients using a comprehensive test battery. Primary outcome: Berg Balance Scale (BBS). Secondary outcomes:10-meter walking test, 6-min walking test, Dynamic gait index (DGI), stair climbing test (SCT) up and down, the Time Up and Go, and length of sway and sway area of the Center of Pressure (CoP) assessed using the stabilometric assessment.ResultsThere was a non-significant main effect of group on primary and secondary outcomes. A significant Time × Group interaction was measured on 6-min walking test (p = 0.013) and on posturographic outcomes (p = 0.005). Post hoc within-group analysis showed only in the EG a significant reduction of sway area and the CoP length on compliant surface in the eyes-closed and dome conditions.ConclusionPostural control disorders in patients with chronic stroke may be ameliorated by robot-assisted stair climbing training and sensory integration balance training. The robot-assisted stair climbing training contributed to improving sensorimotor integration processes on compliant surfaces. Clinical trial registration (NCT03566901). |
| abstractGer |
BackgroundPostural control disturbances are one of the important causes of disability in stroke patients affecting balance and mobility. The impairment of sensory input integration from visual, somatosensory and vestibular systems contributes to postural control disorders in post-stroke patients. Robot-assisted gait training may be considered a valuable tool in improving gait and postural control abnormalities.ObjectiveThe primary aim of the study was to compare the effects of robot-assisted stair climbing training against sensory integration balance training on static and dynamic balance in chronic stroke patients. The secondary aims were to compare the training effects on sensory integration processes and mobility.MethodsThis single-blind, randomized, controlled trial involved 32 chronic stroke outpatients with postural instability. The experimental group (EG, n = 16) received robot-assisted stair climbing training. The control group (n = 16) received sensory integration balance training. Training protocols lasted for 5 weeks (50 min/session, two sessions/week). Before, after, and at 1-month follow-up, a blinded rater evaluated patients using a comprehensive test battery. Primary outcome: Berg Balance Scale (BBS). Secondary outcomes:10-meter walking test, 6-min walking test, Dynamic gait index (DGI), stair climbing test (SCT) up and down, the Time Up and Go, and length of sway and sway area of the Center of Pressure (CoP) assessed using the stabilometric assessment.ResultsThere was a non-significant main effect of group on primary and secondary outcomes. A significant Time × Group interaction was measured on 6-min walking test (p = 0.013) and on posturographic outcomes (p = 0.005). Post hoc within-group analysis showed only in the EG a significant reduction of sway area and the CoP length on compliant surface in the eyes-closed and dome conditions.ConclusionPostural control disorders in patients with chronic stroke may be ameliorated by robot-assisted stair climbing training and sensory integration balance training. The robot-assisted stair climbing training contributed to improving sensorimotor integration processes on compliant surfaces. Clinical trial registration (NCT03566901). |
| abstract_unstemmed |
BackgroundPostural control disturbances are one of the important causes of disability in stroke patients affecting balance and mobility. The impairment of sensory input integration from visual, somatosensory and vestibular systems contributes to postural control disorders in post-stroke patients. Robot-assisted gait training may be considered a valuable tool in improving gait and postural control abnormalities.ObjectiveThe primary aim of the study was to compare the effects of robot-assisted stair climbing training against sensory integration balance training on static and dynamic balance in chronic stroke patients. The secondary aims were to compare the training effects on sensory integration processes and mobility.MethodsThis single-blind, randomized, controlled trial involved 32 chronic stroke outpatients with postural instability. The experimental group (EG, n = 16) received robot-assisted stair climbing training. The control group (n = 16) received sensory integration balance training. Training protocols lasted for 5 weeks (50 min/session, two sessions/week). Before, after, and at 1-month follow-up, a blinded rater evaluated patients using a comprehensive test battery. Primary outcome: Berg Balance Scale (BBS). Secondary outcomes:10-meter walking test, 6-min walking test, Dynamic gait index (DGI), stair climbing test (SCT) up and down, the Time Up and Go, and length of sway and sway area of the Center of Pressure (CoP) assessed using the stabilometric assessment.ResultsThere was a non-significant main effect of group on primary and secondary outcomes. A significant Time × Group interaction was measured on 6-min walking test (p = 0.013) and on posturographic outcomes (p = 0.005). Post hoc within-group analysis showed only in the EG a significant reduction of sway area and the CoP length on compliant surface in the eyes-closed and dome conditions.ConclusionPostural control disorders in patients with chronic stroke may be ameliorated by robot-assisted stair climbing training and sensory integration balance training. The robot-assisted stair climbing training contributed to improving sensorimotor integration processes on compliant surfaces. Clinical trial registration (NCT03566901). |
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Robot-Assisted Stair Climbing Training on Postural Control and Sensory Integration Processes in Chronic Post-stroke Patients: A Randomized Controlled Clinical Trial |
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