Effects of active upper limb-body-lower limb coordination robot-assisted walking training on muscle activity, joint angle, foot pressure and clinical measurements in chronic stroke patients

Effects of Active Interlimb Coordinated Upper-Trunk-Lower Extremity Robotic Assisted Gait Training on Muscle Activity, Kinematics, Center of Pressure, and Clinical Measurement in Chronic Hemiparetic Stroke

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

CRIS

Registry ID

KCT0009448

Enrollment

Registered

2024-05-17

Start date

2024-03-11

Completion date

Unknown

Last updated

2024-05-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Behavioral : 1. experimental design This study is divided into two groups, the experimental group is trained by the Coordinated Upper-Trunk-Lower Extremity Robotic Assisted Gait Training, and the cont

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Inclusion Criteria - Subjects with a diagnosis of stroke at least 18 months. - Subjects with a functional ambulatory category of 2 to 3. - Able to walk on level ground without a walking aid such as a cane. - Subjects who can fully understand the instructions requested.

Exclusion criteria

Exclusion criteria: Exclusion Criteria - Subjects with cardiorespiratory/metabolic disease or other neurological or orthopedic injuries that may limit movement. - Subjects weighing more than 135 kg (due to the size of the harness and robotic system or weight support). - Subjects with a modified ashworth scale of 2 or greater. - Subjects who have received botulinum toxin for 6 months or less. - Subjects with a mini-mental status examination score of 23 or less.

Design outcomes

Primary

Measure	Time frame
1) Electromyography (EMG) Measures the anterior deltoid, external oblique, rectus femoris, gastrocnemius, tibialis anterior, and wrist extensor. ;2) Motion Analyzer (myomotion) (Noraxonmyomotion, NoraxonInc., AZ, USA) to measure ankle angles and trunk rotation shoulder joint angles. ;3) Insole-type pressure meter (insole) (Noraxon Insole Noraxon inc.. AZ, USA) Measures center of pressure values during gait in both groups. It measures the relative load distribution during balance and bilateral or unilateral exercise application.	—

Measure

Time frame

1) Electromyography (EMG) Measures the anterior deltoid, external oblique, rectus femoris, gastrocnemius, tibialis anterior, and wrist extensor. ;2) Motion Analyzer (myomotion) (Noraxonmyomotion, NoraxonInc., AZ, USA) to measure ankle angles and trunk rotation shoulder joint angles. ;3) Insole-type pressure meter (insole) (Noraxon Insole Noraxon inc.. AZ, USA) Measures center of pressure values during gait in both groups. It measures the relative load distribution during balance and bilateral or unilateral exercise application.

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Secondary

Measure	Time frame
5) Functional ambulatory category (functional ambulatory category) Assesses functional gait level and walking ability;6) trunk impairment scale Assesses motor impairment in static and dynamic sitting balance and interbody movement coordination. ;7) Range of motion (range of joint angles) The smartphone application 'GetMyROM' is used to assess joint angles. ;8) Modified ashworth scale Measures muscle tone by dividing the grade by taking measurements within the range of joint motion (including the end point or range).;9) The Dynamic Gait Index (DGI) This was developed as a clinical tool to assess gait, balance and fall risk. It evaluates not only the usual steady-state walking, but also walking during more challenging tasks.;) fugl meyer assessment (fugl meyer assessment) Assesses sensorimotor function including reflexes, voluntary movement, coordination, balance, sensation, synergy, and joint function	—

Measure

Time frame

5) Functional ambulatory category (functional ambulatory category) Assesses functional gait level and walking ability;6) trunk impairment scale Assesses motor impairment in static and dynamic sitting balance and interbody movement coordination. ;7) Range of motion (range of joint angles) The smartphone application 'GetMyROM' is used to assess joint angles. ;8) Modified ashworth scale Measures muscle tone by dividing the grade by taking measurements within the range of joint motion (including the end point or range).;9) The Dynamic Gait Index (DGI) This was developed as a clinical tool to assess gait, balance and fall risk. It evaluates not only the usual steady-state walking, but also walking during more challenging tasks.;) fugl meyer assessment (fugl meyer assessment) Assesses sensorimotor function including reflexes, voluntary movement, coordination, balance, sensation, synergy, and joint function

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Countries

Korea, Republic of

Contacts

Public ContactJoshua (Sung) You

Yonsei University

neurorehab@yonsei.ac.kr+82-33-760-2957

Outcome results