Stroke
Conditions
Keywords
stroke, rehabilitation, gait training, robot-assisted therapy
Brief summary
The incidence of stroke in the industrial world is still high. Most of the patients are suffering from paresis of the affected side, speech and cognition problems. Modern concepts of motor learning after stroke favouring a task-specific repetitive high-intensity therapy approach to promote motor outcome. In the last couple of years robot-assisted therapy became an important part of modern rehabilitation after stroke. But so far there is no clear evidence that robot assisted therapy in combination with conventional therapy is more effective than conventional therapy alone to promote motor functions after stroke.
Interventions
conventional therapy means: 50 min individual physiotherapy and 60 min individual occupational therapy per work day (5x per week)for four consecutive weeks
individual physiotherapy +individual occupational therapy+ robotic gait assisted therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Subacute first-time stroke patients(hemorrhage and ischemic) * Age 18-80 years. * Impaired Functional Ambulation Category at initial score 0-2 * Cardiovascular stable * Given signed inform consent
Exclusion criteria
* Unstable general medical condition * Severe malposition or fixed contracture of joint with an extension deficit of more than 30 degree * Any functional impairment prior to stroke * Can not adequately cooperate in training * Severe communication problems * Severe cognitive - perceptual deficits
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional Ambulation Categories (FAC, 0-5) | 4 weeks | Description of ambulation level of the individual patient, whether and if, how much support is needed. |
| Barthel index (BI, 0-100) | 4 weeks | Assesses independence in activity of daily living |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Berg Balance Scale (BBS, 0-56 | 4 weeks | Assesses balance abilities. |
| REPAS -Muscle tone (REPAS, 0-52) | 4 weeks | Sum score to assess muscle tone for the major joints of the upper and lower extremities. |
Countries
Thailand