Stroke robotic gait training quality Assist-as-needed CVA robot looptraining kwaliteit ondersteuning-naar-behoefte
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - adults (> 18 years of age) with a first-ever unilateral ischemic or haemorrhagic supratentorial stroke - time since stroke between 4 and 6 weeks - a Functional Ambulation Category (FAC) 3 or larger (walking with or without supervision or walking aid) - impaired quality of gait related to one of the five possible training goals (efficiency, stability in stance, foot clearance, foot prepositioning and step length) - stable cardiopulmonary and general medical condition - Mini Mental State Examination > 22 - Sufficient communication ability (Utrechts Communicatie Onderzoek > 2) - Signed informed consent
Exclusion criteria
Exclusion criteria: - Insufficient mastery of the Dutch language - Serious orthopaedic disorders interfering with gait - Other neurological disorders or interfering disorders - Depressed mood (Hospital Anxiety and Depression Scale > 7) - No independent ambulation prior to stroke - Chronic (joint) pain - Severe spasticity interfering with robotic support - Inappropriate or unsafe fit of the robotic trainer due to extreme body size (bodyweight > 140 kg) and/or joint contractures - Skin lesions and/or pressure ulcers in areas where the support harness or LOPES II straps are to be fitted
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Quality of gait pattern in terms of symmetry in kinematics and mechanical work - Individual goals gait: > Efficiency: Mechanical work derived from COM displacement and movement of body segments. > Stability in Stance: knee and hip angles during single stance, step width and single stance symmetry > Foot clearance: peak hip, knee and foot angles during swing phase, minimal foot clearance during swing phase > Foot prepositioning: peak knee extension and ankle dorsiflexion angles in terminal swing > Step length: step length and step length symmetry | — |
Secondary
| Measure | Time frame |
|---|---|
| - Leg motor function - Walking ability - Patient’s experience about training in LOPES II | — |
Contacts
Roessinghsbleekweg 33b