Task-specific ankle robotics gait training after stroke: a randomized pilot study.

Journal: Journal of neuroengineering and rehabilitation
Published Date:

Abstract

BACKGROUND: An unsettled question in the use of robotics for post-stroke gait rehabilitation is whether task-specific locomotor training is more effective than targeting individual joint impairments to improve walking function. The paretic ankle is implicated in gait instability and fall risk, but is difficult to therapeutically isolate and refractory to recovery. We hypothesize that in chronic stroke, treadmill-integrated ankle robotics training is more effective to improve gait function than robotics focused on paretic ankle impairments.

Authors

  • Larry W Forrester
    Maryland Exercise & Robotics Center of Excellence, Veterans Affairs Maryland Health Care System, Geriatrics Research, Education, and Clinical Center, Veterans Affairs Medical Center, Baltimore, MD, USA.
  • Anindo Roy
    Department of Neurology, University of Maryland School of Medicine; University Maryland Rehabilitation & Orthopaedics Institute; Maryland Exercise & Robotics Center of Excellence, Veterans Affairs Maryland Health Care System, Baltimore, MD, USA.
  • Charlene Hafer-Macko
    Department of Neurology, University of Maryland School of Medicine; University Maryland Rehabilitation & Orthopaedics Institute; Maryland Exercise & Robotics Center of Excellence, Veterans Affairs Maryland Health Care System; Geriatrics Research, Education, and Clinical Center, Veterans Affairs Medical Center, Baltimore, MD, USA.
  • Hermano I Krebs
    Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA.
  • Richard F Macko