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Effects of integrating rhythmic arm swing into robot-assisted walking in patients with subacute stroke: a randomized controlled pilot study.

International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation
March 1, 2018
Tae-Woo Kang et al. (4 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether rhythmic arm swing during robot-assisted walking training improves balance, gait, motor function, and daily living activities in subacute stroke patients.

Results Summary

Both groups improved significantly in all measured parameters, but the experimental group (with rhythmic arm swing) showed greater improvements in balance, motor function, and daily living activities compared to the control group (arm fixation).

Population

Twenty patients with subacute stroke.

Effective Dosage

30 training sessions (frequency not specified).

Duration

Duration not explicitly stated, but 30 sessions were conducted.

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
robot-assisted walking training with rhythmic arm swing
increase
all parameters
patients with subacute stroke
-
showed significant improvement
#1
robot-assisted walking training with rhythmic arm swing
increase
Berg balance scale scores
patients with subacute stroke
-
appeared to be significantly higher
#2
robot-assisted walking training with rhythmic arm swing
increase
Fugl-Meyer assessment scores
patients with subacute stroke
-
appeared to be significantly higher
#3
robot-assisted walking training with rhythmic arm swing
increase
modified Barthel index scores
patients with subacute stroke
-
appeared to be significantly higher
#4
robot-assisted walking training with rhythmic arm swing
increase
balance, gait, motor function, and activities of daily living
patients with subacute stroke
-
more favorable effects may be obtained
#5
Abstract

This study aimed to identify the effects of rhythmic arm swing during robot-assisted walking training on balance, gait, motor function, and activities of daily living among patients with subacute stroke. Twenty patients with subacute stroke were recruited, and thereafter randomly allocated to either the experimental group that performed the robot-assisted walking training with rhythmic arm swing, or the control group that performed the training in arm fixation. In total, 30 training sessions were carried out. The outcome measures included the 10-m walk test, Berg balance scale, timed up-and-go test, fall index that was measured using the Tetrax system, motor function test of Fugl-Meyer assessment, and modified Barthel index. The patients of both groups showed significant improvement in all parameters after the intervention (P<0.05). The Berg balance scale, Fugl-Meyer assessment, and modified Barthel index scores at post-test appeared to be significantly higher for the experimental group than for the control group (P<0.05). These findings indicate that more favorable effects from robot-assisted walking training in patients with subacute stroke may be obtained by the use of rhythmic arm swing.

Medical Subject Headings (MeSH)
AgedDisability EvaluationExercise TestFemaleGait Disorders, NeurologicHumansMaleMiddle AgedMovementPilot ProjectsRoboticsStrokeStroke RehabilitationUpper ExtremityWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations5
Citations/Year0.7
Relative Citation Ratio0.43
NIH Percentile23%
Research Impact Scores
APT Score0.25
Weight Score1.85
Normalized Score0.69
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