Electromechanical-assisted gait training after stroke: A systematic review comparing end-effector and exoskeleton devices
DOI:
https://doi.org/10.2340/16501977-0943Keywords:
exercise, walking, rehabilitation.Abstract
Objectives: Although electromechanical-assisted gait training after stroke seems to be effective, in the absence of a direct comparison between electromechanical devices it is not clear which device may be the most effective for recovery of walking. The aim of this study was therefore to compare the effects of different devices used in gait training after stroke. Data sources: We searched the Cochrane Stroke Group Trials Register, CENTRAL, MEDLINE, EMBASE, CINAHL, AMED, SPORTDiscus, PEDro, COMPENDEX and INSPEC. In addition, we hand-searched relevant conference proceedings, trials and research registers, checked reference lists and contacted authors to identify further trials. Study selection: Randomized studies were included. Authors independently selected trials for inclusion, assessed trial quality and extracted the data. Data extraction: Data were extracted with the help of a standardized data extraction form. Data synthesis: Data were pooled for meta-analysis. The primary outcome was the proportion of patients walking independently. Results: We included 18 trials involving 885 patients. We found significantly higher rates of independent walking in end-effector compared with exoskeleton-based training (p = 0. 03). Complication rates in both groups were comparable. Conclusion: The results suggest that the type of electromechanical-assisted device might influence the outcome of gait rehabilitation after stroke.Downloads
Downloads
Published
How to Cite
Issue
Section
License
All digitalized JRM contents is available freely online. The Foundation for Rehabilitation Medicine owns the copyright for all material published until volume 40 (2008), as from volume 41 (2009) authors retain copyright to their work and as from volume 49 (2017) the journal has been published Open Access, under CC-BY-NC licences (unless otherwise specified). The CC-BY-NC licenses allow third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for non-commercial purposes, provided proper attribution to the original work.
From 2024, articles are published under the CC-BY licence. This license permits sharing, adapting, and using the material for any purpose, including commercial use, with the condition of providing full attribution to the original publication.