View source for STROKE-MOBILITY INTERVENTIONS, TASK SPECIFIC ROBOTIC TRAINING

===== [[Summary Article|'''SUMMARY''']] =====
1. Theoretically, are able to provide alternative to labour-intensive therapist-assisted interventions, thus fulfil the principles of high intensity and task specificity.
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<br/>2. Classified as either an <i>end-effector device</i> (i.e. patients are placed on foot plates that stimulate the stance and swing phases of gait) or an <i>exoskeleton device</i> (i.e. patients are outfitted with a programmable device that moves the hips and knees during gait).
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<br/>3. End effector robotics, using body weight support and moving foot plates, has been shown to improve functional ambulation and functional mobility and may help with motor function, ADLs, muscle strength and balance<ref>Mehrholz, J., Thomas, S., &amp; Elsner, B. (2017). Treadmill training and body weight support for walking after stroke. <i>Cochrane Database Syst Rev,</i> 8, Cd002840.</ref><ref>Mehrholz, J., Thomas, S., Werner, C., Kugler, J., Pohl, M., &amp; Elsner, B. (2017). Electromechanical-assisted training for walking after stroke. <i>Cochrane Database Syst Rev,</i> 5, Cd006185.</ref>.
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<br/>4. Exoskeletal systems (e.g. LokoHelp, AutoAmbulator, Walkbot), are similar but do not improve ADLs and functional mobility<ref>Mehrholz, J., Thomas, S., &amp; Elsner, B. (2017). Treadmill training and body weight support for walking after stroke. <i>Cochrane Database Syst Rev,</i> 8, Cd002840.</ref><ref>Mehrholz, J., Thomas, S., Werner, C., Kugler, J., Pohl, M., &amp; Elsner, B. (2017). Electromechanical-assisted training for walking after stroke. <i>Cochrane Database Syst Rev,</i> 5, Cd006185.</ref>.
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<br/>5. They should not be used in place of conventional gait training (Evidence Level A for Early &amp; Late Rehab).
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<br/>[[Image:paste-493066e44fd35c0194ddf600bcc8620033550ac1.jpg]]
<br/>Image: Lokomat exoskeleton dvice


==Reference(s)==
<references />
<br/>Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. [https://amzn.to/3SaP42r Get it on Amazon.]
<br/>Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. [https://amzn.to/417imTk Get it on Amazon.]
<br/>O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. [https://amzn.to/3Kc2MA2 Get it on Amazon.]

[[Category:Stroke]]
[[Category:Rehabilitation]]