Effect of gait rehabilitation with a footpad-type locomotion interface on gait ability in subacute stroke patients

NeuroRehabilitation. 2022;50(4):401-407. doi: 10.3233/NRE-210317.

Abstract

Background: Gait rehabilitation using a footpad-type locomotion interface has been reported as effective in improving gait ability in chronic stroke patients. However, the effect on subacute stroke patients is unknown.

Objective: To compare the effect of gait rehabilitation using a footpad-type locomotion interface (Gait Training with Locomotion Interface group; GTLI group) with conventional gait rehabilitation (control group) in subacute stroke patients.

Methods: Twenty-one stroke patients (GTLI group: n = 13, control group: n = 8) participated in the study. All participants received gait rehabilitation using the footpad-type locomotion interface or conventional gait rehabilitation for 20 minutes x 20 sessions. Outcome measures were functional ambulation Category (FAC), gait speed, gait endurance and lower muscle strength. Measures were taken at baseline and 1, 2, 3 and 4 weeks.

Result: The GTLI group significantly improved gait speed and gait endurance compared with the control group. However, FAC and lower limb muscle strength were not significantly different.

Conclusions: The results suggest that gait rehabilitation using the footpad-type locomotion interface can improve gait ability better than conventional gait rehabilitation.

Keywords: Robotics; footpad-type locomotion interface; gait rehabilitation; subacute stroke.

MeSH terms

  • Gait / physiology
  • Gait Disorders, Neurologic*
  • Humans
  • Locomotion / physiology
  • Lower Extremity
  • Robotics* / methods
  • Stroke Rehabilitation* / methods
  • Stroke* / complications
  • Treatment Outcome