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| Name | Class |
|---|---|
| Mahidol University | OTHER |
| Charite University, Berlin, Germany | OTHER |
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The incidence of stroke in the industrial world is still high. Most of the patients are suffering from paresis of the affected side, speech and cognition problems. Modern concepts of motor learning after stroke favouring a task-specific repetitive high-intensity therapy approach to promote motor outcome. In the last couple of years robot-assisted therapy became an important part of modern rehabilitation after stroke. But so far there is no clear evidence that robot assisted therapy in combination with conventional therapy is more effective than conventional therapy alone to promote motor functions after stroke.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | Group A = conventional therapy means: 50 min individual physiotherapy and 60 min individual occupational therapy per work day (5x per week)for four consecutive weeks |
|
| Group B | Active Comparator | Group B = conventional therapy plus robot-assisted means: 30 min individual physiotherapy plus 20 min robot-assisted gait training and 60 min individual occupational therapy per work day (5x per week)for four consecutive weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| conventional therapy | Behavioral | conventional therapy means: 50 min individual physiotherapy and 60 min individual occupational therapy per work day (5x per week)for four consecutive weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Functional Ambulation Categories (FAC, 0-5) | Description of ambulation level of the individual patient, whether and if, how much support is needed. | 4 weeks |
| Barthel index (BI, 0-100) | Assesses independence in activity of daily living | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Berg Balance Scale (BBS, 0-56 | Assesses balance abilities. | 4 weeks |
| REPAS -Muscle tone (REPAS, 0-52) | Sum score to assess muscle tone for the major joints of the upper and lower extremities. |
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Inclusion criteria:
Exclusion Criteria:
Unstable general medical condition
Severe malposition or fixed contracture of joint with an extension deficit of more than 30 degree
Any functional impairment prior to stroke
Can not adequately cooperate in training
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| Name | Affiliation | Role |
|---|---|---|
| Ratanapat Chanubol, M.D. | Rehabilitation department, Prasat Neurological Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Prasat Neurological Institute | Bangkok | Bangkok | 10400 | Thailand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19627940 | Result | Schwartz I, Sajin A, Fisher I, Neeb M, Shochina M, Katz-Leurer M, Meiner Z. The effectiveness of locomotor therapy using robotic-assisted gait training in subacute stroke patients: a randomized controlled trial. PM R. 2009 Jun;1(6):516-23. doi: 10.1016/j.pmrj.2009.03.009. | |
| 18467648 | Result | Hornby TG, Campbell DD, Kahn JH, Demott T, Moore JL, Roth HR. Enhanced gait-related improvements after therapist- versus robotic-assisted locomotor training in subjects with chronic stroke: a randomized controlled study. Stroke. 2008 Jun;39(6):1786-92. doi: 10.1161/STROKEAHA.107.504779. Epub 2008 May 8. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| conventional plus robotic gait assisted therapy | Device | individual physiotherapy +individual occupational therapy+ robotic gait assisted therapy |
|
|
| 4 weeks |
| 19109447 | Result | Hidler J, Nichols D, Pelliccio M, Brady K, Campbell DD, Kahn JH, Hornby TG. Multicenter randomized clinical trial evaluating the effectiveness of the Lokomat in subacute stroke. Neurorehabil Neural Repair. 2009 Jan;23(1):5-13. doi: 10.1177/1545968308326632. |
| 17213237 | Result | Pohl M, Werner C, Holzgraefe M, Kroczek G, Mehrholz J, Wingendorf I, Hoolig G, Koch R, Hesse S. Repetitive locomotor training and physiotherapy improve walking and basic activities of daily living after stroke: a single-blind, randomized multicentre trial (DEutsche GAngtrainerStudie, DEGAS). Clin Rehabil. 2007 Jan;21(1):17-27. doi: 10.1177/0269215506071281. |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |