Applicability of Robotic Devices, Virtual and Augmented Reality in the Rehabilitation of People With Stroke During Treadmill Training

Applicability of Robotic Devices, Virtual and Augmented Reality in the Rehabilitation of People With Stroke During Treadmill Training

• Objective assessment of clinical symptoms, mobility and quality of life changes resulting from stroke and determination of changes resulting from therapies.
• Assessment of the rehabilitation effectiveness of traditional high intensity training.
• Assessment of the rehabilitation effectiveness of gait training performed on a treadmill with a robot-assisted soft-exoskeleton.
• Assessment of the rehabilitation effectiveness of treadmill training supplemented with virtual and augmented reality.
• Determination of the joint application possibilities of robot-assisted and virtual and augmented reality treadmill training in order to further increase the effectiveness.
• Comparison of the effectiveness of different trainings.
• Mapping of changes in gait patterns due to therapies using 3D motion analysis.
• Mapping of changes in postural stability due to therapies using posturography.

Inclusion Criteria:

• has had a first ischemic stroke diagnosed by a neurologist based on CT or MRI;
• neurological examination shows mobility and postural limitations;
• mRS score of 2 or higher;

Exclusion Criteria:

• multiple strokes in the medical history;
• systolic blood pressure less than 120 or greater than 160 mmHg;
• orthostatic hypotension;
• carotid artery stenosis;
• severe heart disease;
• hemophilia;
• traumatic brain injury;
• seizure disorder; untreated diabetes;
• abnormal electroencephalography;
• Mini Mental Test score < 22;
• abnormal blood panel;
• use of sedatives; irregular medication;
• severe aphasia (Western Aphasia Battery ≤ 25);
• severe vision or hearing impairment;
• severe sensory dysfunction;
• severe orthopedic problem;
• other neurological condition affecting motor function;
• alcoholism;
• drug use;
• smoking after stroke diagnosis;
• inability to walk at least 100 m with or without assistive devices in 6 minutes;
• BBS score ≤ 32;
• BI score ≤ 70;
• inability to understand verbal instructions or signals on a television screen;
• current participation in an individual or group exercise program outside of standard physiotherapy;