Walking Therapy In Hemiparetic Stroke Patients Using Robotic-Assisted Treadmill Training
| Status: | Recruiting |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/2/2016 |
| Start Date: | November 2002 |
| Contact: | Cheryl M Lacsamana, BBE |
| Email: | cheryl.lacsamana@medstar.net |
| Phone: | (202)877-1889 |
Gait Restoration In Hemiparetic Stroke Patients Using Goal-Directed, Robotic-Assisted, Treadmill Training
The overall goal of this study is to determine whether robotic-assisted gait training is
better than standard physical therapy treatments for improving walking ability in
hemiparetic stroke patients.
better than standard physical therapy treatments for improving walking ability in
hemiparetic stroke patients.
Subjects enrolled into the study will be randomly assigned to one of 2 groups. The first
group will receive one hour of conventional gait training, consisting of lower extremity
strengthening exercises, stretching, and full weight bearing walking as tolerated, with
appropriate physical assistance from a therapist. The second group will receive walking
therapy using a Lokomat, which is a special treadmill that works in conjunction with 2
light-weight robotic arms that assists the subject to move their legs while they try to walk
on the treadmill. Some of the subject’s body-weight will be supported using a harness.
During Lokomat training sessions, subjects will receive feedback of their walking
performance on a computer monitor to help them walk. Both groups will be trained for 8-10
weeks, 3 times per week, for 1 hour training sessions (24 total sessions). Resources for
transportation to the National Rehabilitation Hospital will be provided to all study
participants.
group will receive one hour of conventional gait training, consisting of lower extremity
strengthening exercises, stretching, and full weight bearing walking as tolerated, with
appropriate physical assistance from a therapist. The second group will receive walking
therapy using a Lokomat, which is a special treadmill that works in conjunction with 2
light-weight robotic arms that assists the subject to move their legs while they try to walk
on the treadmill. Some of the subject’s body-weight will be supported using a harness.
During Lokomat training sessions, subjects will receive feedback of their walking
performance on a computer monitor to help them walk. Both groups will be trained for 8-10
weeks, 3 times per week, for 1 hour training sessions (24 total sessions). Resources for
transportation to the National Rehabilitation Hospital will be provided to all study
participants.
Inclusion:
- Unilateral brain lesion.
- Within 6 months post-stroke.
- Receiving no other therapy targeting function of lower limb.
- Demonstration of hemiparesis (motor dysfunction in lower limb).
- Able to walk 5 meters without therapist assistance (walking device only).
- Able to follow commands and protocol.
Exclusion:
- Significant cognitive or communication impairments.
- Uncontrolled hypertension.
- Uncontrolled diabetes.
- Clinical depression.
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