Stair climbing up and down is an essential part of everyday's mobility. Physiotherapy is focused on muscle strengthening, real floor walking and stairs climbing tasks, but these methods do not stress in terms of intensity stair-climbing practice. The aims of this study is to compare whether an intensive robot-assisted stair climbing training (RASCT) is more effective than conventional physiotherapy (CP) for improving stair climbing ability, gait and postural control in stroke patients.
Trial design: A pilot randomized (allocation ratio 1:1), single blind clinical trial (RCT) comparing the effects between the experimental \[Robot-Assisted Stair Climbing Training group (RASCT)\] and control group (Conventional Physiotherapy, CP) in improving stair climbing ability and postural control in stroke patients. The examiner will be blind to group assignment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
72
The G-EO Systems can reproduce the gait pattern and realistically simulates the ability to carry out stairs up and stairs down. It provides real-time feedback on the patient's movements with the Visual Scenario and offers the possibility to experience augmented reality further enhance the effectiveness of each therapy session. An intelligent control (G-EO System Evolution) reacts and adapts to each patient's individual capability by either supporting the patient - active assistive mode - or increasing resistance - active mode. The G-EO Systems rehabilitation robot allows to secure the subjects with a harness while they stood on the foot plates of the machine. The foot plates has 3 DoF each, allowing to control the length and the height of the steps and the foot plate angles. The maximum step length corresponded to 550 mm, the maximum achievable height of the steps is 400 mm, the maximum angles is ±90°. The maximum speed of the foot plates is 2,3 km/h.
Overground walking training including real stair climbing up/down and lower limb mobilization and stretching exercises.
University of Verona
Verona, Italy
RECRUITINGUOC Neurorehabilitation
Verona, Italy
RECRUITINGThe time required to climb Up and Down 9 stairs (seconds)
(seconds)
Time frame: 1 day
6-Minute Walking Test evaluates walking endurance.
(meters)
Time frame: 1 day
The 10-Meter Walking Test evaluates gait speed.
(seconds)
Time frame: 1 day
The Berg Balance Scale evaluates standing balance during functional activities.
(score)
Time frame: 1 day
The Timed Up and Go test evaluates person's mobility.
(seconds)
Time frame: 1 day
The Modified Ashworth Scale evaluates muscle spasticity.
(score)
Time frame: 1 day
Fatigue Severity Scale
(score)
Time frame: 1 day
Number of steps performed with the Robot and without.
(number of steps)
Time frame: 1 day
Borg Scale
(score)
Time frame: 1 day
Functional Ambulation Category (FAC);
(score)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 1 day
Dynamic Gait Index (DGI)
(score)
Time frame: 1 day
Barthel Index
(score)
Time frame: 1 day
European Stroke Scale
(score)
Time frame: 1 day
EMG gait
(phases of muscles activation)
Time frame: 1 day
Stabilometric assessment
(center of pressure parameters)
Time frame: 1 day
Blood pressure
mmg
Time frame: 1 day
heart beat
(number per minute)
Time frame: 1 day