Overground Robotic Exoskeleton vs Conventional Therapy in Stroke Rehabilitation
Study Overview
This study compares the effectiveness of an overground robotic exoskeleton (ORE) to traditional therapy in helping stroke patients recover mobility. The research was part of the IMOVE program, which included multiple centers and allowed participants to choose between 12 sessions of ORE or standard therapy.
Study Details
Participants included in the study had to meet specific criteria:
- Primary diagnosis of stroke (either ischemic or hemorrhagic).
- Stroke onset within the last 9 months.
- Received treatment during their hospital stay.
The effectiveness was measured using various assessments before and after the therapy sessions, including:
- Functional Ambulatory Category (FAC)
- Rivermead Mobility Index (RMI)
- Functional Independence Measure (FIM)
- Clinical Outcome Variable Scale (COVS)
Key Findings
Out of 149 participants, both groups showed significant improvement in mobility. However, those using the ORE showed:
- Participants with a baseline FAC of 1 had greater improvement in motor skills compared to the control group.
- The ORE group walked nearly three times further than the control group during sessions for those with a baseline FAC of 0 and 1.
For participants with a FAC of 2 to 3, the distance walked was similar between both groups.
Conclusion
The use of ORE in rehabilitation allowed patients with lower mobility to walk longer distances. Those needing continuous assistance showed better improvement in motor skills with ORE compared to conventional therapy.
Trial Registration
This trial is registered on clinicaltrials.gov (NCT05659121).
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