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Faulkner James - One of the best experts on this subject based on the ideXlab platform.
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: a randomized controlled trial
'SAGE Publications', 2021Co-Authors: Wright Amy, Stone, Keeron J, Martinelli Louis, Fryer, Simon M, Smith Grace, Lambrick, Danielle M, Stoner Lee, Jobson Simon, Faulkner JamesAbstract:Objectives:To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Design:Randomized controlled trial. Setting:Home. Participants:Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Intervention:Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program (n=16), using the device for 30 minutes per day, or (2)control group (n=18), 30 minutes of physical activity per day. Measurements:The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10- and 22-weeks after baseline. Results:Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10-weeks for over-ground robotic-assisted gait training (135±81m vs. 158±93m, respectively; P0.001) but not for control (122±92m vs. 119±84m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10-weeks (all P.05). Conclusion:Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: A randomized controlled trial.
'SAGE Publications', 2021Co-Authors: Wright Amy, Martinelli Louis, Smith Grace, Stoner Lee, Jobson Simon, Stone Keeron, Fryer Simon, Lambrick Danielle, Faulkner JamesAbstract:From PubMed via Jisc Publications RouterPublication status: aheadofprintTo assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Randomized controlled trial. Home. Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program ( = 16), using the device for ⩾30 minutes per day, or (2) control group ( = 18), 30 minutes of physical activity per day. The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10 and 22 weeks after baseline. Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10 weeks for over-ground robotic-assisted gait training (135 ± 81 m vs 158 ± 93 m, respectively; ⩽ 0.001) but not for control (122 ± 92 m vs 119 ± 84 m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all ⩽ 0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10 weeks (all 0.05). Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: A randomized controlled trial
'SAGE Publications', 2021Co-Authors: Wright Amy, Martinelli Louis, Smith Grace, Stoner Lee, Jobson Simon, Stone Keeron, Fryer Simon, Lambrick Danielle, Faulkner JamesAbstract:From Crossref journal articles via Jisc Publications RouterHistory: epub 2020-12-27, issued 2020-12-27Objectives: To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Design: Randomized controlled trial. Setting: Home. Participants: Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Intervention: Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program ( n = 16), using the device for ⩾30 minutes per day, or (2) control group ( n = 18), 30 minutes of physical activity per day. Measurements: The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10 and 22 weeks after baseline. Results: Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10 weeks for over-ground robotic-assisted gait training (135 ± 81 m vs 158 ± 93 m, respectively; P ⩽ 0.001) but not for control (122 ± 92 m vs 119 ± 84 m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P ⩽ 0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10 weeks (all P < 0.05). The differences observed in all of the aforementioned outcome measures were maintained at 22 weeks, 12 weeks after completing the intervention (all P > 0.05). Conclusion: Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: A randomized controlled trial
'SAGE Publications', 2021Co-Authors: Wright Amy, Martinelli Louis, Smith Grace, Stoner Lee, Jobson Simon, Stone Keeron, Fryer Simon, Lambrick Danielle, Faulkner JamesAbstract:From Crossref journal articles via Jisc Publications RouterHistory: epub 2020-12-27, issued 2020-12-27Publication status: PublishedObjectives: To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Design: Randomized controlled trial. Setting: Home. Participants: Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Intervention: Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program ( n = 16), using the device for ⩾30 minutes per day, or (2) control group ( n = 18), 30 minutes of physical activity per day. Measurements: The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10 and 22 weeks after baseline. Results: Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10 weeks for over-ground robotic-assisted gait training (135 ± 81 m vs 158 ± 93 m, respectively; P ⩽ 0.001) but not for control (122 ± 92 m vs 119 ± 84 m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P ⩽ 0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10 weeks (all P < 0.05). The differences observed in all of the aforementioned outcome measures were maintained at 22 weeks, 12 weeks after completing the intervention (all P > 0.05). Conclusion: Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: A randomized controlled trial
'Academy of Traumatology', 2020Co-Authors: Wright Amy, Martinelli Louis, Smith Grace, Stoner Lee, Jobson Simon, Stone Keeron, Fryer Simon, Lambrick Danielle, Faulkner JamesAbstract:From SAGE Publishing via Jisc Publications RouterHistory: received 2020-05-12, accepted 2020-12-08, epub 2020-12-27Publication status: PublishedObjectives:: To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Design:: Randomized controlled trial. Setting:: Home. Participants:: Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Intervention:: Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program (n = 16), using the device for ⩾30 minutes per day, or (2) control group (n = 18), 30 minutes of physical activity per day. Measurements:: The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10 and 22 weeks after baseline. Results:: Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10 weeks for over-ground robotic-assisted gait training (135 ± 81 m vs 158 ± 93 m, respectively; P ⩽ 0.001) but not for control (122 ± 92 m vs 119 ± 84 m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P ⩽ 0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10 weeks (all P 0.05). Conclusion:: Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
P. Prodinger - One of the best experts on this subject based on the ideXlab platform.
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Is unilateral lower Leg Orthosis with a circular foot unit in the treatment of idiopathic clubfeet a reasonable bracing alternative in the Ponseti method? Five-year results of a supraregional paediatric-orthopaedic centre
BMC Musculoskeletal Disorders, 2018Co-Authors: N. Berger, D. Lewens, M. Salzmann, A. Hapfelmeier, L Doderlein, P. ProdingerAbstract:Background In the Ponseti treatment of idiopathic clubfoot, children are generally provided with a standard foot abduction Orthosis (FAO). A significant proportion of these patients experience irresolvable problems with the FAO leading to therapeutic non-compliance and eventual relapse. Accordingly, these patients were equipped with a unilateral lower Leg Orthosis (LLO) developed in our institution. The goal of this retrospective study was to determine compliance with and the efficacy of the LLO as an alternative treatment measure. The minimum follow-up was 5 years. Results A total of 45 patients (75 ft) were retrospectively registered and included in the study. Compliance with the bracing protocol was 91% with the LLO and 46% with the FAO. The most common problems with the FAO were sleep disturbance (50%) and cutaneous problems (45%). Nine percent of patients experienced sleep disturbance, and no cutaneous problems occurred with the LLO. Thirteen percent of patients being treated with an FAO until the age of four (23 patients; 40 ft) underwent surgery because of relapse, defined by rigid recurrence of any of the components of a clubfoot. Fourteen percent of patients being treated with an LLO (22 patients; 35 ft), mostly following initial treatment with an FAO, experienced recurrence. Conclusion Changing from FAO to LLO at any point during treatment did not result in an increased rate of surgery and caused few problems.
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is unilateral lower Leg Orthosis with a circular foot unit in the treatment of idiopathic clubfeet a reasonable bracing alternative in the ponseti method five year results of a supraregional paediatric orthopaedic centre
BMC Musculoskeletal Disorders, 2018Co-Authors: N. Berger, D. Lewens, M. Salzmann, A. Hapfelmeier, L Doderlein, P. ProdingerAbstract:In the Ponseti treatment of idiopathic clubfoot, children are generally provided with a standard foot abduction Orthosis (FAO). A significant proportion of these patients experience irresolvable problems with the FAO leading to therapeutic non-compliance and eventual relapse. Accordingly, these patients were equipped with a unilateral lower Leg Orthosis (LLO) developed in our institution. The goal of this retrospective study was to determine compliance with and the efficacy of the LLO as an alternative treatment measure. The minimum follow-up was 5 years. A total of 45 patients (75 ft) were retrospectively registered and included in the study. Compliance with the bracing protocol was 91% with the LLO and 46% with the FAO. The most common problems with the FAO were sleep disturbance (50%) and cutaneous problems (45%). Nine percent of patients experienced sleep disturbance, and no cutaneous problems occurred with the LLO. Thirteen percent of patients being treated with an FAO until the age of four (23 patients; 40 ft) underwent surgery because of relapse, defined by rigid recurrence of any of the components of a clubfoot. Fourteen percent of patients being treated with an LLO (22 patients; 35 ft), mostly following initial treatment with an FAO, experienced recurrence. Changing from FAO to LLO at any point during treatment did not result in an increased rate of surgery and caused few problems.
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Additional file 1: of Is unilateral lower Leg Orthosis with a circular foot unit in the treatment of idiopathic clubfeet a reasonable bracing alternative in the Ponseti method? Five-year results of a supraregional paediatric-orthopaedic centre
2018Co-Authors: N. Berger, D. Lewens, M. Salzmann, A. Hapfelmeier, L. Dรถderlein, P. ProdingerAbstract:A video showing in full length how to put on the lower Leg Orthosis. (MP4 47817 kb
Sai K. Banala - One of the best experts on this subject based on the ideXlab platform.
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Novel Gait Adaptation and Neuromotor Training Results Using an Active Leg Exoskeleton
IEEE ASME Transactions on Mechatronics, 2010Co-Authors: Sai K. Banala, Sunil Kumar Agrawal, Seok Hun Kim, John P. ScholzAbstract:The gait of every adult is unique and expected to be ingrained within the neuromuscular system. The major scientific question that we ask in this paper if it is possible to alter the gait of healthy individuals using special purpose design of robots and training paradigms. This paper describes novel experimental results with an active Leg exoskeleton (ALEX) and a force-field controller (FFC) developed for neuromotor training of gait and rehabilitation of patients with walking disabilities. ALEX is a motorized Leg Orthosis having a total of 7 DOFs with hip and knee actuated in the sagittal plane. The FFC applies forces on the foot to help the Leg move on a desired trajectory. The interaction forces between the subject and the Orthosis are designed to be ¿assist-as-needed¿ for safe and effective gait training. Simulations and experimental results with the FFC are presented. Experiments have been performed on six healthy subjects walking on a treadmill. It was shown that a healthy subject could be retrained in about 45 min with ALEX to walk on a treadmill with a considerably altered gait. In the coming months, this powered Orthosis will be used for gait training of stroke patients.
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gait training after stroke a pilot study combining a gravity balanced Orthosis functional electrical stimulation and visual feedback
Journal of Neurologic Physical Therapy, 2008Co-Authors: Vijaya Krishnamoorthy, Sai K. Banala, Sunil K Agrawal, Trisha M Kesar, Daniel L Benoit, Ramu Perumal, Vivek Sangwan, Stuart A Bindermacleod, John P. ScholzAbstract:Rationale: This case report describes the application of a novel gait retraining approach to an individual with poststroke hemiparesis. The rehabilitation protocol combined a specially designed Leg Orthosis (the gravity-balanced Orthosis), treadmill walking, and functional electrical stimulation to the ankle muscles with the application of motor learning principles. Case: The participant was a 58-year-old man who had a stroke more than three years before the intervention. He underwent gait retraining over a period of five weeks for a total of 15 sessions during which the gravity compensation provided by the gravity-balanced Orthosis and visual feedback about walking performance was gradually reduced. Outcomes: At the end of five weeks, he decreased the time required to complete the Timed Up and Go test; his gait speed increased during overground walking; gait was more symmetrical; stride length, hip and knee joint excursions on the affected side increased. Except for gait symmetry, all other improvements were maintained one month post-intervention. Conclusions: This case report describes possible advantages of judiciously combining different treatment techniques in improving the gait of chronic stroke survivors. Further studies are planned to evaluate the effectiveness of different components of this training in both the subacute and chronic stages of stroke recovery. Supplemental information (videos) for this article can be found at www.jnptextra.org
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a powered Leg Orthosis for gait rehabilitation of motor impaired patients
International Conference on Robotics and Automation, 2007Co-Authors: Sai K. Banala, A Kulpe, Sunil Kumar AgrawalAbstract:This paper describes a powered Leg Orthosis for gait rehabilitation of patients with walking disabilities. The paper proposes controllers which can apply suitable forces on the Leg so that it moves on a desired trajectory. The description of the controllers, simulations and experimental results with the powered Orthosis are presented in the paper. Currently, experiments have been performed with a dummy Leg in the Orthosis. In the coming months, this powered Orthosis will be used on healthy subjects and stroke patients.
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gravity balancing Leg Orthosis and its performance evaluation
IEEE Transactions on Robotics, 2006Co-Authors: Sai K. Banala, John P. Scholz, Sunil K Agrawal, Abbas Fattah, Vijaya Krishnamoorthy, Weili Hsu, Katherine S RudolphAbstract:In this paper, we propose a device to assist persons with hemiparesis to walk by reducing or eliminating the effects of gravity. The design of the device includes the following features: 1) it is passive, i.e., it does not include motors or actuators, but is only composed of links and springs; 2) it is safe and has a simple patient-machine interface to accommodate variability in geometry and inertia of the subjects. A number of methods have been proposed in the literature to gravity-balance a machine. Here, we use a hybrid method to achieve gravity balancing of a human Leg over its range of motion. In the hybrid method, a mechanism is used to first locate the center of mass of the human limb and the Orthosis. Springs are then added so that the system is gravity-balanced in every configuration. For a quantitative evaluation of the performance of the device, electromyographic (EMG) data of the key muscles, involved in the motion of the Leg, were collected and analyzed. Further experiments involving Leg-raising and walking tasks were performed, where data from encoders and force-torque sensors were used to compute joint torques. These experiments were performed on five healthy subjects and a stroke patient. The results showed that the EMG activity from the rectus femoris and hamstring muscles with the device was reduced by 75%, during static hip and knee flexion, respectively. For Leg-raising tasks, the average torque for static positioning was reduced by 66.8% at the hip joint and 47.3% at the knee joint; however, if we include the transient portion of the Leg-raising task, the average torque at the hip was reduced by 61.3%, and at the knee was increased by 2.7% at the knee joints. In the walking experiment, there was a positive impact on the range of movement at the hip and knee joints, especially for the stroke patient: the range of movement increased by 45% at the hip joint and by 85% at the knee joint. We believe that this Orthosis can be potentially used to design rehabilitation protocols for patients with stroke
Wright Amy - One of the best experts on this subject based on the ideXlab platform.
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: a randomized controlled trial
'SAGE Publications', 2021Co-Authors: Wright Amy, Stone, Keeron J, Martinelli Louis, Fryer, Simon M, Smith Grace, Lambrick, Danielle M, Stoner Lee, Jobson Simon, Faulkner JamesAbstract:Objectives:To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Design:Randomized controlled trial. Setting:Home. Participants:Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Intervention:Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program (n=16), using the device for 30 minutes per day, or (2)control group (n=18), 30 minutes of physical activity per day. Measurements:The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10- and 22-weeks after baseline. Results:Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10-weeks for over-ground robotic-assisted gait training (135±81m vs. 158±93m, respectively; P0.001) but not for control (122±92m vs. 119±84m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10-weeks (all P.05). Conclusion:Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: A randomized controlled trial.
'SAGE Publications', 2021Co-Authors: Wright Amy, Martinelli Louis, Smith Grace, Stoner Lee, Jobson Simon, Stone Keeron, Fryer Simon, Lambrick Danielle, Faulkner JamesAbstract:From PubMed via Jisc Publications RouterPublication status: aheadofprintTo assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Randomized controlled trial. Home. Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program ( = 16), using the device for ⩾30 minutes per day, or (2) control group ( = 18), 30 minutes of physical activity per day. The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10 and 22 weeks after baseline. Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10 weeks for over-ground robotic-assisted gait training (135 ± 81 m vs 158 ± 93 m, respectively; ⩽ 0.001) but not for control (122 ± 92 m vs 119 ± 84 m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all ⩽ 0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10 weeks (all 0.05). Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: A randomized controlled trial
'SAGE Publications', 2021Co-Authors: Wright Amy, Martinelli Louis, Smith Grace, Stoner Lee, Jobson Simon, Stone Keeron, Fryer Simon, Lambrick Danielle, Faulkner JamesAbstract:From Crossref journal articles via Jisc Publications RouterHistory: epub 2020-12-27, issued 2020-12-27Objectives: To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Design: Randomized controlled trial. Setting: Home. Participants: Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Intervention: Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program ( n = 16), using the device for ⩾30 minutes per day, or (2) control group ( n = 18), 30 minutes of physical activity per day. Measurements: The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10 and 22 weeks after baseline. Results: Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10 weeks for over-ground robotic-assisted gait training (135 ± 81 m vs 158 ± 93 m, respectively; P ⩽ 0.001) but not for control (122 ± 92 m vs 119 ± 84 m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P ⩽ 0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10 weeks (all P < 0.05). The differences observed in all of the aforementioned outcome measures were maintained at 22 weeks, 12 weeks after completing the intervention (all P > 0.05). Conclusion: Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: A randomized controlled trial
'SAGE Publications', 2021Co-Authors: Wright Amy, Martinelli Louis, Smith Grace, Stoner Lee, Jobson Simon, Stone Keeron, Fryer Simon, Lambrick Danielle, Faulkner JamesAbstract:From Crossref journal articles via Jisc Publications RouterHistory: epub 2020-12-27, issued 2020-12-27Publication status: PublishedObjectives: To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Design: Randomized controlled trial. Setting: Home. Participants: Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Intervention: Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program ( n = 16), using the device for ⩾30 minutes per day, or (2) control group ( n = 18), 30 minutes of physical activity per day. Measurements: The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10 and 22 weeks after baseline. Results: Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10 weeks for over-ground robotic-assisted gait training (135 ± 81 m vs 158 ± 93 m, respectively; P ⩽ 0.001) but not for control (122 ± 92 m vs 119 ± 84 m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P ⩽ 0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10 weeks (all P < 0.05). The differences observed in all of the aforementioned outcome measures were maintained at 22 weeks, 12 weeks after completing the intervention (all P > 0.05). Conclusion: Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: A randomized controlled trial
'Academy of Traumatology', 2020Co-Authors: Wright Amy, Martinelli Louis, Smith Grace, Stoner Lee, Jobson Simon, Stone Keeron, Fryer Simon, Lambrick Danielle, Faulkner JamesAbstract:From SAGE Publishing via Jisc Publications RouterHistory: received 2020-05-12, accepted 2020-12-08, epub 2020-12-27Publication status: PublishedObjectives:: To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Design:: Randomized controlled trial. Setting:: Home. Participants:: Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Intervention:: Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program (n = 16), using the device for ⩾30 minutes per day, or (2) control group (n = 18), 30 minutes of physical activity per day. Measurements:: The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10 and 22 weeks after baseline. Results:: Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10 weeks for over-ground robotic-assisted gait training (135 ± 81 m vs 158 ± 93 m, respectively; P ⩽ 0.001) but not for control (122 ± 92 m vs 119 ± 84 m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P ⩽ 0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10 weeks (all P 0.05). Conclusion:: Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
Jobson Simon - One of the best experts on this subject based on the ideXlab platform.
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: a randomized controlled trial
'SAGE Publications', 2021Co-Authors: Wright Amy, Stone, Keeron J, Martinelli Louis, Fryer, Simon M, Smith Grace, Lambrick, Danielle M, Stoner Lee, Jobson Simon, Faulkner JamesAbstract:Objectives:To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Design:Randomized controlled trial. Setting:Home. Participants:Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Intervention:Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program (n=16), using the device for 30 minutes per day, or (2)control group (n=18), 30 minutes of physical activity per day. Measurements:The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10- and 22-weeks after baseline. Results:Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10-weeks for over-ground robotic-assisted gait training (135±81m vs. 158±93m, respectively; P0.001) but not for control (122±92m vs. 119±84m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10-weeks (all P.05). Conclusion:Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: A randomized controlled trial.
'SAGE Publications', 2021Co-Authors: Wright Amy, Martinelli Louis, Smith Grace, Stoner Lee, Jobson Simon, Stone Keeron, Fryer Simon, Lambrick Danielle, Faulkner JamesAbstract:From PubMed via Jisc Publications RouterPublication status: aheadofprintTo assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Randomized controlled trial. Home. Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program ( = 16), using the device for ⩾30 minutes per day, or (2) control group ( = 18), 30 minutes of physical activity per day. The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10 and 22 weeks after baseline. Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10 weeks for over-ground robotic-assisted gait training (135 ± 81 m vs 158 ± 93 m, respectively; ⩽ 0.001) but not for control (122 ± 92 m vs 119 ± 84 m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all ⩽ 0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10 weeks (all 0.05). Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: A randomized controlled trial
'SAGE Publications', 2021Co-Authors: Wright Amy, Martinelli Louis, Smith Grace, Stoner Lee, Jobson Simon, Stone Keeron, Fryer Simon, Lambrick Danielle, Faulkner JamesAbstract:From Crossref journal articles via Jisc Publications RouterHistory: epub 2020-12-27, issued 2020-12-27Objectives: To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Design: Randomized controlled trial. Setting: Home. Participants: Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Intervention: Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program ( n = 16), using the device for ⩾30 minutes per day, or (2) control group ( n = 18), 30 minutes of physical activity per day. Measurements: The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10 and 22 weeks after baseline. Results: Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10 weeks for over-ground robotic-assisted gait training (135 ± 81 m vs 158 ± 93 m, respectively; P ⩽ 0.001) but not for control (122 ± 92 m vs 119 ± 84 m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P ⩽ 0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10 weeks (all P < 0.05). The differences observed in all of the aforementioned outcome measures were maintained at 22 weeks, 12 weeks after completing the intervention (all P > 0.05). Conclusion: Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: A randomized controlled trial
'SAGE Publications', 2021Co-Authors: Wright Amy, Martinelli Louis, Smith Grace, Stoner Lee, Jobson Simon, Stone Keeron, Fryer Simon, Lambrick Danielle, Faulkner JamesAbstract:From Crossref journal articles via Jisc Publications RouterHistory: epub 2020-12-27, issued 2020-12-27Publication status: PublishedObjectives: To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Design: Randomized controlled trial. Setting: Home. Participants: Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Intervention: Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program ( n = 16), using the device for ⩾30 minutes per day, or (2) control group ( n = 18), 30 minutes of physical activity per day. Measurements: The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10 and 22 weeks after baseline. Results: Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10 weeks for over-ground robotic-assisted gait training (135 ± 81 m vs 158 ± 93 m, respectively; P ⩽ 0.001) but not for control (122 ± 92 m vs 119 ± 84 m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P ⩽ 0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10 weeks (all P < 0.05). The differences observed in all of the aforementioned outcome measures were maintained at 22 weeks, 12 weeks after completing the intervention (all P > 0.05). Conclusion: Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks
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Effect of combined home-based, overground robotic-assisted gait training and usual physiotherapy on clinical functional outcomes in people with chronic stroke: A randomized controlled trial
'Academy of Traumatology', 2020Co-Authors: Wright Amy, Martinelli Louis, Smith Grace, Stoner Lee, Jobson Simon, Stone Keeron, Fryer Simon, Lambrick Danielle, Faulkner JamesAbstract:From SAGE Publishing via Jisc Publications RouterHistory: received 2020-05-12, accepted 2020-12-08, epub 2020-12-27Publication status: PublishedObjectives:: To assess the effect of a home-based over-ground robotic-assisted gait training program using the AlterG Bionic Leg Orthosis on clinical functional outcomes in people with chronic stroke. Design:: Randomized controlled trial. Setting:: Home. Participants:: Thirty-four ambulatory chronic stroke patients who recieve usual physiotherapy. Intervention:: Usual physiotherapy plus either (1)10-week over-ground robotic-assisted gait training program (n = 16), using the device for ⩾30 minutes per day, or (2) control group (n = 18), 30 minutes of physical activity per day. Measurements:: The primary outcome was the Six-Minute Walk Test. Secondary outcomes included: Timed-Up-and-Go, Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale. Physical activity and sedentary time were assessed using accelerometry. All measurements were completed at baseline, 10 and 22 weeks after baseline. Results:: Significant increases in walking distance were observed for the Six-Minute Walk Test between baseline and 10 weeks for over-ground robotic-assisted gait training (135 ± 81 m vs 158 ± 93 m, respectively; P ⩽ 0.001) but not for control (122 ± 92 m vs 119 ± 84 m, respectively). Findings were similar for Functional Ambulation Categories, Dynamic Gait Index and Berg Balance Scale (all P ⩽ 0.01). For over-ground robotic-assisted gait training, there were increases in time spent stepping, number of steps taken, number of sit-to-stand transitions, and reductions in time spent sitting/supine between baseline and 10 weeks (all P 0.05). Conclusion:: Over-ground robotic-assisted gait training combined with physiotherapy in chronic stroke patients led to significant improvements in clinical functional outcomes and physical activity compared to the control group. Improvements were maintained at 22 weeks