| Effectiveness of robot-assisted gait training in persons with spinal cord injury: a systematic review. | |
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MedLine Citation:
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PMID: 20549155 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the quality of current evidence as to the effectiveness of robot-assisted gait training in spinal cord injured patients, focusing on walking ability and performance. METHODS: A search was conducted in MEDLINE, Web of Knowledge, Cochrane Library, Physiotherapy Evidence Database (PEDro) and Digital Academic Repositories (DAREnet) (1990-2009). Key words included "spinal cord injury", "(robot-assisted) gait rehabilitation" and "driven gait orthosis". Articles were included when complete and incomplete adult spinal cord injured patients participated in robot-assisted gait training intervention studies. The methodological quality was rated independently by 2 researchers using "van Tulder criteria list" and "evaluation of quality of an intervention study". Descriptive analyses were performed using the Population Intervention Comparison Outcome (PICO) method. RESULTS: Two randomized controlled trials (mean quality score: 11.5/19) and 4 pre-experimental trials (mean quality score: 24.25 (standard deviation; SD 0.28)/48) involving 43 patients with incomplete, acute or chronic lesions between C3 and L1 were analysed. Five studies used the Lokomat and one used the LokoHelp. Although some improvements were reported related to body functions and activities, there is insufficient evidence to draw firm conclusions, due to small samples sizes, methodological flaws and heterogeneity of training procedures. CONCLUSION: There is currently no evidence that robot-assisted gait training improves walking function more than other locomotor training strategies. Well-designed randomized controlled trials are needed. |
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Authors:
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Eva Swinnen; Saartje Duerinck; Jean-Pierre Baeyens; Romain Meeusen; Eric Kerckhofs |
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Publication Detail:
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Type: Comparative Study; Journal Article; Review |
Journal Detail:
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Title: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine Volume: 42 ISSN: 1651-2081 ISO Abbreviation: J Rehabil Med Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-15 Completed Date: 2010-06-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101088169 Medline TA: J Rehabil Med Country: Sweden |
Other Details:
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Languages: eng Pagination: 520-6 Citation Subset: IM |
Affiliation:
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Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Laarbeeklaan 103, Brussels, Belgium. eswinnen@vub.ac.be |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Evidence-Based Medicine Gait* / physiology Humans Quality of Life Robotics Spinal Cord Injuries / physiopathology, psychology, rehabilitation* Treatment Outcome Walking* / physiology |
| Comments/Corrections | |
Comment In:
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J Rehabil Med. 2010 Jun;42(6):527
[PMID:
20549156
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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