The Effectiveness of Robotic Assisted Gait Training (Exoskeleton Devices: Lokomat) in Stroke Patients: A Systematic Review
Keywords:
Lokomat, Stroke, Robotic assisted gait trainingAbstract
Background: Walking disability is a main problem of stroke patients. Regaining one’s ability to walk is important for stroke survivors, and is a major goal of all rehabilitation programs. The advance technologies for gait training were developed and studies. There are Body Weight Support Treadmill Training; BWSTT, Gait Trainer and Robotic assisted gait training; RAGT were developed to improve walking ability in patient after stroke. However, the effects of the training were found variations among the trials regarding onset of stroke, duration and frequency of treatment as well as differences in the ambulatory status of the patients and outcome measurements. Purpose: This study was a systematic review to assess the effectiveness of robotic assisted gait training (Exoskeleton devices: Lokomat) in stroke patients. Methods: We searched MEDLINE via PubMed with randomized controlled trials (RCTs) and found 150 records. 145 records were excluded because of no study about Lokomat and no walking ability outcome measurements. We assessed the quality of 5 studies. Results: The results showed that the subjects were included an different onset, duration and frequency of treatment. Different outcome measurements had effects on training performance which cannot be performed meta - analysis. Conclusion: From the systematic review, it is concluded that insufficient data were variable to make meta-analysis. For more clinical benefits, it should be carried out randomized controlled trials (RCTs) to investigate the effectiveness of robotic assisted gait training (Exoskeleton devices: Lokomat) and the long term effect of the training in stroke patients.
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