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Neuroscience and Behavioral Physiology

, Volume 41, Issue 5, pp 536–541 | Cite as

Current Approaches to Restoring Walking in Patients during the Acute Phase of Cerebral Stroke

  • V. I. Skvortsova
  • G. E. Ivanova
  • N. A. Rumyantseva
  • A. N. Staritsyn
  • E. A. KovrazhkinaEmail author
  • A. Yu. Suvorov
Article

The aim of this study was to create a complex program for restoring walking in stroke patients using motor-assisted walking trainers. The study included patients (mean age 59 ± 10.4 years) in the acute phase of stroke who were unable to walk independently; 53 patients were in the study group and 25 in the control group. The mean time from onset to treatment using motor-assisted trainers was 14 ± 1.6 days and was defined on the basis of adequate test results. The rehabilitation program included daily 30-min sessions of physical therapy. Patients of the study group but not controls also received 20-min sessions using Motomed Viva 2 and Gait Trainer 1 (GT1) motor-assisted trainers accompanied by continuous monitoring of arterial blood pressure and heart rate. Patients received 5–12 (mean 7 ± 1) sessions on the GT1. After complex rehabilitation treatment, patients of the study group, as compared with controls, showed significant (p < 0.01) improvements in dynamics on the standing stability, walking functionality, and the Berg and Bartel scales; all patients of this group became able to walk with a support or completely independently. In the study group there were significant (p < 0.05) decreases in the proportions of patients with impaired proprioception (from 37.7% to 9.4%) and lower limb ataxia (from 37% to 11.3%); no such changes occurred in the control group. These results lead to the conclusion that the complex use of reflex kinesiotherapy and robot-driven mechanotherapy in patients during the acute phase of stroke produces improvements in functional activity and increases the level of independence by discharge from hospital.

Key words

cerebral stroke mechanotherapy motor-assisted trainers complex walking restoration program 

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Copyright information

© Springer Science+Business Media, Inc. 2011

Authors and Affiliations

  • V. I. Skvortsova
    • 1
    • 2
  • G. E. Ivanova
    • 1
    • 2
  • N. A. Rumyantseva
    • 1
    • 2
  • A. N. Staritsyn
    • 1
    • 2
  • E. A. Kovrazhkina
    • 1
    • 2
    Email author
  • A. Yu. Suvorov
    • 1
  1. 1.Russian State Medical UniversityMoscowRussia
  2. 2.Research Institute of Cerebrovascular PathologyMoscowRussia

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