The Effects of Robot-Asssissted Gait Training on Balance and Fear of Falling in Patients with Stroke: A Randomized Controlled Clinical Trial

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dc.contributor.authorGunduz, Merve Sevinc
dc.contributor.authorMustafaoglu, Rustem
dc.contributor.authorUral, Ibrahim Halil
dc.date.accessioned2025-03-09T10:57:33Z
dc.date.available2025-03-09T10:57:33Z
dc.date.issued2024
dc.departmentİstanbul Beykent Üniversitesi
dc.description.abstractObjective The aim of this study was compare the effects of Combined Training (CombT), which included Robot-Assisted Gait Training in addition to Traditional Balance Training (TBT), and TBT alone on balance and fear of falling (FoF) in patients with stroke based on objective assessment methods. Design Patients were randomized into CombT Group (CombTG) (n = 21) and TBT Group (TBTG) (n = 21) for duration of 5-weeks. Balance were assessed with EncephaLog App recorded stand-up time (SUT), sit-down time (SDT), and directional sways during walking, Berg Balance Scale (BBS) and Timed Up and Go Test (TUG). International Fall Efficacy Scale (FES-I) measured fear of falling (FoF). Fugl Meyer Assessment-Lower Extremity (FMA-LE) assessed limb impairment. Foot posture were assessed with Foot Posture Index (FPI-6). Results After the treatments, EncephaLog sways (anterior, medial, lateral: P = 0.04, P = 0.01, P = 0.02), SUT (P = 0.006), SDT (P = 0.002); BBS (P < 0.001); FES-I (P = 0.002) improved in CombTG. TUG (P = 0.01) and FMA-LE (P < 0.001) improved in TBTG. SUT (P = 0.01) and SDT (P = 0.04) showed statistically significant improvement in CombTG compared to TBTG; FMA-LE (P = 0.002) demonstrated statistically significant improvement in TBTG compared to CombTG. Conclusion Objective assessment indicated that combined treatments in subacute and chronic stroke rehabilitation enhance balance and reduce FoF more effectively than isolated approaches. © 2024 Wolters Kluwer Health, Inc. All rights reserved.
dc.identifier.doi10.1097/PHM.0000000000002674
dc.identifier.issn0894-9115
dc.identifier.scopus2-s2.0-85211726763
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1097/PHM.0000000000002674
dc.identifier.urihttps://hdl.handle.net/20.500.12662/4906
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherLippincott Williams and Wilkins
dc.relation.ispartofAmerican Journal of Physical Medicine and Rehabilitation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_Scopus_20250310
dc.subjectPostural Balance
dc.subjectRehabilitation
dc.subjectRobot-Assisted Gait Training
dc.subjectSmartphone App
dc.titleThe Effects of Robot-Asssissted Gait Training on Balance and Fear of Falling in Patients with Stroke: A Randomized Controlled Clinical Trial
dc.typeArticle

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