Effects of Robot-Assisted Gait Training on Balance and Fear of Falling in Patients With Stroke A Randomized Controlled Clinical Trial

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dc.authorid0000-0002-0443-2295
dc.authorid0000-0001-8549-4449
dc.authorid0000-0001-7030-0787
dc.contributor.authorGunduz, Merve Sevinc
dc.contributor.authorMustafaoglu, Rustem
dc.contributor.authorUral, Ibrahim Halil
dc.date.accessioned2026-01-31T15:08:38Z
dc.date.available2026-01-31T15:08:38Z
dc.date.issued2025
dc.departmentİstanbul Beykent Üniversitesi
dc.description.abstractObjective: The aim of this study was compare the effects of combined training, which included robot-assisted gait training in addition to traditional balance training, and traditional balance training alone on balance and fear of falling in patients with stroke based on objective assessment methods. Design: Patients were randomized into combined training group (n = 21) and traditional balance training group (n = 21) for duration of 5 wks. Balance were assessed with EncephaLog App recorded stand-up time, sit-down time, and directional sways during walking, Berg Balance Scale, and Timed Up and Go Test. International Fall Efficacy Scale measured fear of falling. Fugl-Meyer Assessment-Lower Extremity assessed limb impairment. Foot posture was assessed with Foot Posture Index. Results: After the treatments, EncephaLog sways (anterior, medial, lateral: P = 0.04, P = 0.01, P = 0.02), stand-up time (P = 0.006), sit-down time (P = 0.002), Berg Balance Scale (P < 0.001), and International Fall Efficacy Scale (P = 0.002) improved in combined training group. Timed Up and Go Test (P = 0.01) and Fugl-Meyer Assessment-Lower Extremity (P < 0.001) improved in traditional balance training group. Stand-up time (P = 0.01) and sit-down time (P = 0.04) showed statistically significant improvement in combined training group compared to traditional balance training group; Fugl-Meyer Assessment-Lower Extremity (P = 0.002) demonstrated statistically significant improvement in traditional balance training group compared to combined training group. Conclusions: Objective assessment indicated that combined treatments in subacute and chronic stroke rehabilitation enhance balance and reduce fear of falling more effectively than isolated approaches.
dc.identifier.doi10.1097/PHM.0000000000002674
dc.identifier.endpage566
dc.identifier.issn0894-9115
dc.identifier.issn1537-7385
dc.identifier.issue6
dc.identifier.pmid39642346
dc.identifier.startpage558
dc.identifier.urihttps://doi.org./10.1097/PHM.0000000000002674
dc.identifier.urihttps://hdl.handle.net/20.500.12662/10709
dc.identifier.volume104
dc.identifier.wosWOS:001504179800017
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofAmerican Journal of Physical Medicine & Rehabilitation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260128
dc.subjectPostural Balance
dc.subjectRehabilitation
dc.subjectRobot-Assisted Gait Training
dc.subjectSmartphone App
dc.titleEffects of Robot-Assisted Gait Training on Balance and Fear of Falling in Patients With Stroke A Randomized Controlled Clinical Trial
dc.typeArticle

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