Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45
-
pISSN : 1975-311X / eISSN : 2287-7215
- https://journal.kci.go.kr/kspm
KJCKorea
Journal Central
Comparison of Robotic Tilt-table Training and Body Weight Support Treadmill Training on Lower Extremity Strength, Balance, Gait, and Satisfaction with Rehabilitation, in Patients with Subacute Stroke
- Journal of the Korean Society of Physical Medicine
- Abbr : J Korean Soc Phys Med
- 2020, 15(4), pp.163-174
- DOI : 10.13066/kspm.2020.15.4.163
- Publisher : The Korean Society of Physical Medicine
- Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
- Received : October 8, 2020
- Accepted : November 10, 2020
- Published : November 30, 2020
Seung-Chul Kwon
1,
Shin Won Seob
2
1대전대학교 보건의료대학원 물리치료학과
2대전대학교
Accredited
ABSTRACT
PURPOSE: This study examined the effects of Robot Tilt-table Training (RTT) on the lower extremity strength, balance, gait, and satisfaction with rehabilitation, in patients with subacute stroke (less than six months after stroke onset), and requiring intensive rehabilitation.
METHODS: A total of 29 subacute stroke patients were divided into an RTT group (n = 14) and a Body Weight Support Treadmill Training (BWSTT) group (n = 15). The mean age of patients was 62 years. RTT and BWSTT were performed for four weeks, three times a week, for 30 minutes. Isometric strength of the lower extremities before and after intervention was compared by measuring the maximal voluntary isometric contraction of the lower extremity muscles. To compare the balance function, the center of pressure (COP) path-length and COP velocity were measured. Timed Up & Go test (TUG) and 10 Meter Walking Test (10 MWT) were evaluated to compare the gait function. A satisfaction with rehabilitation survey was conducted for subjective evaluation of the subject's satisfaction with the rehabilitation training imparted.
RESULTS: In the intra-group comparison, both groups showed significant improvement in lower extremity strength, balance, gait, and satisfaction with rehabilitation, by comparing the parameters before and after the intervention (p < .05). Comparison of the amount of change between groups revealed significant improvement for all parameters in the RTT group, except for the 10 MWT (p < .05).
CONCLUSION: Both groups are effective for all variables, but the RTT group showed enhanced efficacy for variables such as lower extremity strength, balance, gait, and satisfaction with rehabilitation, as compared to the BWSTT group.
Statistics
-
301 Viewed
-
1 Downloaded
Tools
Issue List
Citation status
* References for papers published after 2023 are currently being built.
[journal]
Feigin VL
/ 2003
/ Stroke epidemiology : a review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century
/ The lancet neurology
2(1)
: 43~53
[journal]
Johansson BB
/ 2000
/ Brain plasticity and stroke rehabilitation : the Willis lecture
/ Stroke
31(1)
: 223~230
[journal]
Miller EW
/ 2002
/ Body weight support treadmill and overground ambulation training for two patients with chronic disability secondary to stroke
/ Physical Therapy
82(1)
: 53~61
[journal]
Hesse S
/ 1999
/ Treadmill walking with partial body weight support versus floor walking in hemiparetic subjects
/ Archives of physical medicine and rehabilitation
80(4)
: 421~427
[journal]
Kim YH
/ 2009
/ Clinical practice guideline for stroke rehabilitation in Korea
/ Brain &Neurorehabilitation
2(1)
: 1~38
[journal]
Lee J
/ 2012
/ Role of Intensity and Repetition in Rehabilitation Therapy
/ Brain & Neurorehabilitation
5(1)
: 6~11
[journal]
Bayona NA
/ 2005
/ The role of task-specific training in rehabilitation therapies
/ Topics in stroke rehabilitation
12(3)
: 58~65
[journal]
안명환
/ 2012
/
The Effect of Feedback on Somesthetic Video Game Training for Improving Balance of Stroke Patients
/ 대한물리의학회지
/ 대한물리의학회
7(4)
: 401~409
[journal]
Jezernik S
/ 2003
/ Robotic orthosis lokomat : A rehabilitation and research tool
/ Neuromodulation : Technology at the neural interface
6(2)
: 108~115
[journal]
Hidler J
/ 2009
/ Multicenter randomized clinical trial evaluating the effectiveness of the Lokomat in subacute stroke
/ Neurorehabilitation and neural repair
23(1)
: 5~13
[journal]
Colombo G
/ 2000
/ Treadmill training of paraplegic patients using a robotic orthosis
/ Journal of rehabilitation research and development
37(6)
: 693~700
[journal]
김지희
/ 2016
/
Effects of Robot–assisted Therapy on Lower Limb in Patients with Subacute Stroke
/ 한국산학기술학회논문지
/ 한국산학기술학회
17(7)
: 459~466
[journal]
정경훈
/ 2008
/
Effects of Robot-assisted Gait Therapy on Locomotor Recovery in Stroke Patients
/ Annals of Rehabilitation Medicine
/ 대한재활의학회
32(3)
: 258~266
[journal]
Saengsuwan J
/ 2015
/ Comparison of peak cardiopulmonary performance parameters on a robotics-assisted tilt table, a cycle and a treadmill
/ PloS one
10(4)
: e0122767~
[journal]
Wieser M
/ 2010
/ Temporal and spatial patterns of cortical activation during assisted lower limb movement
/ Experimental brain research
203(1)
: 181~191
[journal]
Calabro RS
/ 2015
/ Do post-stroke patients benefit from robotic verticalization? A pilot-study focusing on a novel neurophysiological approach
/ Restorative neurology and neuroscience
33(5)
: 671~681
[confproc]
Park DS
/ 2010
/ The Effectiveness of the Robot-assisted Gait Training in Non-ambulatory Chronic Stroke Patients
/ Rehabilitation Engineering and Assistive Technology Society of Korea
: 95~96
[journal]
Polese JC
/ 2012
/ The effects of walking sticks on gait kinematics and kinetics with chronic stroke survivors
/ Clin Biomech(Bristol, Avon)
27(2)
: 1317~
[journal]
Chon SC
/ 2010
/ Effect of the abdominal draw-in manoeuvre in combination with ankle dorsiflexion in strengthening the transverse abdominal muscle in healthy young adults : A preliminary, randomised, controlled study
/ Physiotherapy
96(2)
: 130~136
[journal]
Knols RH
/ 2009
/ Hand-held dynamometry in patients with haematological malignancies : measurement error in the clinical assessment of knee extension strength
/ BMC musculoskeletal disorders
10(1)
: 1~
[journal]
Holmes JD
/ 2013
/ Validityof the Nintendo Wii® balance board for the assessment of standing balance in Parkinson’s disease
/ Clin Rehabil
27(4)
: 361~366
[journal]
박대성
/ 2013
/
Reliability and Validity of the Balancia using Wii Balance Board for Assessment of Balance with Stroke Patients
/ 한국산학기술학회논문지
/ 한국산학기술학회
14(6)
: 2767~2772
[journal]
Podsiadlo D
/ 1991
/ The timed “Up & Go”: a test of basic functional mobility for frail elderly persons
/ Journal of the American geriatrics Society
39(2)
: 142~148
[journal]
Steffen TM
/ 2002
/ Age-and gender-related test performance in community-dwelling elderly people : Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds
/ Physical therapy
82(2)
: 128~137
[journal]
정현식
/ 2002
/
A Survey of Patient Satisfaction With Physical Therapy Services
/ 한국전문물리치료학회지
/ 한국전문물리치료학회
9(1)
: 97~111
[journal]
한규범
/ 2013
/
Effects of Trunk Position Sense through Visual Cue Deprivation Balance Training in Subacute Stroke
/ 대한물리의학회지
/ 대한물리의학회
8(3)
: 327~335
[journal]
Bohannon RW
/ 2007
/ Muscle strength and muscle training after stroke
/ Journal of rehabilitation Medicine
39(1)
: 14~20
[journal]
Mayr A
/ 2007
/ Prospective, blinded, randomized crossover study of gait rehabilitation in stroke patients using the Lokomat gait orthosis
/ Neurorehabilitation and neural repair
21(4)
: 307~314
[journal]
Kumar S
/ 2020
/ Comparison between Erigo tilt-table exercise and conventional physiotherapy exercises in acute stroke patients : a randomized trial
/ Archives of Physiotherapy
10(1)
: 3~
[journal]
Di Fabio RP
/ 1997
/ Adaptation of postural stability following stroke
/ Topics in Stroke Rehabilitation
3(4)
: 62~75
[journal]
Flansbjer UB
/ 2006
/ Knee muscle strength, gait performance, and perceived participation after stroke
/ Archives of physical medicine and rehabilitation
87(7)
: 974~980
[journal]
Malouin F
/ 1992
/ Use of an intensive task-oriented gait training program in a series of patients with acute cerebrovascular accidents
/ Physical Therapy
72(11)
: 781~789
[journal]
Kwon OH
/ 2013
/ The Effects of task-oriented treadmill gait training on the walking ability and balance of sub-acute stroke patient
/ J Korean Acad Ther
5(1)
: 13~23
[journal]
Kuznetsov AN
/ 2013
/ Early poststroke rehabilitation using a robotic tilt-table stepper and functional electrical stimulation
/ Stroke research and treatment
[journal]
지상구
/ 2011
/
The Effect of Visual Feedback Training Using a Mirror on the Balance in Hemiplegic Patients
/ 대한물리의학회지
/ 대한물리의학회
6(2)
: 153~163
[journal]
Dobkin BH
/ 1999
/ An overview of treadmill locomotor training with partial body weight support : a neurophysiologically sound approach whose time has come for randomized clinical trials
/ Neurorehabilitation and neural repair
13(3)
: 157~165
[book]
Poli P
/ 2013
/ Robotic technologies and rehabilitation : new tools for stroke patients’ therapy
/ BioMed Research International
[journal]
Calabro RS
/ 2015
/ Do post-stroke patients benefit from robotic verticalization? A pilot-study focusing on a novel neurophysiological approach
/ Restorative neurology and neuroscience
33(5)
: 671~681
[journal]
Mehrholz J
/ 2008
/ Electromechanicalassisted gait training with physiotherapy may improve walking after stroke
/ Stroke
39(6)
: 1929~1930