Beneficial Effects of Robot-Assisted Gait Training on Functional Recovery in Women after Stroke: A Cohort Study

<i>Background and Objectives:</i> Robot-assisted gait training (RAGT) could be a rehabilitation option for patients after experiencing a stroke. This study aims to determine the sex-related response to robot-assisted gait training in a cohort of subacute stroke patients considering mixed...

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Autores principales:	Nicola Lamberti, Fabio Manfredini, Luc Oscar Lissom, Susanna Lavezzi, Nino Basaglia, Sofia Straudi
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	stroke multidisciplinary rehabilitation robot-assisted gait training walking gender exercise prescription Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/fd235e422c684657925780c1de37ab80
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spelling	oai:doaj.org-article:fd235e422c684657925780c1de37ab802021-11-25T18:18:31ZBeneficial Effects of Robot-Assisted Gait Training on Functional Recovery in Women after Stroke: A Cohort Study10.3390/medicina571112001648-91441010-660Xhttps://doaj.org/article/fd235e422c684657925780c1de37ab802021-11-01T00:00:00Zhttps://www.mdpi.com/1648-9144/57/11/1200https://doaj.org/toc/1010-660Xhttps://doaj.org/toc/1648-9144<i>Background and Objectives:</i> Robot-assisted gait training (RAGT) could be a rehabilitation option for patients after experiencing a stroke. This study aims to determine the sex-related response to robot-assisted gait training in a cohort of subacute stroke patients considering mixed results previously reported. <i>Materials and Methods:</i> In this study, 236 participants (145 males, 91 females) were admitted to a rehabilitation facility after experiencing a stroke and performed RAGT within a multidisciplinary rehabilitation program. Functional Independence Measure (FIM) and Functional Ambulatory Category (FAC) were assessed at admission and discharge to determine sex-related outcomes. <i>Results:</i> At the baseline, no significant difference among sexes was observed. At the end of rehabilitation, both males and females exhibited significant improvements in FIM (71% of males and 80% of females reaching the MCID cut-off value) and FAC (∆score: men 1.9 ± 1.0; women 2.1 ± 1.1). A more remarkable improvement was observed in women of the whole population during the study, but statistical significance was not reached. When analysing the FAC variations with respect to the total number of RAGT sessions, a more significant improvement was observed in women than men (<i>p</i> = 0.025). <i>Conclusion:</i> In conclusion, among subacute stroke patients, benefits were observed following RAGT during a multidisciplinary rehabilitation program in both sexes. A greater significant recovery for women with an ischemic stroke or concerning the number of sessions attended was also highlighted. The use of gait robotics for female patients may favour a selective functional recovery after stroke.Nicola LambertiFabio ManfrediniLuc Oscar LissomSusanna LavezziNino BasagliaSofia StraudiMDPI AGarticlestrokemultidisciplinary rehabilitationrobot-assisted gait trainingwalkinggenderexercise prescriptionMedicine (General)R5-920ENMedicina, Vol 57, Iss 1200, p 1200 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	stroke multidisciplinary rehabilitation robot-assisted gait training walking gender exercise prescription Medicine (General) R5-920
spellingShingle	stroke multidisciplinary rehabilitation robot-assisted gait training walking gender exercise prescription Medicine (General) R5-920 Nicola Lamberti Fabio Manfredini Luc Oscar Lissom Susanna Lavezzi Nino Basaglia Sofia Straudi Beneficial Effects of Robot-Assisted Gait Training on Functional Recovery in Women after Stroke: A Cohort Study
description	<i>Background and Objectives:</i> Robot-assisted gait training (RAGT) could be a rehabilitation option for patients after experiencing a stroke. This study aims to determine the sex-related response to robot-assisted gait training in a cohort of subacute stroke patients considering mixed results previously reported. <i>Materials and Methods:</i> In this study, 236 participants (145 males, 91 females) were admitted to a rehabilitation facility after experiencing a stroke and performed RAGT within a multidisciplinary rehabilitation program. Functional Independence Measure (FIM) and Functional Ambulatory Category (FAC) were assessed at admission and discharge to determine sex-related outcomes. <i>Results:</i> At the baseline, no significant difference among sexes was observed. At the end of rehabilitation, both males and females exhibited significant improvements in FIM (71% of males and 80% of females reaching the MCID cut-off value) and FAC (∆score: men 1.9 ± 1.0; women 2.1 ± 1.1). A more remarkable improvement was observed in women of the whole population during the study, but statistical significance was not reached. When analysing the FAC variations with respect to the total number of RAGT sessions, a more significant improvement was observed in women than men (<i>p</i> = 0.025). <i>Conclusion:</i> In conclusion, among subacute stroke patients, benefits were observed following RAGT during a multidisciplinary rehabilitation program in both sexes. A greater significant recovery for women with an ischemic stroke or concerning the number of sessions attended was also highlighted. The use of gait robotics for female patients may favour a selective functional recovery after stroke.
format	article
author	Nicola Lamberti Fabio Manfredini Luc Oscar Lissom Susanna Lavezzi Nino Basaglia Sofia Straudi
author_facet	Nicola Lamberti Fabio Manfredini Luc Oscar Lissom Susanna Lavezzi Nino Basaglia Sofia Straudi
author_sort	Nicola Lamberti
title	Beneficial Effects of Robot-Assisted Gait Training on Functional Recovery in Women after Stroke: A Cohort Study
title_short	Beneficial Effects of Robot-Assisted Gait Training on Functional Recovery in Women after Stroke: A Cohort Study
title_full	Beneficial Effects of Robot-Assisted Gait Training on Functional Recovery in Women after Stroke: A Cohort Study
title_fullStr	Beneficial Effects of Robot-Assisted Gait Training on Functional Recovery in Women after Stroke: A Cohort Study
title_full_unstemmed	Beneficial Effects of Robot-Assisted Gait Training on Functional Recovery in Women after Stroke: A Cohort Study
title_sort	beneficial effects of robot-assisted gait training on functional recovery in women after stroke: a cohort study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/fd235e422c684657925780c1de37ab80
work_keys_str_mv	AT nicolalamberti beneficialeffectsofrobotassistedgaittrainingonfunctionalrecoveryinwomenafterstrokeacohortstudy AT fabiomanfredini beneficialeffectsofrobotassistedgaittrainingonfunctionalrecoveryinwomenafterstrokeacohortstudy AT lucoscarlissom beneficialeffectsofrobotassistedgaittrainingonfunctionalrecoveryinwomenafterstrokeacohortstudy AT susannalavezzi beneficialeffectsofrobotassistedgaittrainingonfunctionalrecoveryinwomenafterstrokeacohortstudy AT ninobasaglia beneficialeffectsofrobotassistedgaittrainingonfunctionalrecoveryinwomenafterstrokeacohortstudy AT sofiastraudi beneficialeffectsofrobotassistedgaittrainingonfunctionalrecoveryinwomenafterstrokeacohortstudy
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Beneficial Effects of Robot-Assisted Gait Training on Functional Recovery in Women after Stroke: A Cohort Study

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