Effects of active upper limb-body-lower limb coordination robot-assisted walking training on muscle activity, joint angle, foot pressure and clinical measurements in chronic stroke patients

Not Applicable

Recruiting

Conditions: Diseases of the circulatory system

Registration Number: KCT0009448

Lead Sponsor: Yonsei University Mirae Campus

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 30

Inclusion Criteria

Inclusion Criteria
- Subjects with a diagnosis of stroke at least 18 months.
- Subjects with a functional ambulatory category of 2 to 3.
- Able to walk on level ground without a walking aid such as a cane.
- Subjects who can fully understand the instructions requested.

Exclusion Criteria

Exclusion Criteria
- Subjects with cardiorespiratory/metabolic disease or other neurological or orthopedic injuries that may limit movement.
- Subjects weighing more than 135 kg (due to the size of the harness and robotic system or weight support).
- Subjects with a modified ashworth scale of 2 or greater.
- Subjects who have received botulinum toxin for 6 months or less.
- Subjects with a mini-mental status examination score of 23 or less.

Study & Design

Study Type: Interventional Study

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1) Electromyography (EMG) Measures the anterior deltoid, external oblique, rectus femoris, gastrocnemius, tibialis anterior, and wrist extensor. ;2) Motion Analyzer (myomotion) (Noraxonmyomotion, NoraxonInc., AZ, USA) to measure ankle angles and trunk rotation shoulder joint angles. ;3) Insole-type pressure meter (insole) (Noraxon Insole Noraxon inc.. AZ, USA) Measures center of pressure values during gait in both groups. It measures the relative load distribution during balance and bilateral or unilateral exercise application.

Secondary Outcome Measures

Name	Time	Method
5) Functional ambulatory category (functional ambulatory category) Assesses functional gait level and walking ability;6) trunk impairment scale Assesses motor impairment in static and dynamic sitting balance and interbody movement coordination. ;7) Range of motion (range of joint angles) The smartphone application 'GetMyROM' is used to assess joint angles. ;8) Modified ashworth scale Measures muscle tone by dividing the grade by taking measurements within the range of joint motion (including the end point or range).;9) The Dynamic Gait Index (DGI) This was developed as a clinical tool to assess gait, balance and fall risk. It evaluates not only the usual steady-state walking, but also walking during more challenging tasks.;) fugl meyer assessment (fugl meyer assessment) Assesses sensorimotor function including reflexes, voluntary movement, coordination, balance, sensation, synergy, and joint function