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Kotov S.V.

Vladimirsky Moscow Regional Research Clinical Institute

Isakova E.V.

Vladimirsky Moscow Regional Clinical Research Institute

Lizhdvoy V.Yu.

Moscow Regional Research and Clinical Institute («MONIKI»)

Petrushanskaya K.A.

Vladimirsky Moscow Regional Research Clinical Institute

Pismennaya E.V.

Research Institute of Mechanics of Moscow State University

Romanova M.V.

Vladimirsky Moscow Regional Research Clinical Institute

Kodzokova L.H.

Vladimirsky Moscow Regional Research Clinical Institute

Robotic recovery of walking function in patients in the early recovery period of stroke

Authors:

Kotov S.V., Isakova E.V., Lizhdvoy V.Yu., Petrushanskaya K.A., Pismennaya E.V., Romanova M.V., Kodzokova L.H.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(8‑2): 73‑80

DOI: 10.17116/jnevro202012008273

Read: 3512 times

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Table of contents

ROBOTIC RECOVERY OF WALKING FUNCTION IN PATIENTS IN THE EARLY RECOVERY PERIOD OF STROKE
ROBOTIC RECOVERY OF WALKING FUNCTION IN PATIENTS IN THE EARLY RECOVERY PERIOD OF STROKE

To cite this article:

Kotov SV, Isakova EV, Lizhdvoy VYu, Petrushanskaya KA, Pismennaya EV, Romanova MV, Kodzokova LH. Robotic recovery of walking function in patients in the early recovery period of stroke. S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(8‑2):73‑80. (In Russ.)
https://doi.org/10.17116/jnevro202012008273

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
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Abstract:

OBJECTIVE

To compare the efficacy of walking function recovery in patients in the early recovery period of ischemic stroke (IS) using an exoskeleton for the lower extremities and an active-passive pedal exercise bike.

MATERIAL AND METHODS

An open randomized study of 47 patients in the early recovery period of IS was conducted. The rehabilitation course included exercises on an ExoAtlet exoskeleton in group 1 and exercises on a pedal simulator for active-passive training (5 days a week for 2 weeks) in group 2. Several tests were used to evaluate treatment results, including the Hauser walking index, the 10-meter walking test, the Berg balance scale, stabilometry, and biomechanics of walking. The complete training course was completed by 20 patients of group 1 and 21 of group 2.

RESULTS

There was a significant increase in strength in paretic muscles, postural stability, functional level and walking speed in patients of both groups, but in patients of group 1, the dynamics of recovery was more pronounced (p<0.05). In group 1, there was a significant decrease in the level of disability and an increase in daily activity, which was higher compared to group 2. An analysis of the main indicators of the statokinesiogram showed the more pronounced positive shifts in patients of group 1, but significant differences were found only in the dynamics of the length and area of the curve in the test with eyes open. When studying the biomechanics of walking, it was found that the function of walking was changed: there was a significant decrease in the speed of movement by 2.2 times, the length of a double step by 1.6 times, and the pace of walking by 1.3 times compared to normal indicators. After the end of exercises, a significant increase in the length of the double step, speed and pace of walking as well as a decrease in the period of the locomotor cycle were found in group 1.

CONCLUSION

The study revealed a positive impact of hardware rehabilitation on locomotion, both with the use of an exoskeleton and an active-passive pedal simulator. The use of an exoskeleton, have the advantages resulting in a significantly greater recovery of strength, stability, speed and symmetry of walking over the same period of training. A significant increase in postural stability in vertical position was revealed.

Keywords:

ischemic stroke
rehabilitation
exoskeleton
functional recovery
walking
postural stability

Authors:

Kotov S.V.

Vladimirsky Moscow Regional Research Clinical Institute

Isakova E.V.

Vladimirsky Moscow Regional Clinical Research Institute

Lizhdvoy V.Yu.

Moscow Regional Research and Clinical Institute («MONIKI»)

Petrushanskaya K.A.

Vladimirsky Moscow Regional Research Clinical Institute

Pismennaya E.V.

Research Institute of Mechanics of Moscow State University

Romanova M.V.

Vladimirsky Moscow Regional Research Clinical Institute

Kodzokova L.H.

Vladimirsky Moscow Regional Research Clinical Institute

Received:

28.06.2020

Accepted:

09.07.2020

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References:

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