Zhang Tingyu, Zheng Jiejiao, Tao Jiming, Xu Yueying, Zhang Xinglai, Chen Chen, Liao Dongdong, Li Xingyuan
School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Department of Rehabilitation Medicine, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
PM R. 2025 Jun 20. doi: 10.1002/pmrj.13419.
Therapeutic tools are critical for poststroke rehabilitation. The potential benefits of dual-task training assisted by a lower-extremity exoskeleton robot to enhance gait and postural control have yet to be studied.
To determine the effects of lower-extremity exoskeleton robot-assisted dual-task training on gait and postural control after stroke.
Single-blind, randomized controlled trial.
Outpatient clinic and ward, Department of Rehabilitation Medicine, Huadong Hospital affiliated with Fudan University.
Forty-four participants in the recovery and sequela phases of stroke with deficits in gait and postural control.
Participants were randomly assigned to two groups: lower-extremity exoskeleton robot-assisted walking cognitive dual-task training (experimental group) or lower-extremity exoskeleton robot-assisted walking training (control group). Each participant received 40 minutes per intervention, 1 time per day, 6 times per week for 3 weeks.
The primary outcome was gait variability performance. The secondary outcomes included the Timed Up and Go, Berg Balance Scale, Montreal Cognitive Assessment, Fugl-Meyer assessment of lower extremity, and International Classification of Functioning, Disability and Health-activities and participation assessment scale.
Individuals who participated in exoskeleton robot-assisted walking cognitive dual-task training improved more than those in the control group in partial gait variability performance analysis, Timed Up and Go test, Berg Balance Scale, and Fugl-Meyer assessment for the lower extremities (p < .05).
Compared to lower-extremity exoskeleton robot-assisted walking training, robot-assisted dual-task training improves gait and postural control, walking, balance, and lower extremity motor function in survivors of stroke.
治疗工具对中风后康复至关重要。下肢外骨骼机器人辅助的双任务训练对增强步态和姿势控制的潜在益处尚未得到研究。
确定下肢外骨骼机器人辅助双任务训练对中风后步态和姿势控制的影响。
单盲随机对照试验。
复旦大学附属华东医院康复医学科门诊及病房。
44名处于中风恢复和后遗症阶段且存在步态和姿势控制缺陷的参与者。
参与者被随机分为两组：下肢外骨骼机器人辅助步行认知双任务训练（实验组）或下肢外骨骼机器人辅助步行训练（对照组）。每次干预每位参与者接受40分钟，每天1次，每周6次，共3周。
主要观察指标为步态变异性表现。次要观察指标包括定时起立行走测试、伯格平衡量表、蒙特利尔认知评估、下肢Fugl - Meyer评估以及国际功能、残疾和健康分类 - 活动与参与评估量表。
在部分步态变异性表现分析、定时起立行走测试、伯格平衡量表以及下肢Fugl - Meyer评估中，参与外骨骼机器人辅助步行认知双任务训练的个体比对照组改善更明显（p < 0.05）。
与下肢外骨骼机器人辅助步行训练相比，机器人辅助双任务训练可改善中风幸存者的步态和姿势控制、行走、平衡以及下肢运动功能。
