الفهرس | Only 14 pages are availabe for public view |
Abstract Objective :To assess the efficacy of robotic usage in gait training in adult patient with stroke .Data sources : a literature search covering the years 2005 till 2019 in Pub med , NCBI , Sage, Cochrane ,Medline, PEDRO .Study selection : Studies of adult stroke patients , in which experimental groups received robotic gait training ( Lokomat device) with or without conventional physical therapy and the control group received only conventional physical therapy . Outcomes: studies included gait parameter and balance .Study design: all studies are randomized controlled trials .Data extraction: study quality was assessed by PEDRO scale. All studies were graded equal to or more than 5 out of 10. Results: Data for meta-analysis could be extracted from the included studies for change in Cadence, 10 minute walking test, Speed and Berg balance scale variables. The 95% confidence intervals of the overall effect estimate overlap null effect value so, the Meta-analysis level revealed a non-significant difference between the experimental groups and control groups. Conclusion: Gait parameters showed significant improvement in both groups in studies with no superiority of one treatment over another may be because of the different protocols of Lokomat training or different response of the patients toward machine safety .So, Lokomat device need to be more tested |