Physiological responses and energy cost of walking on the Gait Trainer with and without body weight support in subacute stroke patients

Robotic-assisted walking after stroke provides intensive task-oriented training. But, despite the growing diffusion of robotic devices little information is available about cardiorespiratory and metabolic responses during electromechanically-assisted repetitive walking exercise. Aim of the study was...

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Published in:Journal of neuroengineering and rehabilitation 2014-04, Vol.11 (1), p.54-54
Main Authors: Delussu, Anna Sofia, Morone, Giovanni, Iosa, Marco, Bragoni, Maura, Traballesi, Marco, Paolucci, Stefano
Format: Article
Language:English
Subjects:
Activities of daily living
Adult
Aged
Care and treatment
Economic aspects
Energy Metabolism - physiology
Exercise
Exercise Therapy - instrumentation
Exercise Therapy - methods
Female
Fitness equipment
Gait
Health aspects
Heart
Heart beat
Heart rate
Humans
Male
Middle Aged
Paralysis
Physical fitness
Physiological aspects
Rehabilitation
Robotics
Robotics - instrumentation
Robotics - methods
Stroke
Stroke - physiopathology
Stroke patients
Stroke Rehabilitation
Studies
Training
Ventilation
Walking
Walking - physiology
Weight-Bearing - physiology
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cited_by cdi_FETCH-LOGICAL-b580t-625bbdc39b7743142c32c950b4cc7ce6b634278e5facd982841c05a9f15e081b3
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container_title Journal of neuroengineering and rehabilitation
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creator Delussu, Anna Sofia
Morone, Giovanni
Iosa, Marco
Bragoni, Maura
Traballesi, Marco
Paolucci, Stefano
description Robotic-assisted walking after stroke provides intensive task-oriented training. But, despite the growing diffusion of robotic devices little information is available about cardiorespiratory and metabolic responses during electromechanically-assisted repetitive walking exercise. Aim of the study was to determine whether use of an end-effector gait training (GT) machine with body weight support (BWS) would affect physiological responses and energy cost of walking (ECW) in subacute post-stroke hemiplegic patients. six patients (patient group: PG) with hemiplegia due to stroke (age: 66 ± 15y; time since stroke: 8 ± 3 weeks; four men) and 6 healthy subjects as control group (CG: age, 76 ± 7y; six men). overground walking test (OWT) and GT-assisted walking with 0%, 30% and 50% BWS (GT-BWS0%, 30% and 50%). heart rate (HR), pulmonary ventilation, oxygen consumption, respiratory exchange ratio (RER) and ECW. Intervention conditions significantly affected parameter values in steady state (HR: p = 0.005, V'E: p = 0.001, V'O2: p 
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But, despite the growing diffusion of robotic devices little information is available about cardiorespiratory and metabolic responses during electromechanically-assisted repetitive walking exercise. Aim of the study was to determine whether use of an end-effector gait training (GT) machine with body weight support (BWS) would affect physiological responses and energy cost of walking (ECW) in subacute post-stroke hemiplegic patients. six patients (patient group: PG) with hemiplegia due to stroke (age: 66 ± 15y; time since stroke: 8 ± 3 weeks; four men) and 6 healthy subjects as control group (CG: age, 76 ± 7y; six men). overground walking test (OWT) and GT-assisted walking with 0%, 30% and 50% BWS (GT-BWS0%, 30% and 50%). heart rate (HR), pulmonary ventilation, oxygen consumption, respiratory exchange ratio (RER) and ECW. Intervention conditions significantly affected parameter values in steady state (HR: p = 0.005, V'E: p = 0.001, V'O2: p &lt; 0.001) and the interaction condition per group affected ECW (p = 0.002). For PG, the most energy (V'O2 and ECW) demanding conditions were OWT and GT-BWS0%. On the contrary, for CG the least demanding condition was OWT. On the GT, increasing BWS produced a decrease in energy and cardiac demand in both groups. In PG, GT-BWS walking resulted in less cardiometabolic demand than overground walking. This suggests that GT-BWS walking training might be safer than overground walking training in subacute stroke patients.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>24720844</pmid><doi>10.1186/1743-0003-11-54</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Activities of daily living
Adult
Aged
Care and treatment
Economic aspects
Energy Metabolism - physiology
Exercise
Exercise Therapy - instrumentation
Exercise Therapy - methods
Female
Fitness equipment
Gait
Health aspects
Heart
Heart beat
Heart rate
Humans
Male
Middle Aged
Paralysis
Physical fitness
Physiological aspects
Rehabilitation
Robotics
Robotics - instrumentation
Robotics - methods
Stroke
Stroke - physiopathology
Stroke patients
Stroke Rehabilitation
Studies
Training
Ventilation
Walking
Walking - physiology
Weight-Bearing - physiology
title Physiological responses and energy cost of walking on the Gait Trainer with and without body weight support in subacute stroke patients
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