Stroke represents the leading cause of disability worldwide, with a significant impact on an individual, family, and economic impact. The recovery of smoother, safer, and more correct walking is an essential requirement to allow the patient to regain autonomy in the activities of daily living. Some preliminary studies have shown that robotic training of the gait training has influenced the functional and motor outcome in patients with stroke outcomes an improvement in endurance and walking strategies was observed. In addition, frequently, a stroke involves an alteration of the cognitive system that contributes to the deterioration of balance and gait during dual-task activities; the study of these processes can be of interest for rehabilitation purposes. Considering these preliminary data and that the patient must continuously find balance in overground walking, it is believed that a robotic balance treatment associated with conventional therapy may be more effective than conventional therapy alone. Therefore, this study aims to evaluate the effects of technological rehabilitation utilizing a robotic platform (Hunova® Movendo Technology srl, Genova, IT): * (i) in terms of improvement in static, dynamic balance, and ambulation (assessed with clinical scales and instrumental measures); * (ii) on fatigue, on cognitive performance in terms of sustained attention, dual-task cost and cognitive-motor interference and on quality of life.
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Motricity Index (MI)
Timeframe: Change from Baseline Motricity Index at 4 weeks
Berg Balance Scale (BBS)
Timeframe: Change from Baseline Berg Balance Scale at 4 weeks
Timed Up and Go Test (TUG)
Timeframe: Change from Baseline Timed Up and Go Test at 4 weeks
Short physical performance battery (SPPB)
Timeframe: Change from Baseline Short physical performance battery at 4 weeks
Ambulation Index (AI)
Timeframe: Change from Baseline Ambulation Index at 4 weeks
Walking handicap scale (WHS)
Timeframe: Change from Baseline Walking handicap scale at 4 weeks
Functional Ambulation Classification (FAC)
Timeframe: Change from Baseline Functional Ambulation Classification at 4 weeks
10 Meter Walk Test (10mWT)
Timeframe: Change from Baseline 10 Meter Walk Test at 4 weeks
Six-minute walk test (6MWT)
Timeframe: Change from Baseline Six-minute walk test at 4 weeks
Barthel Modified Index (BMI)
Timeframe: Change from Baseline Barthel Modified Index at 4 weeks
EuroQol- 5 Dimension (EQ-5D)
Timeframe: Change from Baseline EuroQol- 5 Dimension at 4 weeks
Modified Fatigue Impact Scale (MFIS)
Timeframe: Change from Baseline Modified Fatigue Impact Scale at 4 weeks
Fatigue Scale for Motor and Cognitive Function (FSMC)
Timeframe: Change from Baseline Fatigue Scale for Motor and Cognitive Function at 4 weeks
Frontal Assessment Battery (FAB)
Timeframe: Change from Baseline Frontal Assessment Battery at 4 weeks
Symbol Digit Modalities Test (SDMT)
Timeframe: Change from Baseline Symbol Digit Modalities Test at 4 weeks
Trail Making Test (TMT)
Timeframe: Change from Baseline Trail Making Test at 4 weeks
The Stroop Colour Word Test (SCWT)
Timeframe: Change from Baseline Stroop Colour Word Test at 4 weeks
The Cancellation Test of Digits (CTD)
Timeframe: Change from Baseline Cancellation Test of Digits at 4 weeks