THERAPY-Magazin
Current Cochrane Review once again confirms effectiveness of electromechanical gait training
The updated Cochrane Review affirms that early electromechanical gait training significantly improves walking independence in stroke rehab. Best results occur within 3 months post-stroke. Further research on training dosage needed.
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THERAPY Magazin
In the update to the Cochrane Review, which was first published in 2007, the working group led by Jan Mehrholz confirms the effectiveness of electromechanical-assisted gait training in post-stroke rehabilitation based on comprehensive meta-analyses. Following stringent quality criteria in their literature research, the scientists were able to consider a total of 36 randomised controlled trials involving 1,472 patients that compared electromechanical gait training with conventional treatment methods.
The results show that electromechanical gait training has significant effects on the ability to walk. Stroke patients who receive electromechanical gait training in combination with physiotherapy have a greater chance of regaining the ability to walk independently than patients who only undergo conventional gait training as part of physiotherapy.
The results show that electromechanical gait training has significant effects on the ability to walk. Stroke patients who receive electromechanical gait training in combination with physiotherapy have a greater chance of regaining the ability to walk independently than patients who only undergo conventional gait training as part of physiotherapy.
The strongest effects are seen in patients who begin the training process at a very early stage
According to the authors, one in every five to seven walking impairments could be avoided through the systematic use of electromechanical gait trainers. The strongest effects are seen in patients who begin the training process at a very early stage, i.e. in the first three months after a stroke, and who are not able to walk at the beginning of the therapy. There are still many questions regarding the amount, frequency and duration of training. The authors believe that further research is needed here.
The integration of these modern treatment methods into practice also poses a challenge for clinics. There are still only few who succeed in putting the recommendations of science, research and internationally recognised guidelines into practice.
The integration of these modern treatment methods into practice also poses a challenge for clinics. There are still only few who succeed in putting the recommendations of science, research and internationally recognised guidelines into practice.
Ambulante Rehabilitation
Fachkreise
Gait
lyra
Science
Stationäre Rehabilitation
THERAPY 2018-I
THERAPY Magazine
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THERAPY Magazin
References:
- Mehrholz J, Thomas S, Werner C, Kugler J, Pohl M, Elsner B. Electromechanical-assisted training for walking after stroke. Cochrane Database Syst Rev. 2017;CD006185. doi: 10.1002/14651858.CD006185.
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