Training robot-assistito dell ’esecuzione delle scale e del cammino per il recupero dell’ abilità ad eseguire le scale e del cammino in pazienti affetti da ictus cronico: studio pilota randomizzato controllato

Introduction. Stair-climbing up and down is an essential part of everyday’s mobility. Physiotherapy focuses on strengthening, stress in terms of intensity stair-climbing practice. Objectives. To compare whether an intensive robot-assisted stair climbing train- (CP) for improving stair climbing ability and gait in stroke patients. Materials and methods. A pilot randomized clinical trial. Patients received RASCT or CP, ten 45-minute treatment sesup and down time to accomplish 9 stairs, Berg Balance Scale (BBS), Time Up and Go Test (TUG), 10-Meter Walking Test - worth Scale, and the electromyography of eight lower limb muscles were assessed before and after treatment. Results. Ten patients were randomly assigned to the RASCT (n=5) or were found in both groups in TUG (P=0.04; P=0.04), 10MWT (P=0.04; P=0.04) and Gait speed (p=0.04; 0.04). After treatment the 6MWT(P= 0.04) and a greater improvements in stair climbing up and down ability (P=0.06). After training, more physiological muscles activation was found. Conclusions. RASCT protocol is feasible and might improve gait and stair climbing ability in chronic stroke patients. A larger sample is required to reveal the superiority of one approach rather than with another one