Improving Ambulation Post Stroke With Robotic Training
Improving Ambulation Post Stroke With Robotic Training
The purpose of this research study is to look at a new rehabilitation technique for
 individuals who have suffered a stroke and have difficulties walking. This study is designed
 to compare robot-assisted (Lokomat) rehabilitation therapy with standard physical therapy in
 order to improve walking post-stroke. This research project will be conducted as a pilot
 randomized controlled trial that compares the effectiveness of Lokomat versus conventional
 physical therapy in improving the ambulation and gait of chronic stroke patients. The project
 will provide important pilot data that could indicate whether or not the effectiveness of
 Lokomat training is superior to that of standard physical therapy and if a definitive and
 larger clinical trial is warranted.
Inclusion Criteria:

 -  Subjects with ischemic or hemorrhagic stroke confirmed by cerebral computed tomography
 (CT) or magnetic resonance imaging (MRI) scan

 -  Age>18

 -  At least 3 months post stroke at time of enrollment into study

 -  Ability to walk at least 10 feet with maximum 1 person assist, but not to walk in the
 community independently

 -  Residual paresis in the lower extremity as defined by the National Institute of Health
 Stroke Scale lower extremity motor score 2-4

 -  Ability to perform Lokomat ambulation training with assistance of 1 therapist

 -  Ability to follow a three-step command

 -  Physician approval for patient participation

 -  Ability to give informed consent

 -  Completed their rehabilitation services, i.e., receiving no concurrent physical,
 occupational, or speech therapies

 Exclusion Criteria:

 -  Serious cardiac condition

 -  Uncontrolled blood pressure, defined as > 200 or diastolic > 100 at rest

 -  Hx of serious chronic obstructive pulmonary disease or oxygen dependence

 -  Sever weight bearing pain

 -  Lower extremity amputation

 -  Claudication while walking

 -  Life expectancy < 1 year

 -  History of deep vein thrombosis/pulmonary embolism (DVT/PE) within 6 months

 -  Severe orthopedic problem

 -  Any medical or psychiatric condition that the investigators believe would make the
 patient unable to participate in this study