RT Journal Article
T1 Rehabilitation of gait after stroke: 												A review towards a top-down approach
A1 Belda-Lois, Juan Manuel
A1 Mena-Del Horno, Silvia
A1 Bermejo-Bosch, Ignacio
A1 Moreno, Juan C.
A1 Pons, José L.
A1 Farina, Dario
A1 Iosa, Marco
A1 Molinari, Marco
A1 Tamburella, Federica
A1 Ramos, Ander
A1 Caria, Andrea
A1 Solis-Escalante, Teodoro
A1 Brunner, Clemens
A1 Rea, Massimiliano
AB This document provides a review of the techniques and therapies used in gait rehabilitation after stroke. It also examines the possible benefits of including assistive robotic devices and brain-computer interfaces in this field, according to a top-down approach, in which rehabilitation is driven by neural plasticity. The methods reviewed comprise classical gait rehabilitation techniques (neurophysiological and motor learning approaches), functional electrical stimulation (FES), robotic devices, and brain-computer interfaces (BCI). From the analysis of these approaches, we can draw the following conclusions. Regarding classical rehabilitation techniques, there is insufficient evidence to state that a particular approach is more effective in promoting gait recovery than other. Combination of different rehabilitation strategies seems to be more effective than over-ground gait training alone. Robotic devices need further research to show their suitability for walking training and their effects on over-ground gait. The use of FES combined with different walking retraining strategies has shown to result in improvements in hemiplegic gait. Reports on non-invasive BCIs for stroke recovery are limited to the rehabilitation of upper limbs; however, some works suggest that there might be a common mechanism which influences upper and lower limb recovery simultaneously, independently of the limb chosen for the rehabilitation therapy. Functional near infrared spectroscopy (fNIRS) enables researchers to detect signals from specific regions of the cortex during performance of motor activities for the development of future BCIs. Future research would make possible to analyze the impact of rehabilitation on brain plasticity, in order to adapt treatment resources to meet the needs of each patient and to optimize the recovery process.
SN 1743-0003
YR 2011
FD 2011
LK https://hdl.handle.net/11556/4197
UL https://hdl.handle.net/11556/4197
LA eng
NO Belda-Lois , J M , Mena-Del Horno , S , Bermejo-Bosch , I , Moreno , J C , Pons , J L , Farina , D , Iosa , M , Molinari , M , Tamburella , F , Ramos , A , Caria , A , Solis-Escalante , T , Brunner , C & Rea , M 2011 , ' Rehabilitation of gait after stroke : A review towards a top-down approach ' , Journal of NeuroEngineering and Rehabilitation , vol. 8 , no. 1 , 66 . https://doi.org/10.1186/1743-0003-8-66
NO This review has been carried out with financial support from the European Commission within the Seventh Framework Programme under contract FP7-ICT-2009-247935: BETTER BNCI-driven Robotic Physical Therapies in Stroke Rehabilitation of Gait Disorders.
DS TECNALIA Publications
RD 26 jul 2024