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Related Experiment Video

Updated: May 9, 2026

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Electromechanical-assisted training for walking after stroke.

Jan Mehrholz1, Bernhard Elsner, Cordula Werner

  • 1Wissenschaftliches Institut, Private Europäische Medizinische Akademie der Klinik Bavaria in Kreischa GmbH, Kreischa, Germany. jan.mehrholz@klinik-bavaria.de.

The Cochrane Database of Systematic Reviews
|July 27, 2013
PubMed
Summary
This summary is machine-generated.

Electromechanical-assisted gait training combined with physiotherapy improves the likelihood of independent walking post-stroke. Early stroke patients and those unable to walk benefit most from this robotic intervention.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Robotics

Background:

  • Electromechanical and robotic-assisted gait training are utilized in rehabilitation to enhance walking function.
  • This review is an update of a Cochrane Review originally published in 2007.

Purpose of the Study:

  • To evaluate the effectiveness of automated electromechanical and robotic-assisted gait training devices for improving walking ability in stroke survivors.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases (e.g., Cochrane, MEDLINE, EMBASE) up to November 2012.
  • Included were randomized and cross-over trials of individuals over 18 with stroke, comparing electromechanical-assisted gait training with usual care.
  • The primary outcome was independent walking ability at follow-up, with data independently extracted and quality assessed by two reviewers.

Main Results:

  • Electromechanical-assisted gait training with physiotherapy significantly increased the odds of independent walking (OR 2.39, P < 0.00001).
  • No significant improvements were observed in walking velocity or capacity.
  • Results should be interpreted cautiously due to trial variations and participant characteristics; subgroup analyses suggest benefits for acute-phase and non-ambulatory patients.

Conclusions:

  • Stroke patients receiving electromechanical-assisted gait training alongside physiotherapy are more likely to achieve independent walking.
  • Individuals in the early post-stroke phase (within three months) and those with initial mobility impairments appear to benefit the most.
  • Further large-scale trials are needed to determine optimal training parameters and long-term benefits.