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Movement Retraining using Real-time Feedback of Performance
Published on: January 17, 2013
Immediate affective responses of gait training in neurological rehabilitation: A randomized crossover trial
Martin Niedermeier1, Larissa Ledochowski, Andreas Mayr
1Department of Sport Science, University of Innsbruck, AT-6020 Innsbruck, Austria. martin.niedermeier@uibk.ac.at.
Objective:
To examine the immediate effects of physical therapy and robotic-assisted gait training on affective responses of gait training in neurological rehabilitation.
Design:
Randomized crossover trial with blinded observers.
Patients:
Sixteen patients with neurological disorders (stroke, traumatic brain injury, spinal cord injury, multiple sclerosis).
Methods:
All patients underwent 2 single treatment sessions: physical therapy and robotic-assisted gait training. Both before and after the treatment sessions, the self-report Mood Survey Scale was used to assess the effects of the treatment on distinct affective states. The subscales of the Mood Survey Scale were tested for pre-post changes and differences in effects between treatments, using non-parametric tests.
Results:
Fourteen participants completed the study. Patients showed a significant increase in activation (r = 0.55), elation (r = 0.79), and calmness (r = 0.72), and a significant decrease in anger (r = 0.64) after robotic-assisted gait training compared with physical therapy.
Conclusion:
Affective responses might be positively influenced by robotic-assisted gait training, which may help to overcome motivational problems during the rehabilitation process in neurological patients.
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