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Related Experiment Video

Updated: Mar 2, 2026

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Electromechanical-assisted training for walking after stroke.

Jan Mehrholz1, Simone Thomas2, Cordula Werner3

  • 1Department of Public Health, Dresden Medical School, Technical University Dresden, Fetscherstr. 74, Dresden, Germany, 01307.

The Cochrane Database of Systematic Reviews
|May 11, 2017
PubMed
Summary
This summary is machine-generated.

Electromechanical-assisted gait training (EAGT) combined with physiotherapy significantly improves independent walking post-stroke. Seven patients require EAGT to prevent one case of walking dependency, with the greatest benefits seen in early stroke phases and for non-ambulatory individuals.

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Area of Science:

  • Neurorehabilitation
  • Robotics in Medicine
  • Biomechanics

Background:

  • Electromechanical- and robotic-assisted gait-training devices are utilized in rehabilitation to enhance walking function following stroke.
  • This review is an updated analysis of previous findings on these assistive technologies.

Purpose of the Study:

  • To evaluate the efficacy of automated electromechanical- and robotic-assisted gait-training devices in improving walking ability in stroke survivors.
  • To synthesize evidence from randomized controlled trials on the impact of these devices on gait recovery.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases, including Cochrane Stroke Group Trials Register, CENTRAL, MEDLINE, Embase, CINAHL, AMED, Web of Science, SPORTDiscus, PEDro, COMPENDEX, and Inspec.
  • Inclusion criteria comprised randomized controlled trials and cross-over trials involving adult stroke patients of any severity, stage, or setting, comparing electromechanical-assisted gait training with usual care.
  • Data extraction and quality assessment were performed independently by two reviewers, with the primary outcome being independent walking at follow-up.

Main Results:

  • Thirty-six trials with 1472 participants were included. Electromechanical-assisted gait training (EAGT) plus physiotherapy significantly increased the odds of independent walking (OR 1.94, 95% CI 1.39 to 2.71).
  • Evidence quality for improved walking velocity and capacity was low to very low, with no significant improvements observed.
  • Results should be interpreted cautiously due to variations in devices, treatment protocols, and participant characteristics; however, subgroup analyses suggested benefits for acute stroke patients and non-ambulatory individuals.

Conclusions:

  • Stroke patients receiving EAGT combined with physiotherapy demonstrate a higher likelihood of achieving independent walking compared to those receiving conventional therapy.
  • Approximately seven patients need to undergo EAGT to prevent one instance of walking dependency.
  • Individuals in the acute phase post-stroke and those initially unable to walk appear to benefit most from EAGT, though the specific impact of different device types requires further investigation.