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Related Experiment Video

Updated: Dec 4, 2025

A Rehabilitation Program of Exoskeleton-assisted Body Weight-Supported Treadmill Training with Non-immersive Virtual Reality for Stroke Patients

A Rehabilitation Program of Exoskeleton-assisted Body Weight-Supported Treadmill Training with Non-immersive Virtual Reality for Stroke Patients

Published on: May 16, 2025

Electromechanical-assisted training for walking after stroke.

Jan Mehrholz¹, Simone Thomas², Joachim Kugler¹

¹Department of Public Health, Dresden Medical School, Technical University Dresden, Dresden, Germany.

The Cochrane Database of Systematic Reviews

|October 22, 2020

Summary

This summary is machine-generated.

Electromechanical-assisted gait training combined with physiotherapy significantly improves independent walking post-stroke. This therapy is beneficial for non-ambulatory individuals, with eight patients needing treatment to prevent one dependency.

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Last Updated: Dec 4, 2025

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Area of Science:

Neurorehabilitation
Robotics in Medicine
Stroke Recovery

Background:

Electromechanical and robot-assisted devices are utilized in rehabilitation to enhance walking function after stroke.
This review is an updated analysis of previous Cochrane Reviews from 2007 and 2017.

Purpose of the Study:

To assess the effectiveness of electromechanical- and robot-assisted gait training compared to normal care in improving walking ability after stroke.
To evaluate secondary outcomes including walking velocity, capacity, acceptability, and mortality.

Main Methods:

Inclusion of all randomized controlled trials and cross-over trials involving adult stroke patients.
Independent selection, quality assessment, and data extraction by two review authors.
GRADE approach used for assessing the quality of evidence.

Main Results:

Electromechanical-assisted gait training with physiotherapy increased the likelihood of independent walking (OR 2.01, high-quality evidence).
Improved walking velocity (MD 0.06 m/s, low-quality evidence) but not walking capacity.
No increased risk of study withdrawal or all-cause mortality; results require cautious interpretation due to trial variations.

Conclusions:

Patients receiving electromechanical-assisted gait training plus physiotherapy are more likely to walk independently post-stroke.
The intervention is most beneficial for non-ambulatory individuals within three months of stroke.
Further research is needed to determine optimal training parameters and long-term benefits.