It was planned to examine the effects of robot-assisted walking training supported by virtual
      reality on cognitive functions, quality of life and activities of daily living in individuals
      with subacute stroke. In this context, only conventional physiotherapy was applied to one
      group, while the other group was given exercises with Lokomat in addition to conventional
      physiotherapy.

Investigation of the Effects of Robot Assisted Gait Training With Virtual Reality on Cognitive Functions in Stroke Patients

Exoskeleton Device

Locomotion

Stroke

According to the definition of the World Health Organization, stroke is a clinical syndrome
      characterized by the rapid establishment of signs and symptoms of focal loss of cerebral
      function for no apparent reason other than vascular causes. Symptoms last longer than
      twenty-four hours or may result in death. Stroke is the second leading cause of death in the
      world and the first cause of disability and loss of work force. Many stroke survivors are
      dependent on someone else for some part of their daily lives, have limitations in their daily
      and social activities, and have significantly lost their quality of life. Cognitive disorders
      after stroke are manifested by difficulties in information processing due to brain damage.
      The most common cognitive effects in stroke; attention, memory, orientation, executive
      dysfunction and aphasia.

      For cognitive rehabilitation it is known that Lokomat combined virtual reality applications
      is more effective than Lokomat exercises without virtual reality in individuals with chronic
      stroke. Our research aims to contribute to the literature by revealing the cognitive
      functions, ADL and quality of life of locomotive exercises together with virtual reality in
      individuals with subacute stroke.

      Our research will be carried out in the Robotic Rehabilitation Laboratory of Physical Therapy
      and Rehabilitation Hospital in Ankara City Hospital. The population of the study is the
      stroke clinics of the same hospital. Individuals with subacute stroke who volunteered to
      participate in the study will be included in the study. All patients will receive
      conventional physiotherapy five days a week for six weeks, and the study group will receive
      with Lokomat three times a week in addition to conventional physiotherapy. The patients will
      be evaluated by a therapist other than the practitioner before and after the treatment in two
      groups, one of which is the study group and the other is the control group.

Lokomat Augmented Performance Feedback

Conventional Physiotherapy

Investigation of the Effects of Virtual Reality Exercises Combined With Robot-assisted Walking Training on Individuals With Subacute Stroke on Cognitive Functions, Activities of Daily Living and Quality of Life.

Montreal Cognitive Assessment (MOCA) assesses eight cognitive functions. These are attention and concentration, executive functions, memory, language, visual structuring, abstract thinking, computation, and orientation.

MSc PT

Instrumental Activities of Daily Living (Lawton&Brody Score) consists of 8 questions covering activities such as using the phone, shopping, using public transport, doing daily housework, preparing meals, and traveling. If the patient score is between 0-8 points, fully dependent, between 9-16 points semi-dependent, between 17-24 points is considered fully independent.

The Stroke-Specific Quality of Life Scale is specially designed for stroke patients. It consists of 49 items covering 12 domains that measure quality of life. It measures in many fields such as upper extremity functions, visual functions, speech, domestic roles, social roles, mobility, psychological state, work productivity, self-care, perception, memory, and personality. High scores indicate better quality of life. The maximum score is 245.

Investigation of the Effects of Robot Assisted Gait Training With Virtual Reality on Cognitive Functions in Stroke Patients

About this trial

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Type

Placebo

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What is this trial about?

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