A Pilot Study of End-Effector Robotic Gait Training for Improving Gait and Balance Abilities in the Older Patients after Hip Fracture Surgery
Keywords:
Robotic Gait Training, end effector type, older patient, hip fracture, gait, balanceAbstract
Objectives: To assess the effect of ‘SensibleSTEP’ end-effector type robotic gait training on gait and balance abilities in the older patients after hip fracture surgery
Study design: A quasi-experimental pilot study
Setting: The Department of Rehabilitation Medicine, Lerdsin Hospital, Bangkok, Thailand
Subjects: Older patients (aged ≥ 60) who underwent hip fracture surgery between March - September 2023.
Methods: Ten older subjects who had undergone hip fracture surgery were recruited for a robotic gait training program. The program consisted of 30-minute training sessions conducted twice weekly for four consecutive weeks, a total of eight sessions. The investigator evaluated the Functional Ambulation Category (FAC), Timed Up and Go (TUG), Single Leg Stance (SLS), Four Step Square (FSS), gait speed, stride length, cadence, visual analogue scale (VAS), gait aid use, and level of assistance both before and after the training program.
Results: Robotic gait training with SensibleSTEP showed statistically significant improvements in FAC, TUG, FSS, gait speed, and stride length. Trends of improvement were observed in SLS, cadence, VAS, gait aid use, and level of assistance.
Conclusions: End-effector robotic gait training for eight sessions can improve gait and balance abilities in the older patients who had undergone hip fracture surgery
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