This document provides a review of the techniques and therapies used in gait rehabilitation after stroke. It also examines the possible benefits of including assistive robotic devices and brain-computer interfaces in this field, according to a top-down approach, in which rehabilitation is driven by neural plasticity. The methods reviewed comprise classical gait rehabilitation techniques (neurophysiological and motor learning approaches), functional electrical stimulation (FES), robotic devices, and brain-computer interfaces (BCI). From the analysis of these approaches, we can draw the following conclusions. Regarding classical rehabilitation techniques, there is insufficient evidence to state that a particular approach is more effective in promoting gait recovery than other. Combination of different rehabilitation strategies seems to be more effective than over-ground gait training alone. Robotic devices need further research to show their suitability for walking training and their effects on over-ground gait. The use of FES combined with different walking retraining strategies has shown to result in improvements in hemiplegic gait. Reports on non-invasive BCIs for stroke recovery are limited to the rehabilitation of upper limbs; however, some works suggest that there might be a common mechanism which influences upper and lower limb recovery simultaneously, independently of the limb chosen for the rehabilitation therapy. Functional near infrared spectroscopy (fNIRS) enables researchers to detect signals from specific regions of the cortex during performance of motor activities for the development of future BCIs. Future research would make possible to analyze the impact of rehabilitation on brain plasticity, in order to adapt treatment resources to meet the needs of each patient and to optimize the recovery process. ; peerReviewed


    Zugriff

    Download


    Exportieren, teilen und zitieren



    Titel :

    Rehabilitation of gait after stroke: a review towards a top-down approach.


    Beteiligte:

    Erscheinungsdatum :

    2011-01-01


    Anmerkungen:

    585418



    Medientyp :

    Aufsatz (Zeitschrift)


    Format :

    Elektronische Ressource


    Sprache :

    Englisch


    Schlagwörter :

    Klassifikation :

    DDC:    629




    Rehabilitation of gait after stroke: a review towards a top-down approach.

    Belda-Lois, Juan-Manuel / Mena-del Horno, Silvia / Bermejo-Bosch, Ignacio et al. | BASE | 2011

    Freier Zugriff

    Towards more effective robotic gait training for stroke rehabilitation: a review

    Pennycott, Andrew / Wyss, Dario / Vallery, Heike et al. | BASE | 2012

    Freier Zugriff

    Gait rehabilitation after stroke: review of the evidence of predictors, clinical outcomes and timing for interventions

    Selves, Clara / Stoquart, Gaëtan / Lejeune, Thierry | BASE | 2020

    Freier Zugriff

    Powered robotic exoskeletons in post-stroke rehabilitation of gait: a scoping review

    Louie, Dennis R / Eng, Janice J | BASE | 2016

    Freier Zugriff