Comparison of Heart Rate Reserve-Guided and Ratings of Perceived Exertion-Guided Methods for High-Intensity Robot-Assisted Gait Training in Patients With Chronic Stroke: Focused on the Motor Function and Gait Ability : Topics in Geriatric Rehabilitation

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Comparison of Heart Rate Reserve-Guided and Ratings of Perceived Exertion-Guided Methods for High-Intensity Robot-Assisted Gait Training in Patients With Chronic Stroke

Focused on the Motor Function and Gait Ability

Bae, Young-Hyeon PT, PhD; Kim, Yun-Hee MD, PhD; Fong, Shirley S. M. PT, PhD

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Topics in Geriatric Rehabilitation 32(2):p 119-126, April/June 2016. | DOI: 10.1097/TGR.0000000000000098

Abstract

The present study was to compare the effectiveness of heart rate reserve (HRR)-guided high-intensity robot-assisted gait training (RAGT) to RPE-guided high-intensity RAGT on motor function and gait ability in patients with chronic stroke. The HRR-guided high-intensity RAGT group received the RAGT at 70% of HRR, whereas the RPE-guided high-intensity RAGT group received RAGT at RPE of 15. Both groups received their assigned therapy for 30 minutes per session, 3 days per week for 6 weeks. HRR-guided high-intensity RAGT group was significantly more improved than the RPE-guided high-intensity RAGT group in Fugl-Meyer assessment Lower extremity score, walking speed, cadence, step length, stride length, swing time, double support rate, single support rate, symmetrical index of swing, symmetrical index of stance, and 10-m velocity test (P < .05). Thus, HRR-guided high-intensity RAGT group improved in terms of motor function, gait ability, and controlled symmetric gait pattern more than the RPE-guided high-intensity RAGT group by physiological gait training at more high intensity. These results suggest that HRR-guided high-intensity RAGT group is safe and effective for improvement of motor function and gait ability in chronic stroke.

Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.

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