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Article

The Effectiveness of Robot- vs. Virtual Reality-Based Gait Rehabilitation: A Propensity Score Matched Cohort

1
Scientific Institute, IRCCS “Eugenio Medea”, Bosisio Parini, 23842 Lecco, Italy
2
NEARLab, Department of Electronics, Information and Bioengineering, Politecnico di Milano, 20133 Milan, Italy
*
Authors to whom correspondence should be addressed.
Academic Editors: Nicola Smania and Nicola Valè
Life 2021, 11(6), 548; https://doi.org/10.3390/life11060548
Received: 29 April 2021 / Revised: 7 June 2021 / Accepted: 9 June 2021 / Published: 11 June 2021
Robot assisted gait training (RAGT) and virtual reality plus treadmill training (VRTT) are two technologies that can support locomotion rehabilitation in children and adolescents affected by acquired brain injury (ABI). The literature provides evidence of their effectiveness in this population. However, a comparison between these methods is not available. This study aims at comparing the effectiveness of RAGT and VRTT for the gait rehabilitation of children and adolescents suffering from ABI. This is a prospective cohort study with propensity score matching. Between October 2016 and September 2018, all patients undergoing an intensive gait rehabilitation treatment based on RAGT or VRTT were prospectively observed. To minimize selection bias associated with the study design, patients who underwent RAGT or VRTT were retrospectively matched for age, gender, time elapsed from injury, level of impairment, and motor impairment using propensity score in a matching ratio of 1:1. Outcome measures were Gross Motor Function Mesure-88 (GMFM-88), six-min walking test (6MWT), Gillette Functional Assessment Questionnaire (FAQ), and three-dimensional gait analysis (GA). The FAQ and the GMFM-88 had a statistically significant increase in both groups while the 6MWT improved in the RAGT group only. GA highlighted changes at the proximal level in the RAGT group, and at the distal district in the VRTT group. Although preliminary, this work suggests that RAGT and VRTT protocols foster different motor improvements, thus recommending to couple the two therapies in the paediatric population with ABI. View Full-Text
Keywords: robot-assisted gait training; virtual reality plus treadmill training; children; acquired brain injury; propensity score matching; cohort study robot-assisted gait training; virtual reality plus treadmill training; children; acquired brain injury; propensity score matching; cohort study
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MDPI and ACS Style

Biffi, E.; Beretta, E.; Storm, F.A.; Corbetta, C.; Strazzer, S.; Pedrocchi, A.; Ambrosini, E. The Effectiveness of Robot- vs. Virtual Reality-Based Gait Rehabilitation: A Propensity Score Matched Cohort. Life 2021, 11, 548. https://doi.org/10.3390/life11060548

AMA Style

Biffi E, Beretta E, Storm FA, Corbetta C, Strazzer S, Pedrocchi A, Ambrosini E. The Effectiveness of Robot- vs. Virtual Reality-Based Gait Rehabilitation: A Propensity Score Matched Cohort. Life. 2021; 11(6):548. https://doi.org/10.3390/life11060548

Chicago/Turabian Style

Biffi, Emilia, Elena Beretta, Fabio A. Storm, Claudio Corbetta, Sandra Strazzer, Alessandra Pedrocchi, and Emilia Ambrosini. 2021. "The Effectiveness of Robot- vs. Virtual Reality-Based Gait Rehabilitation: A Propensity Score Matched Cohort" Life 11, no. 6: 548. https://doi.org/10.3390/life11060548

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