Author/Editor		Globokar, Daniel
Title		Vloga tekočega traku in naprave gait trainer v rehabilitaciji bolnikov po možganski kapi
Type		članek
Source		Rehabilitacija
Vol. and No.		Letnik 2, št. 1-2
Publication year		2003
Volume		str. 60-4
Language		slo
Abstract		Ability to walk is one of the most important factors determinating quality of life for people after stroke. In this article, the influence of treadmill and gait trainer in the neurorehabilitation is stressed. Treadmill represents the model of a technical aid for people who try to learn to walk after stroke. Gait trainer represents the evolution of the same idea; namely "one who wants to learn to walk, must train walking". Both technical aids were compared with conventional physiotherapy and results showed the same or even better effectiveness in learning of walking. Gait trainer seems to be superior to treadmill regarding symmetry of walking and it allows less needed effort for physiotherapists. Both are not so time consuming and they offer patients training of repetitive complex gait patterns. Gait trainer also allows horizontal and vertical control of the centre of mass, with harnes it stimulates dynamic e9uillibrium through walking. Many authors believe that it could be an example of additional therapeutic modality in neurorehabilitation ofpatients after stroke, spinal cord injured patients, for patients with extrapiramidal diseases, or patients with cerebral palsy and also patients after arthroplastic surgery. Nevertheless both modalities can not replace conventional physiotherapy and responsible team work of all partcipants in the rehabilitation team.
Summary		Hoja ostaja najpomembnejši dejavnik kvalitete življenja oseb po preboleli kapi. V članku želim opredeliti vpliv dveh pripomočkov v nevrorehabilitaciji; tekoči trak in naprava za trening hoje-gait trainer. Oba pripomočka sta bila v preteklosti že primerjana v učinkovitosti učenja same hoje oseb po kapi z poznanimi metodami in načeli fizioterapije. Izkazala sta se za podobno učinkovita, izsledki pa niso povsem konzistentni, saj je težko povsem zadostiti načelom "z dokazi podprte medicine". Naprava za trening hoje ima prednost v primerjavi z tekočim trakom, kar se tiče simetrije hoje, omogoča tudi kontrolo gibanja centra mase med samo hojo. Oba pripomočka predstavljata dopolnilno metodo obravnave v sodobni nevrorehabilitaciji. Podrobno so predstavljene tehnične značilnosti naprave za trening hoje.
Descriptors		CEREBROVASCULAR DISORDERS MOVEMENT DISORDERS GAIT