Initial clinical results are not yet of such caliber that the devices in question and the concepts on which they are based are firmly established. However, the clinical outcomes do not rule out the possibility that the concept of bilateral training and the accompanied devices may provide a useful extension of currently available forms of therapy. To actually demonstrate their (surplus) value, more research with adequate experimental, dose-matched designs, and sufficient statistical power are required.
Aerobic treadmill plus Bobath walking training in moderately affected stroke patients was better than Bobath walking training alone with respect to the improvement of walking velocity and capacity. The treatment approach is recommended in patients meeting the inclusion criteria. A multicentre trial should follow to strengthen the evidence.
Arm trainer training did not lead to a superior primary outcome over electrical stimulation training. However, “good performers” on the secondary outcome seemed to benefit more from the arm trainer training.
Zusammenfassend ist das Armlabor eine interessante Option zur Intensivierung der Rehabilitation der OE nach Schlaganfall. Die Ergebnisse rechtfertigen eine kontrollierte Studie.
The use of the arm studio to intensify upper limb rehabilitation after stroke is promising, and a controlled study is warranted.