Case Report
Acute Effect of Robotic Therapy (G-EO System+) on
the Lower Limb Temperature Distribution of a Patient with
Stroke Sequelae
Fábio Marcon Alfieri , Caren da Silva Dias, Artur Cesar Aquino dos Santos,
and Linamara Rizzo Battistella
Clinical Research Center, Instituto de Medicina F´ ısica e de Reabilitac ¸˜ ao do Hospital das Clinicas (HCFMUSP), Faculdade de Medicina,
Universidade de S˜ ao Paulo, Rua Domingo de Soto 100, Vila Mariana, 04116-030 S˜ ao Paulo, SP, Brazil
Correspondence should be addressed to F´ abio Marcon Alferi; fabiomarcon@bol.com.br
Received 5 February 2019; Accepted 14 April 2019; Published 8 May 2019
Academic Editor: Majaz Moonis
Copyright © 2019 F´ abio Marcon Alferi et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Robotic therapy has been gaining prominence in poststroke rehabilitation programs. An example of these devices is the G-
EO System6, which simulates gait as well as other more complexes standards of gait such as the steps on stairs. However, to
the best of our knowledge, there are no studies that apply thermography as a tool to evaluate stroke patients who undertook
rehabilitation programs with the aid of robotic devices. Te patient IWPS undergoes sequelae of hemorrhagic stroke for 19 months
and consequently hemiplegia, had scores of 93 points in the Fugl-Meyer scale, is undertaking a physical rehabilitation program for
six months, has no complaints of discomfort due to thermic sensitivity imbalances between the plegic and the contralateral sides,
and voluntarily reports that he realizes functionality improvements especially, according to his perception, due to the aid of the
robotic therapy in his gait training with the G-EO System6. Te thermographic images were captured by an infrared sensor FLIR
T650SC. By analyzing the temperature diferences between both hemispheres of the body, before, immediately afer, and 30 minutes
afer a robotic therapy for gait training, we observed that the values frstly increased immediately afer the training, but afer the
30-minute rest an important thermoregulation was achieved.
1. Introduction
Along with the conventional treatment, robotic therapies
are considered useful to integrate physical rehabilitation
programs of patients with sequelae of vascular cerebral
accident (stroke) [1]. It is known that the constant activation
of the plegic limbs is substantial to the physical rehabilitation
process. Te robotic therapy aids the movements of the plegic
or paretic limbs and may help the functionality recovery, and
the robotic devices allow these movements to have greater
control as well as the possibility of recovery follow-up [2].
An example of these devices is the G-EO System6 [3], which
simulates gait as well as other more complexes standards of
gait such as the steps on stairs, even though the scientifc
literature regarding this device is still not broad enough as
to allow conclusions on this system.
Willing to demonstrate possible changes that patients go
through during a physical rehabilitation program, a recent
study [4] applied thermographic imaging as an assessment
tool for evaluating 16 stroke patients. Te authors of this study
observed that, afer the rehabilitation intervention, there was
a 0.5
∘
C increase in the temperature of the paretic limb, as
well as improvements in the joint functionality; therefore they
concluded that thermography can be a useful method for
monitoring the efects of a rehabilitation program of patients
with stroke. However, to the best of our knowledge, there
are no studies that apply thermography as a tool to evaluate
stroke patients who undertook rehabilitation programs with
the aid of robotic devices.
2. Case Presentation
Te patient IWPS, a male subject of 25 years of age,
white, with body mass index (BMI) of 26.89 Kg/m
2
, under-
goes sequelae of hemorrhagic stroke for 19 months and
Hindawi
Case Reports in Neurological Medicine
Volume 2019, Article ID 8408492, 5 pages
https://doi.org/10.1155/2019/8408492