Technology-Assisted Walking Recovery After Stroke: What a Pooled Exoskeleton Review and a Dual-Task Exergaming Trial Reported

Physical therapists and physical therapist assistants working with adults after stroke in inpatient rehabilitation, subacute and outpatient neurologic settings, and anyone deciding how robotic or gamified equipment fits into a gait program. Physical therapist assistants contribute to delivery of the plan of care under the direction of the supervising physical therapist.

Physical therapists and physical therapist assistants in neurologic, inpatient rehabilitation and outpatient practice.

Intended audience

Physical Therapy

Level

Intermediate

Delivery format

Online, asynchronous, self-paced course: interactive reading with audio or video, and a scored post-test.

Based on

This course reports the findings of two published papers and nothing beyond them. Every figure and conclusion is attributed in text to the paper that reported it.

Lee MH, Tian MY, Kim MK. The Effectiveness of Overground Robot Exoskeleton Gait Training on Gait Outcomes, Balance, and Motor Function in Patients with Stroke: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Brain Sci. 2024;14(8). doi:10.3390/brainsci14080834. PMID 39199525; PMCID PMC11352614.

Jo S, Kim H, Song C. Dual-task exergaming to enhance motor and cognitive function in chronic stroke: a prospective, assessor-blinded, parallel group randomized controlled trial. J Neuroeng Rehabil. 2026;23(1). doi:10.1186/s12984-026-01913-y. PMID 41715216; PMCID PMC13019995.

A note on scope

Where the two papers point in different directions, this course says so and names which paper reported which finding. It does not average them and does not resolve the disagreement on the learner’s behalf.

After completing this course, you will be able to:

1. State what the pooled overground robotic exoskeleton review reported for walking speed, walking endurance, walking category, balance and lower-limb motor function after stroke, and how certain the authors were about each.
2. Describe who took part in the dual-task exergaming trial, how the exergame and conventional balance programs were delivered, and what the trial reported for walking adaptability and thinking skills.
3. Distinguish the gains each paper attributed to its technology, and explain where the two reports agree, where they diverge and what both authors left unanswered.

1. Start Here: Course Overview, Objectives and How to Earn Credit
2. Part One: Overground Robotic Exoskeleton Gait Training After Stroke
3. Who Was Studied in the Pooled Exoskeleton Trials
4. How the Review Was Assembled and Appraised
5. What the Pooled Analysis Found Across Walking, Balance and Motor Function
6. Limits of the Pooled Evidence and What the Reviewers Concluded
7. Part Two: Dual-Task Exergaming in Chronic Stroke
8. Who Took Part in the Exergaming Trial
9. How the Exergame and Balance Programs Were Delivered
10. What Changed in Walking Adaptability and Thinking Skills
11. What the Trial Could Not Show and What the Authors Concluded
12. Bringing It Together
13. Where the Two Reports Agree
14. Where the Findings Diverge and Which Paper Reported What
15. What This Could Mean at the Treatment Table
16. What Remains Open in Technology-Assisted Gait Recovery
17. Key Takeaways
18. Post-Test and Course Evaluation

Quinn Millington, PT, DPT, ECS is the instructor of record: the licensed clinician who reviewed this course and signed off on it. The name and credentials print on the certificate.

Disclosures. This course was developed by The ConEd Solution, which has a financial interest in its sale. No outside funding or sponsorship was received. The instructor of record has no affiliation with the authors of the source publication or their institutions.

This course awards 1.0 contact hour (60 min). How you earn them:

1. Complete the course. Every lesson, in order.
2. Pass the post-test. Score 80% or higher. Retakes are allowed.
3. Complete the evaluation. A short form rating each learning objective and the course.
4. Download your certificate. It is issued on completion and stays available in My Account.

The episode time is its measured length. Reading, post-test and evaluation times are estimates.

This course is designed to satisfy the quality requirements state boards set for continuing education. Requirements vary by state, and confirming that a course fits your renewal is up to you. Each state’s own acceptance statement is in the credit panel on this page.

1. Lee MH, Tian MY, Kim MK. The Effectiveness of Overground Robot Exoskeleton Gait Training on Gait Outcomes, Balance, and Motor Function in Patients with Stroke: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Brain Sci. 2024;14(8). doi:10.3390/brainsci14080834
2. Jo S, Kim H, Song C. Dual-task exergaming to enhance motor and cognitive function in chronic stroke: a prospective, assessor-blinded, parallel group randomized controlled trial. J Neuroeng Rehabil. 2026;23(1). doi:10.1186/s12984-026-01913-y