Robot-assisted gait

A thousand correct steps, which hands cannot give you

A physiotherapist can assist a few dozen good steps in a session before fatigue — theirs and yours — ends it. An electromechanical gait trainer can supply hundreds, at the same quality, with the pattern held steady.

That is the whole of what the device does. It is not a treatment on its own, and the evidence is specific about that.

What the evidence actually says

After stroke, electromechanical-assisted gait training delivered together with physiotherapy probably increases the odds of becoming independent in walking — odds ratio 1.65 (95% CI 1.21 to 2.25), from 62 trials and 2,440 participants, at moderate certainty (Mehrholz et al., Cochrane Database of Systematic Reviews, 2025). Nine patients need to be treated for one more to walk independently.

Used on its own, that difference is not there. So the device is written into a daily block alongside one-to-one physiotherapy, never instead of it.

Who it suits

Patients after stroke, spinal cord injury, Parkinson's disease and MS, where walking has plateaued in conventional rehabilitation, or where asymmetry returns as soon as fatigue does. Enough standing tolerance to train is usually the practical threshold.

Whether it suits you is decided at the 72-hour board and answered in writing, with reasons. We will say when it is not the answer — a programme built around a machine rather than a patient is how that judgement gets skipped.

Why Bahat Global, Istanbul

Bahat Global is the movement and functional care clinic on the BHT Clinic Istanbul campus — a full tertiary hospital, JCI Accredited and TEMOS Certified, part of a group established in 1994.

• A senior consultant first-reads your file within 24 hours.
• A 72-hour multidisciplinary board agrees the plan, so physiotherapy, orthopaedics and neurology answer together rather than in sequence.
• One senior consultant owns your case, and one medically-trained clinical case-manager stays with you across the pathway.
• Eight languages at intake, so nothing about your symptoms is lost in translation.

This is premium care defined by clinical organisation, not hotel comfort.

Submit your case for the 72-hour board

Send the discharge summary and a short note on what walking looks like now. A senior consultant reads it within 24 hours, and the board answers within 72 — including, where it applies, that conventional rehabilitation is the better use of your weeks.