Background: Gait training with lokomat is one of the physiotherapeutic procedures for gait re-education or improvement of different gait aspects in patients with incomplete spinal cord injury. The purpose of the article was to establish whether efficiency of gait training with lokomat is greater than with other physiotherapeutic procedures. Methods: Randomized controlled trials studying adults with incomplete spinal cord injury were included in the systematic review. PubMed, Cinahl, PEDro and Cochrane databases were searched until January 2015. Results: Five studies met the inclusion criteria. They were published between 2005 and 2014. Two studies included subjects within first year after injury onset, three after one year. Studies compared two to four procedures, with gait training using lokomat being one of them. Only one research with subjects within first year after injury onset showed better improvement of walking distance, usage of devices, braces and physical assistance during walking, and muscle strength in the lokomat group. Conclusions: There is no evidence on superiority of one procedure over another. All procedures show potential for efficiency. More research of the effects of gait training using lokomat in comparison with other physiotherapeutic procedures is needed.
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