Exercise using a robotic knee orthosis in stroke patients with hemiplegia.
Exercise using a robotic knee orthosis in stroke patients with hemiplegia.
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DOI：
10.1589/jpts.29.1920
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发表时间：
2017-11
影响因子：
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通讯作者：
Aoki C
中科院分区：
文献类型：
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作者：
Iida S;Kawakita D;Fujita T;Uematsu H;Kotaki T;Ikeda K;Aoki C
【用途】机器人膝关节矫形器（RKO）是一种具有主动机器人辅助技术的膝踝足矫形器。本研究的目的是检查 RKO 运动（RKO 运动）对中风偏瘫患者的影响。 [对象和方法] 受试者为住在康复康复病房的9名脑卒中偏瘫患者。 RKO 锻炼计划的持续时间为 10 天。参与者在干预前、干预后和干预后一个月接受了三次评估。每次疗程包括 60 分钟的标准护理物理治疗和 20 分钟的 RKO 锻炼。因变量为10米步态速度、步频、伯格平衡量表（BBS）评分、步幅、步长左右对称绝对值、行走时单腿支撑时间。使用单向重复测量方差分析来分析数据。 [结果] 步长、步长的左右对称性以及步行时的单腿支撑时间随着 RKO 锻炼计划而发生变化。 10米步行速度、步频、单腿支撑时间百分比（患侧）和BBS在治疗后1个月时间点发生显着变化。 [结论]RKO运动有望有助于中风后的康复过程。 RKO 运动可有效治疗中风后患者的活动能力受损。
[Purpose] The Robotics Knee Orthosis (RKO) is a knee–ankle–foot orthosis with active robot assisting technology. The purpose of this study is to examine the effects of exercise with the RKO (RKO-exercise) in stroke patients with hemiplegia. [Subjects and Methods] Participants were nine stroke patients with hemiplegia, residing in a convalescent rehabilitation ward. The duration of the RKO-exercise program was 10 days. Participants were evaluated three times prior to intervention, once after intervention, and one month post intervention. Each session consisted of standard-of-care physical therapy for 60 minutes and RKO-exercise for 20 minutes. Dependent variables were 10-meter gait speed, cadence, Berg Balance Scale (BBS) score, stride length, the absolute value of left-right symmetry of the step length, and one-leg support period while walking. Data were analyzed using a one-way repeated measures ANOVA. [Results] Stride length, left-right symmetry of the step length, and one-leg support period while walking changed following the RKO exercise program. 10-meter walking speed, cadence, percentage of one-leg support period (affected side), and BBS changed significantly at one month post treatment time points. [Conclusion] It is expected that RKO-exercise helps recovery process after the stroke. RKO-exercise effectively treats impaired mobility in patient status-post stroke.