Effect of the Hybrid Assistive Limb on the Gait Pattern for Cerebral Palsy.
Effect of the Hybrid Assistive Limb on the Gait Pattern for Cerebral Palsy.
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DOI：
10.3390/medicina56120673
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发表时间：
2020-12-07
期刊：
影响因子：
--
通讯作者：
Yamazaki M
中科院分区：
文献类型：
--
作者：
Mataki Y;Mutsuzaki H;Kamada H;Takeuchi R;Nakagawa S;Yoshikawa K;Takahashi K;Kuroda M;Iwasaki N;Yamazaki M
背景与目的：脑性瘫痪是儿童最常见的运动障碍。在患有脑性瘫痪的儿童中实现行走或站立一直是物理治疗的主要目标。最近，使用混合辅助肢体®(HAL)的机器人辅助步态训练在改善CP患者的步行能力方面取得了有效的效果。然而，以前的研究没有详细研究痉挛脑瘫患者HAL训练后步态模式的变化，包括步态对称性。本研究旨在评价HAL训练对痉挛型脑瘫患者步行能力的即刻影响以及步态模式和步态对称性的变化。材料和方法：选择19例痉挛型脑瘫患者，男13例，女6例，平均年龄15.7岁。使用10米步行测试和矢状面步态分析在单一的20分钟HAL介入治疗前后评估功能性步行能力。结果：HAL干预后步行速度和步长较干预前显著增加。二维步态分析显示，马蹄步态得到改善，膝关节和髋关节摆动相的屈曲角增加，步态对称性改善。痉挛脑瘫患者在HAL训练后行走能力和步态模式立即得到改善。结论：包括躯干在内的肢体关节角度的对称性是HAL治疗后步行能力提高的原因之一。
Background and objectives: Cerebral palsy (CP) is the most frequent childhood motor disability. Achieving ambulation or standing in children with CP has been a major goal of physical therapy. Recently, robot-assisted gait training using the Hybrid Assistive Limb® (HAL) has been effective in improving walking ability in patients with CP. However, previous studies have not examined in detail the changes in gait pattern after HAL training for patients with spastic CP, including gait symmetry. This study aimed to evaluate the immediate effect of HAL training on the walking ability and the changes in gait pattern and gait symmetry in patients with spastic CP. Materials and Methods: We recruited 19 patients with spastic CP (13 male and six female; mean age, 15.7 years). Functional ambulation was assessed using the 10-Meter Walk Test and gait analysis in the sagittal plane before and after a single 20-min HAL intervention session. Results: The walking speed and stride length significantly increased after HAL intervention compared to the pre-intervention values. Two-dimensional gait analysis showed improvement in equinus gait, increase in the flexion angle of the swing phase in the knee and hip joints, and improvement in gait symmetry. Immediate improvements in the walking ability and gait pattern were noted after HAL training in patients with spastic CP. Conclusions: The symmetry of the joint angle of the lower limb, including the trunk, accounts for the improvement in walking ability after HAL therapy.
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影响因子：
2.6
作者：
Kawamoto H;Kamibayashi K;Nakata Y;Yamawaki K;Ariyasu R;Sankai Y;Sakane M;Eguchi K;Ochiai N
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通讯作者：
Tegenthoff M
影响因子：
1.9
作者：
Fukuda, Hiroyuki;Samura, Kazuhiro;Inoue, Tooru
通讯作者：
Inoue, Tooru