Hybrid Assistive Limb (HAL) Rehabilitation in Patients with Acute Hemorrhagic Stroke.
Hybrid Assistive Limb (HAL) Rehabilitation in Patients with Acute Hemorrhagic Stroke.
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DOI：
10.2176/nmc.oa.2015-0209
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发表时间：
2015
影响因子：
1.9
通讯作者：
Inoue T
中科院分区：
文献类型：
--
作者：
Ogata T;Abe H;Samura K;Hamada O;Nonaka M;Iwaasa M;Higashi T;Fukuda H;Shiota E;Tsuboi Y;Inoue T
混合辅助肢体（HAL）康复在中风急性期的疗效仍不清楚。本研究的目的是评估接受或不接受 HAL 康复治疗的急性颅内出血 (ICH) 患者的预后。本回顾性研究纳入了 2009 年至 2014 年 270 例急性 ICH 患者中，其中 91 例幕上 ICH 患者。其中，14 名患者（HAL 组）在 ICH 发生后约 1 周接受了 HAL 康复治疗，而其余 77 名患者则接受了未进行 HAL 的常规康复治疗（N-HAL 组）。我们从患者被转移到进一步康复的医院获得了各种患者数据。对 ICH 患者的特征以及 HAL 和 N-HAL 组之间的结果进行统计比较。 HAL 组和 N-HAL 组之间的结果没有差异。然而，与 N-HAL 组患者相比，HAL 组右侧 ICH 患者的功能独立测量（FIM）评分≥ 110 显着相关（HAL 组：81.8%，N-HAL 组：43.9%，P = 0.04）。在右侧 ICH 患者中，根据 FIM 评分评估，HAL 康复与预后改善相关。因此，HAL 康复可以改善适当选择的患者的急性脑出血的结果。
The efficacy of hybrid assistive limb (HAL) rehabilitation in the acute phase of stroke remains unclear. The purpose of this study was to evaluate the outcomes of patients with acute intracranial hemorrhage (ICH) who were treated with or without HAL rehabilitation. Among 270 patients with acute ICH from 2009 to 2014, 91 patients with supratentorial ICH were included in this retrospective study. Of these, 14 patients (HAL group) received HAL rehabilitation at approximately 1 week after ICH occurrence, while the remaining 77 patients received usual rehabilitation without HAL (N-HAL group). We obtained various patient data from the hospitals where the patients were moved to for further rehabilitation. Statistical comparisons were performed for the characteristics of the ICH patients, and outcomes between the HAL and N-HAL groups. There were no differences in outcomes between the HAL and N-HAL groups. However, patients with right ICH in the HAL group exhibited a significant association with a functional independence measure (FIM) score of ≥ 110 compared with patients in the N-HAL group (HAL group: 81.8%, N-HAL group: 43.9%, P = 0.04). In patients with right ICH, HAL rehabilitation was associated with improved outcomes as evaluated by the FIM score. Thus, HAL rehabilitation may improve outcomes of acute ICH in appropriately selected patients.