Tailor-made rehabilitation approach using multiple types of hybrid assistive limb robots for acute stroke patients: A pilot study
Tailor-made rehabilitation approach using multiple types of hybrid assistive limb robots for acute stroke patients: A pilot study
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DOI：
10.1080/10400435.2015.1080768
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发表时间：
2016-01-01
影响因子：
1.8
通讯作者：
Inoue, Tooru
中科院分区：
文献类型：
--
作者：
Fukuda, Hiroyuki;Morishita, Takashi;Inoue, Tooru
本文探讨了使用多种类型的混合辅助肢体（HAL）机器人为急性脑卒中患者量身定制神经康复方法的可行性。我们调查了使用HAL机器人进行康复治疗的患者的临床结果。在基线时和患者转移到康复机构时评估Brunnstrom分期、Barthel指数（BI）和功能独立性测量（FAI）。比较多机器人康复组和单机器人康复组的评分。急性脑卒中偏瘫9例（5名男性和4名女性;平均年龄59.4 +/-12.5岁; 4名出血性卒中和5名缺血性卒中）使用多种类型的HAL机器人进行康复治疗19.4 +/-12.5天，14名患者（6名男性和8名女性;平均年龄63.2 ± 13.9岁; 9名出血性卒中和5名缺血性卒中）使用单一类型的HAL机器人进行了14.9 ± 8.9天的康复治疗。多机器人康复组在上肢Brunnstrom分期、BI和TBI评分方面表现出明显更好的结果。据作者所知，这是第一个证明使用多个外骨骼机器人进行康复可行性的试点研究。量身定制的康复方法可能对急性脑卒中的治疗有用。
This article investigated the feasibility of a tailor-made neurorehabilitation approach using multiple types of hybrid assistive limb (HAL) robots for acute stroke patients. We investigated the clinical outcomes of patients who underwent rehabilitation using the HAL robots. The Brunnstrom stage, Barthel index (BI), and functional independence measure (FIM) were evaluated at baseline and when patients were transferred to a rehabilitation facility. Scores were compared between the multiple-robot rehabilitation and single-robot rehabilitation groups. Nine hemiplegic acute stroke patients (five men and four women; mean age 59.4 +/- 12.5years; four hemorrhagic stroke and five ischemic stroke) underwent rehabilitation using multiple types of HAL robots for 19.4 +/- 12.5days, and 14 patients (six men and eight women; mean age 63.2 +/- 13.9years; nine hemorrhagic stroke and five ischemic stroke) underwent rehabilitation using a single type of HAL robot for 14.9 +/- 8.9days. The multiple-robot rehabilitation group showed significantly better outcomes in the Brunnstrom stage of the upper extremity, BI, and FIM scores. To the best of the authors' knowledge, this is the first pilot study demonstrating the feasibility of rehabilitation using multiple exoskeleton robots. The tailor-made rehabilitation approach may be useful for the treatment of acute stroke.