Pilot study of locomotion improvement using hybrid assistive limb in chronic stroke patients.
Pilot study of locomotion improvement using hybrid assistive limb in chronic stroke patients.
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DOI：
10.1186/1471-2377-13-141
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发表时间：
2013-10-07
期刊：
影响因子：
2.6
通讯作者：
Ochiai N
中科院分区：
文献类型：
--
作者：
Kawamoto H;Kamibayashi K;Nakata Y;Yamawaki K;Ariyasu R;Sankai Y;Sakane M;Eguchi K;Ochiai N
使用机器人进行运动训练越来越多地用于康复，以减少人力和治疗师的沉重负担，并且已经对此类技术的有效性进行了研究。混合辅助肢 (HAL) 机器人套装旨在帮助残疾人康复或支持运动功能。 HAL 提供根据佩戴者的随意驱动力量身定制的运动支持。我们进行了一项试点临床试验，以调查在慢性中风患者中使用 HAL 进行运动训练的可行性，并检查两个功能性步行亚组之间的差异。十六名慢性期中风患者参与了这项研究。所有患者均接受了超过 16 次 HAL 培训（每周 2 天，每天 20-30 分钟）。主要结果是 10 米步行测试 (10MWT) 期间记录的步行速度、节奏和步数。还测量了伯格平衡量表（BBS）和计时开始（TUG）。所有患者以及依赖步行和独立步行亚组在干预前后均在未佩戴 HAL 辅助装置的情况下评估所有结果指标。所有参与者均完成了干预，没有发生任何不良事件。 10MWT 期间的步态速度、步频、步数和 BBS 显着增加，从 0.41 m/s 增加到 0.45 m/s (P = 0.031)，从 68.6 步/分钟增加到 72.0 步/分钟 (P = 0.020)，从 37.5 步增加到 33.1 步(P = 0.017)，以及从 40.6 到 45.4 (P = 0.004)。 TUG 测试分数有所提高，但这种差异并不具有统计学意义。依赖行走亚组的研究结果主要导致了整个组中观察到的显着差异。这项初步研究表明，使用 HAL 进行运动训练对于慢性中风患者是可行的。现在需要随机对照试验来证明基于 HAL 的康复相对于传统疗法的有效性。 UMIN000002969
Locomotor training using robots is increasingly being used for rehabilitation to reduce manpower and the heavy burden on therapists, and the effectiveness of such techniques has been investigated. The robot suit Hybrid Assistive Limb (HAL) has been developed to rehabilitate or support motor function in people with disabilities. The HAL provides motion support that is tailored to the wearer’s voluntary drive. We performed a pilot clinical trial to investigate the feasibility of locomotor training using the HAL in chronic stroke patients, and to examine differences between two functional ambulation subgroups. Sixteen stroke patients in the chronic stage participated in this study. All patients were trained with the HAL over 16 sessions (20–30 min/day within 2 days/week). Primary outcomes were walking speed, cadence, and number of steps recorded during a 10-meter walk test (10MWT). Berg balance scale (BBS) and timed up and go (TUG) were also measured. All outcome measures were evaluated without wearing HAL assistance before and after the intervention in all patients as well as in the dependent ambulatory and independent ambulatory subgroups. All participants completed the intervention with no adverse events. Gait speed, cadence, number of steps during the 10MWT, and BBS increased significantly from 0.41 m/s to 0.45 m/s (P = 0.031), from 68.6 steps/min to 72.0 steps/min (P = 0.020), from 37.5 steps to 33.1 steps (P = 0.017), and from 40.6 to 45.4 (P = 0.004) respectively. The TUG test score improved, although this difference was not statistically significant. The findings in the dependent ambulatory subgroup primarily contributed to the significant differences observed in the group as a whole. This pilot study showed that locomotor training using the HAL is feasible for chronic stroke patients. Randomized controlled trials are now required to demonstrate the effectiveness of HAL-based rehabilitation over conventional therapies. UMIN000002969
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DOI：
10.1016/j.apmr.2005.01.011
发表时间：
2005-08-01
影响因子：
4.3
作者：
Ng, SS;Hui-Chan, CW
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DOI：
10.1016/s0003-9993(98)90015-6
发表时间：
1998-03-01
影响因子：
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