Gait training early after stroke with a new exoskeleton--the hybrid assistive limb: a study of safety and feasibility.
Gait training early after stroke with a new exoskeleton--the hybrid assistive limb: a study of safety and feasibility.
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中风后与新外骨骼 - 混合辅助肢体：安全性和可行性的研究。
DOI：
10.1186/1743-0003-11-92
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发表时间：
2014-06-02
影响因子：
5.1
通讯作者：
Borg J
中科院分区：
文献类型：
--
作者：
Nilsson A;Vreede KS;Häglund V;Kawamoto H;Sankai Y;Borg J
脑卒中后早期强化的任务特异性训练可能会增强有益的神经可塑性和功能恢复。偏瘫卒中后步态受损仍然是一个挑战，可以通过使用新技术在卒中后早期解决。该研究的目的是调查外骨骼混合辅助肢体（HAL）用于强化步态训练的安全性和可行性，作为中风后早期步态严重受损的偏瘫患者定期住院康复计划的一部分。符合条件的患者为轻偏瘫卒中后7周。通过系统提供的自主和/或自愿控制模式，每周5天进行HAL训练。研究方案涵盖了安全性和可行性问题以及运动功能、根据10米步行试验（10 MWT）和功能性步行分类（FAC）的步态表现和活动表现方面。8名患者完成了研究。从卒中至入选的中位时间为35天（范围6 - 46）。培训开始时，所有人都使用自主HAL模式，后来除一人外，所有人都改用自愿模式，需要一名或两名理疗师。训练次数从6次到31次不等（中位数为17次），每次训练的步行时间约为25分钟。训练耐受性良好，未发生严重不良事件。所有患者在训练期间的步行能力均有所改善，这反映在10 MWT（中位数从111.5到40秒）和FAC（中位数从0到1.5分）上。HAL系统能够在中风后早期对步态功能严重受损的轻偏瘫患者进行强化步态训练。当由经验丰富的物理治疗师作为这些患者住院康复计划的一部分使用时，该系统是安全的。
Intensive task specific training early after stroke may enhance beneficial neuroplasticity and functional recovery. Impaired gait after hemiparetic stroke remains a challenge that may be approached early after stroke by use of novel technology. The aim of the study was to investigate the safety and feasibility of the exoskeleton Hybrid Assistive Limb (HAL) for intensive gait training as part of a regular inpatient rehabilitation program for hemiparetic patients with severely impaired gait early after stroke. Eligible were patients until 7 weeks after hemiparetic stroke. Training with HAL was performed 5 days per week by the autonomous and/or the voluntary control mode offered by the system. The study protocol covered safety and feasibility issues and aspects on motor function, gait performance according to the 10 Meter Walking Test (10MWT) and Functional Ambulation Categories (FAC), and activity performance. Eight patients completed the study. Median time from stroke to inclusion was 35 days (range 6 to 46). Training started by use of the autonomous HAL mode in all and later switched to the voluntary mode in all but one and required one or two physiotherapists. Number of training sessions ranged from 6 to 31 (median 17) and walking time per session was around 25 minutes. The training was well tolerated and no serious adverse events occurred. All patients improved their walking ability during the training period, as reflected by the 10MWT (from 111.5 to 40 seconds in median) and the FAC (from 0 to 1.5 score in median). The HAL system enables intensive training of gait in hemiparetic patients with severely impaired gait function early after stroke. The system is safe when used as part of an inpatient rehabilitation program for these patients by experienced physiotherapists.
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影响因子：
2.8
作者：
Jezernik, S;Colombo, G;Morari, M
通讯作者：
Morari, M
DOI：
10.1016/s0003-9993(95)80038-7
发表时间：
1995-01-01
影响因子：
4.3
作者：
JORGENSEN, HS;NAKAYAMA, H;OLSEN, TS
通讯作者：
OLSEN, TS
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
通讯作者：
Ochiai N
影响因子：
158.5
作者：
Dobkin, BH
通讯作者：
Dobkin, BH
影响因子：
3.5
作者：
Coenen, Pieter;van Werven, Guido;Janssen, Thomas W. J.
通讯作者：
Janssen, Thomas W. J.