Training for Walking Efficiency With a Wearable Hip-Assist Robot in Patients With Stroke: A Pilot Randomized Controlled Trial

Training for Walking Efficiency With a Wearable Hip-Assist Robot in Patients With Stroke: A Pilot Randomized Controlled Trial
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DOI:
10.1161/strokeaha.119.025950
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发表时间:
2019-12-01
期刊:
影响因子:
8.3
通讯作者:
Kim, Yun-Hee
Kim, Yun-Hee
中科院分区:
医学1区
文献类型:
--
作者:
Lee, Hwang-Jae;Lee, Su-Hyun;Kim, Yun-Hee

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背景和目的-本研究的目的是调查步态训练与新开发的可穿戴髋关节辅助机器人的运动功能和效率在慢性strok.Methods-Twenty-Eight患者偏瘫的患者进行了初步入组,26例患者完成了随机对照试验(14在实验组和12在对照组)。实验组参加了总共10个阶段的步态训练计划,包括5个跑步机阶段和5个地面步态训练阶段,同时佩戴髋关节辅助机器人,步态增强和激励系统(GEMS,三星高级技术学院,水原,大韩民国)。对照组在不使用步态增强激励系统的情况下进行步态训练。主要结果测量运动功能和心肺代谢能量效率。结果:与对照组相比,实验组在训练干预后的时空步态参数和肌肉力量有明显改善(P
Background and Purpose-The purpose of this study was to investigate the effects of gait training with a newly developed wearable hip-assist robot on locomotor function and efficiency in patients with chronic stroke.Methods-Twenty-eight patients with stroke with hemiparesis were initially enrolled, and 26 patients completed the randomized controlled trial (14 in the experimental and 12 in the control groups). The experimental group participated in a gait training program over a total of 10 sessions, including 5 treadmill sessions and 5 over-ground gait training sessions while wearing a hip-assist robot, the Gait Enhancing and Motivating System (GEMS, Samsung Advanced Institute of Technology, Suwon, Republic of Korea). The control group received gait training without Gait Enhancing and Motivating System. Primary outcome measured locomotor function and cardiopulmonary metabolic energy efficiency. Also, secondary outcome measured motor function and balance parameter.Results-Compared with the control group, the experimental group had significantly greater improvement in spatiotemporal gait parameters and muscle efforts after the training intervention (P