Effect of cyborg-type robot Hybrid Assistive Limb on patients with severe walking disability in acute stroke: A randomized controlled study.
Effect of cyborg-type robot Hybrid Assistive Limb on patients with severe walking disability in acute stroke: A randomized controlled study.
复制标题
机器人型机器人混合辅助肢对急性中风严重步行障碍患者的影响：一项随机对照研究。
DOI：
10.1016/j.jstrokecerebrovasdis.2023.107020
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Minami M
中科院分区：
文献类型：
--
作者：
Yokota C;Tanaka K ;Omae K;Kamada M;Nishikawa H Koga M;Ihara N;Fujimoto Y;Sankai Y;Nakajima T;Minami M
目的探讨卒中后重度步行障碍患者早期使用混合辅助肢体(HAL)进行步态训练的可行性，并与常规物理疗法(CPT)相比，改善患者的步行能力和独立性。纳入了首次中风并有严重行走障碍的患者。所有患者在卒中后10天内开始步态训练。24例患者随机分为HAL组和CPT组。在基线、完成20次步态训练(第二次评估)和开始步态训练3个月后的三个时间点收集结果测量结果。结果22例患者(中位年龄68岁；HAL组12例，CPT组10例)完成研究。两组患者的主要结局没有显著差异。第二次评估时，HAL组的冷漠评分呈下降趋势(平均变化-3.8，95%CI-8.14~0.475)，CPT组有轻微升高的趋势(平均变化1.2，95%CI-2.66~5.0 6)。HAL组患者无不良事件发生。结论卒中后重度步行障碍患者早期步态训练使用HAL是可行的。在完成20次步态训练后，步行能力和独立性并未得到改善。
ObjectivesTo investigate whether early gait training using Hybrid Assistive Limb (HAL) is feasible and improves walking and independency compared with conventional physical therapy (CPT) in patients with severe walking disability after stroke.MethodsWe conducted a single-center, randomized controlled study. Patients with first-ever stroke who had severe walking disability were included. All patients started gait training within 10 days post-stroke onset. Twenty-four patients were randomly assigned into HAL or CPT groups. Outcome measures were collected at three time points, at baseline, completion of 20 sessions of gait training (second assessment), and 3 months after the initiation of gait training. The primary outcomes were changes in motor sub-scores of the Functional Independence Measure or Functional Ambulation Category at the completion of the second assessment from baseline.ResultsTwenty-two patients (median age, 68 years; 12 patients in the HAL group and 10 patients in the CPT group) completed the study. There were no significant differences in primary outcomes. Apathy scale, one of the secondary outcomes, showed a decreasing trend in the HAL group (mean change of -3.8, 95% CI -8.14 to 0.475), and a slight increasing trend in the CPT group (mean change of 1.2, 95% CI -2.66 to 5.06) at the second assessment. Patients in the HAL group experienced no adverse events.ConclusionsEarly gait training in patients with severe walking disability after stroke using HAL was feasible. Walking ability and independency were not improved at the completion of 20 sessions of gait training.
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影响因子：
5.1
作者：
Lopatkiewicz, Anna Maria;Pera, Joanna;Dziedzic, Tomasz
通讯作者：
Dziedzic, Tomasz
影响因子：
4.2
作者：
Morone, Giovanni;Bragoni, Maura;Paolucci, Stefano
通讯作者：
Paolucci, Stefano
影响因子：
5.1
作者：
Caeiro, L.;Ferro, J. M.;Figueira, M. L.
通讯作者：
Figueira, M. L.
影响因子：
8.3
作者：
Mayo, Nancy E.;Fellows, Lesley K.;Wood-Dauphinee, Sharon
通讯作者：
Wood-Dauphinee, Sharon
影响因子：
8.3
作者：
van Dalen, Jan Willem;van Charante, Eric P. Moll;Richard, Edo
通讯作者：
Richard, Edo