An observational report of intensive robotic and manual gait training in sub-acute stroke.
An observational report of intensive robotic and manual gait training in sub-acute stroke.
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DOI：
10.1186/1743-0003-9-13
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发表时间：
2012-02-13
影响因子：
5.1
通讯作者：
Medina J
中科院分区：
文献类型：
--
作者：
Conesa L;Costa Ú;Morales E;Edwards DJ;Cortes M;León D;Bernabeu M;Medina J
在神经系统患者中，使用自动机电设备进行步态训练的情况越来越多，然而，使用这些设备进行良好定义的训练计划的功能结果以及患者的特征，在文献中很少有报道。在一项功能结果的观察性研究中，我们旨在通过强化住院康复计划（包括机器人和手动步态训练），为早期中风患者步态功能的预期变化提供基准。我们随访了103例符合体重支持机器人步态训练（BWSRGT）临床纳入标准的亚急性脑卒中患者。患者完成了为期8周的强化步态训练计划，包括机器人步态训练（0-4周）和手动步态训练（4-8周）。临床功能的改变是通过在0、4和8周（分别为基线、中点和终点）进行的以下评估来确定的：功能走动分类（FAC）、10米步行测试（10 MWT）和Tinetti步态和平衡量表。超过一半的患者在Tinetti步态量表（> 3分）和Tinetti平衡量表（> 5分）上有临床意义的改善，超过80%的患者在FAC量表（0-5分）上至少提高了1分，步行速度提高了0.2 m/s以上。无论性别、年龄、病因（出血性/缺血性）和受影响半球如何，患者在步态功能方面都有积极的反应。FAC第二类和第三类患者的变化最为显著。该疗法耐受性良好，没有患者因训练类型或强度相关因素退出。8周的强化康复包括机器人和手动步态训练对早期中风患者的耐受性良好，并且与功能的显著提高相关。中度步态功能障碍患者在机器人训练后表现出最强劲的改善。
The use of automated electromechanical devices for gait training in neurological patients is increasing, yet the functional outcomes of well-defined training programs using these devices and the characteristics of patients that would most benefit are seldom reported in the literature. In an observational study of functional outcomes, we aimed to provide a benchmark for expected change in gait function in early stroke patients, from an intensive inpatient rehabilitation program including both robotic and manual gait training. We followed 103 sub-acute stroke patients who met the clinical inclusion criteria for Body Weight Supported Robotic Gait Training (BWSRGT). Patients completed an intensive 8-week gait-training program comprising robotic gait training (weeks 0-4) followed by manual gait training (weeks 4-8). A change in clinical function was determined by the following assessments taken at 0, 4 and 8 weeks (baseline, mid-point and end-point respectively): Functional Ambulatory Categories (FAC), 10 m Walking Test (10 MWT), and Tinetti Gait and Balance Scales. Over half of the patients made a clinically meaningful improvement on the Tinetti Gait Scale (> 3 points) and Tinetti Balance Scale (> 5 points), while over 80% of the patients increased at least 1 point on the FAC scale (0-5) and improved walking speed by more than 0.2 m/s. Patients responded positively in gait function regardless of variables gender, age, aetiology (hemorrhagic/ischemic), and affected hemisphere. The most robust and significant change was observed for patients in the FAC categories two and three. The therapy was well tolerated and no patients withdrew for factors related to the type or intensity of training. Eight-weeks of intensive rehabilitation including robotic and manual gait training was well tolerated by early stroke patients, and was associated with significant gains in function. Patients with mid-level gait dysfunction showed the most robust improvement following robotic training.
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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：
1.2
作者：
de Bobadilla, J. Fernandez;Sicras-Mainar, A.;Ezpeleta-Echevarri, D.
通讯作者：
Ezpeleta-Echevarri, D.
DOI：
10.1111/j.1749-6632.1998.tb09063.x
发表时间：
1998-01-01
期刊：
NEURONAL MECHANISMS FOR GENERATING LOCOMOTOR ACTIVITY
影响因子：
--
作者：
Barbeau, H;Norman, K;Ladouceur, M
通讯作者：
Ladouceur, M
影响因子：
8.3
作者：
HESSE, S;BERTELT, C;MAURITZ, KH
通讯作者：
MAURITZ, KH
DOI：
10.1016/s0003-9993(03)00361-7
发表时间：
2003-10-01
影响因子：
4.3
作者：
Barbeau, H;Visintin, M
通讯作者：
Visintin, M