論文

査読有り 国際誌
2017年2月

Gait training of subacute stroke patients using a hybrid assistive limb: a pilot study.

Disability and rehabilitation. Assistive technology
  • Masafumi Mizukami
  • Kenichi Yoshikawa
  • Hiroaki Kawamoto
  • Ayumu Sano
  • Kazunori Koseki
  • Yasutsugu Asakwa
  • Koji Iwamoto
  • Hiroshi Nagata
  • Hideo Tsurushima
  • Kei Nakai
  • Aiki Marushima
  • Yoshiyuki Sankai
  • Akira Matsumura
  • 全て表示

12
2
開始ページ
197
終了ページ
204
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3109/17483107.2015.1129455

Purpose To determine whether gait training with a hybrid assistive limb (HAL) as an exoskeleton robotic device was safe and could increase functional mobility and gait ability in subacute stroke patients. Methods The participants were eight patients with post-stroke hemiparesis whose walking impairment and gait recovery curves had plateaued. The intervention program was gait training using HAL and a walker for 20 min daily 5 days a week for 5 weeks. The 10-m maximum walking speed (MWS), self-selected walking speed (SWS) and 2-min-walk test (2MT) without HAL were used as primary outcome measures to determine the effects of training. The Berg Balance Scale (BBS), Fugl-Meyer Assessment of Motor Recovery after Stroke (FMA) and functional ambulation category (FAC) were assessed as secondary outcomes. These measures were assessed before and after the 5-week intervention program and were analyzed statistically using a paired t-test. Results All eight participants completed the intervention program with no adverse events. There were significant increases in MWS, SWS and 2MT. BBS, FMA and FAC also increased, but not significantly. Conclusion The new HAL exoskeleton robotic device was efficient and safe for improving motor function and gait in patients in the subacute stage after stroke. Implications for Rehabilitation Gait training using HAL will improve gait ability of individuals with post stroke. The HAL achieve intensive gait training without increase spasticity and abnormal gait pattern.

リンク情報
DOI
https://doi.org/10.3109/17483107.2015.1129455
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/27017889
ID情報
  • DOI : 10.3109/17483107.2015.1129455
  • ISSN : 1748-3107
  • eISSN : 1748-3115
  • PubMed ID : 27017889

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