論文

査読有り 筆頭著者
2020年4月15日

Feasibility of Robot-assisted Rehabilitation in Poststroke Recovery of Upper Limb Function Depending on the Severity.

Neurologia medico-chirurgica
  • Kazuya Saita
  • ,
  • Takashi Morishita
  • ,
  • Koichi Hyakutake
  • ,
  • Toshiyasu Ogata
  • ,
  • Hiroyuki Fukuda
  • ,
  • Satoshi Kamada
  • ,
  • Tooru Inoue

60
4
開始ページ
217
終了ページ
222
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.2176/nmc.oa.2019-0268

The single-joint Hybrid Assistive Limb (HAL-SJ) robot is an exoskeleton-type suit developed for the neurorehabilitation of upper limb function. Several studies have addressed the usefulness of the robot; however, the appropriate patient selection remains unclear. In this study, we evaluated the effectiveness of the HAL-SJ exoskeleton in improving upper limb function in the subacute phase after a stroke, as a function of the severity of arm paralysis. Our analysis was based on a retrospective review of 35 patients, treated using the HAL-SJ exoskeleton in the subacute phase after their stroke, between October 2014 and December 2018. The severity of upper limb impairment was quantified using the Brunnstrom recovery stage (BRS) as follows: severe, BRS score 1-2, n = 10; moderate, BRS 3-4, n = 12; and mild, BRS 5-6, n = 13. The primary endpoint was the improvement in upper limb function, from baseline to post-intervention, measured using the Fugl-Meyer assessment upper limb motor score (ΔFMA-UE; range 0-66). The ΔFMA-UE score was significant for all three severity groups (P <0.05). The magnitude of improvement was greater in the moderate group than in the mild group (P <0.05). The greatest improvement was attained for patients with a moderate level of upper limb impairment at baseline. Our findings support the feasibility of the HAL-SJ to improve upper limb function in the subacute phase after a stroke with appropriate patient selection. This study is the first report showing the effect of robot-assisted rehabilitation using the HAL-SJ, according to the severity of paralysis in acute stroke patients with upper extremity motor deficits.

リンク情報
DOI
https://doi.org/10.2176/nmc.oa.2019-0268
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32173715
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174245
ID情報
  • DOI : 10.2176/nmc.oa.2019-0268
  • PubMed ID : 32173715
  • PubMed Central 記事ID : PMC7174245

エクスポート
BibTeX RIS