Yoshimoto Takahiko, Shimizu Issei, Hiroi Yasuhiro
Department of Rehabilitation, Kameda Medical Center, Japan.
J Phys Ther Sci. 2016 Sep;28(9):2684-2687. doi: 10.1589/jpts.28.2684. Epub 2016 Sep 29.
[Purpose] The purpose of this study was to investigate the accumulated and sustained effects of once-a-week gait training with a powered exoskeleton suit, Hybrid Assistive Limb, in a subject with chronic stroke. [Subject and Methods] The subject was a woman in her early sixties who had stroke onset approximately 5 years ago. A single-case ABA design was used. A 2-month baseline period was followed by an 8-week period of weekly gait training and a subsequent 2-month follow-up period. Throughout the study period, she underwent conventional physiotherapy. Outcome measures were the 10-meter walking test, timed up and go test, functional reach test, two-step test, and Berg Balance Scale. [Results] Significant improvements were seen in all outcome measures during the gait training period. Improvements in all outcome measures except walking speed were maintained at follow-up. [Conclusion] Continued gait training with Hybrid Assistive Limb once a week can improve gait and balance performance in patients with chronic stroke, and these improvements are maintained at least for two months.
[目的] 本研究旨在调查使用动力外骨骼套装“混合辅助肢体”进行每周一次的步态训练，对一名慢性中风患者的累积及持续影响。[对象与方法] 对象为一名60岁出头的女性，约5年前发病中风。采用单病例ABA设计。先进行为期2个月的基线期，随后是为期8周的每周步态训练期，以及随后的2个月随访期。在整个研究期间，她接受了常规物理治疗。结果测量指标包括10米步行测试、计时起立行走测试、功能性伸展测试、两步测试和伯格平衡量表。[结果] 在步态训练期间，所有结果测量指标均有显著改善。除步行速度外，所有结果测量指标的改善在随访时均得以维持。[结论] 每周一次使用“混合辅助肢体”进行持续步态训练，可改善慢性中风患者的步态和平衡能力，且这些改善至少可维持两个月。
