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一种新研发的便携式步态辅助机器人用于偏瘫患者平衡功能康复训练的可行性

Feasibility of Rehabilitation Training With a Newly Developed, Portable, Gait Assistive Robot for Balance Function in Hemiplegic Patients.

作者信息

Sung Junhyun, Choi Sehoon, Kim Hyunbae, Lee Gyuhan, Han Changsoo, Ji Younghoon, Shin Dongbin, Hwang Seunghoon, Yun Deokwon, Jang Hyeyoun, Kim Mi Jung

机构信息

Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Korea.

Department of Rehabilitation Medicine, Rusk Bundang Rehabilitation Hospital, Seongnam, Korea.

出版信息

Ann Rehabil Med. 2017 Apr;41(2):178-187. doi: 10.5535/arm.2017.41.2.178. Epub 2017 Apr 27.

DOI:10.5535/arm.2017.41.2.178
PMID:28503449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5426259/
Abstract

OBJECTIVE

To investigate the clinical feasibility of a newly developed, portable, gait assistive robot (WA-H, 'walking assist for hemiplegia') for improving the balance function of patients with stroke-induced hemiplegia.

METHODS

Thirteen patients underwent 12 weeks of gait training on the treadmill while wearing WA-H for 30 minutes per day, 4 days a week. Patients' balance function was evaluated by the Berg Balance Scale (BBS), Fugl-Meyer Assessment Scale (FMAS), Timed Up and Go Test (TUGT), and Short Physical Performance Battery (SPPB) before and after 6 and 12 weeks of training.

RESULTS

There were no serious complications or clinical difficulties during gait training with WA-H. In three categories of BBS, TUGT, and the balance scale of SPPB, there was a statistically significant improvement at the 6th week and 12th week of gait training with WA-H. In the subscale of balance function of FMAS, there was statistically significant improvement only at the 12th week.

CONCLUSION

Gait training using WA-H demonstrated a beneficial effect on balance function in patients with hemiplegia without a safety issue.

摘要

目的

研究一种新开发的便携式步态辅助机器人（WA-H，“偏瘫步行辅助器”）改善中风所致偏瘫患者平衡功能的临床可行性。

方法

13例患者在跑步机上进行为期12周的步态训练，同时佩戴WA-H，每天30分钟，每周4天。在训练6周和12周前后，通过伯格平衡量表（BBS）、Fugl-Meyer评估量表（FMAS）、计时起立行走测试（TUGT）和简短体能状况量表（SPPB）对患者的平衡功能进行评估。

结果

使用WA-H进行步态训练期间未出现严重并发症或临床困难。在BBS、TUGT和SPPB平衡量表这三类评估中，使用WA-H进行步态训练的第6周和第12周有统计学意义的改善。在FMAS平衡功能子量表中，仅在第12周有统计学意义的改善。

结论

使用WA-H进行步态训练对偏瘫患者的平衡功能有有益影响，且无安全问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba35/5426259/7c7b56efa893/arm-41-178-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba35/5426259/17e2f4b0866a/arm-41-178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba35/5426259/c06d3a365648/arm-41-178-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba35/5426259/9ad30186c802/arm-41-178-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba35/5426259/366a4ddcbf18/arm-41-178-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba35/5426259/03abab4654bb/arm-41-178-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba35/5426259/7c7b56efa893/arm-41-178-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba35/5426259/17e2f4b0866a/arm-41-178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba35/5426259/c06d3a365648/arm-41-178-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba35/5426259/9ad30186c802/arm-41-178-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba35/5426259/366a4ddcbf18/arm-41-178-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba35/5426259/03abab4654bb/arm-41-178-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba35/5426259/7c7b56efa893/arm-41-178-g006.jpg

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