Takahashi Kazushi, Mutsuzaki Hirotaka, Mataki Yuki, Yoshikawa Kenichi, Matsuda Mayumi, Enomoto Keiko, Sano Kumiko, Kubota Aoi, Mizukami Masafumi, Iwasaki Nobuaki, Yamazaki Masashi
Department of Physical Therapy, Ibaraki Prefectural University of Health Sciences Hospital, Japan.
Center of Medical Science, Ibaraki Prefectural University of Health Sciences: 4669-2 Ami, Ami-machi, Inashiki-gun, Ibaraki 300-0394, Japan.
J Phys Ther Sci. 2018 Aug;30(8):1009-1013. doi: 10.1589/jpts.30.1009. Epub 2018 Jul 24.
[Purpose] This study aimed to determine the safety and immediate effect of a single training session with the Hybrid Assistive Limb (CYBERDYNE) on walking ability in patients with cerebral palsy. [Participants and Methods] This study included 20 patients with cerebral palsy (15 males, 5 females, mean age 15.0 ± 6.3 years; 19 with spastic cerebral palsy, 1 with athetoid cerebral palsy; Gross Motor Function Classification System level I: 4, II: 3, III: 9, and IV: 4). Participants completed a single 20-minute gait training session using the Hybrid Assistive Limb. The safety and immediate effect were evaluated. The immediate outcomes were gait speed and mean step length, and cadence before and after training. [Results] Two participants were excluded because they were not tall enough to use the Hybrid Assistive Limb. Eighteen participants performed the training. There were no serious adverse events during the training. Since 14 participants were able to walk on their own, walking evaluations were performed before and after training. Statistically significant improvements were observed in gait speed and mean step length. [Conclusion] Gait training using the Hybrid Assistive Limb is safe for patients with cerebral palsy and can produce immediate effects on walking ability in ambulatory patients with cerebral palsy.
[目的] 本研究旨在确定使用混合辅助肢体（Cyberdyne公司产品）进行单次训练对脑瘫患者步行能力的安全性和即时效果。[参与者与方法] 本研究纳入20例脑瘫患者（男性15例，女性5例，平均年龄15.0±6.3岁；痉挛型脑瘫19例，手足徐动型脑瘫1例；粗大运动功能分类系统：I级4例，II级3例，III级9例，IV级4例）。参与者使用混合辅助肢体完成了一次20分钟的步态训练课程，并对安全性和即时效果进行了评估。即时结果包括训练前后的步态速度、平均步长和步频。[结果] 两名参与者因身高不足无法使用混合辅助肢体而被排除。18名参与者完成了训练。训练期间未发生严重不良事件。由于14名参与者能够独立行走，因此对其训练前后进行了步行评估。结果显示步态速度和平均步长有统计学意义的改善。[结论] 对于脑瘫患者，使用混合辅助肢体进行步态训练是安全的，并且可以对能够行走的脑瘫患者的步行能力产生即时效果。
