Rehabilitation Unit, Kyoto University Hospital , Kyoto , Japan.
Department of Neurosurgery, Kyoto University Graduate School of Medicine , Kyoto , Japan.
Top Stroke Rehabil. 2019 Oct;26(7):491-496. doi: 10.1080/10749357.2019.1640001. Epub 2019 Jul 18.
: Recently, use of the Hybrid Assistive Limb (HAL) that is effective for improvement of gait ability in chronic stroke patients has been reported. However, how long the effects are maintained remains unknown. The purpose of the present study was to investigate whether the effect of gait training using the HAL on gait ability was maintained for 3 months after the intervention. : A longitudinal, observational study with an intervention for a single group that adhered to the STROBE guidelines was performed. Nine chronic stroke patients were enrolled in this study. The patients performed gait training sessions using the HAL, 2-5 sessions/week for 3 weeks. Gait speed, stride length, cadence, and 2-minute walk distance (2MWD) were measured before and after intervention and at 3-month follow-up. The clinical trial registration number of this study is UMIN000012764 R000014756. : Compared to the initial status, gait speed ( = .02), stride length ( = .03), cadence ( = .01), and 2MWD ( < .05) were significantly increased immediately after the intervention. Moreover, gait speed ( < .01), cadence ( = .03), and 2MWD ( = .02) remained significantly higher 3 months after the intervention. There were no significant changes in all outcome measures between after intervention and at 3-month follow-up. : This study showed that gait training using the HAL resulted in significant improvement of gait ability after the intervention and the effect was maintained for 3 months after the training.
最近,有研究报道称,使用 Hybrid Assistive Limb(HAL)有助于改善慢性脑卒中患者的步行能力。然而,其效果能维持多久尚不清楚。本研究旨在探讨使用 HAL 进行步态训练对步态能力的影响是否能在干预后 3 个月维持。
本研究为一项遵循 STROBE 指南的单组干预纵向观察性研究。共纳入 9 例慢性脑卒中患者。患者使用 HAL 进行步态训练,每周 2-5 次,持续 3 周。在干预前、干预后和 3 个月随访时测量步态速度、步长、步频和 2 分钟步行距离(2MWD)。本研究的临床试验注册号为 UMIN000012764 R000014756。
与初始状态相比,干预后即刻步态速度( = 0.02)、步长( = 0.03)、步频( = 0.01)和 2MWD( < 0.05)显著增加。此外,干预后 3 个月时,步态速度( < 0.01)、步频( = 0.03)和 2MWD( = 0.02)仍显著升高。干预后和 3 个月随访时,所有结局指标均无显著变化。
本研究表明,HAL 辅助的步态训练可显著改善脑卒中患者的步态能力,且在训练后 3 个月内效果仍能维持。