Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, China.
J Stroke Cerebrovasc Dis. 2021 Jul;30(7):105807. doi: 10.1016/j.jstrokecerebrovasdis.2021.105807. Epub 2021 Apr 22.
Robot-assisted gait training has been confirmed to have beneficial effect on the rehabilitation of stroke patients. An exoskeleton robot, named BEAR-H1, is designed to help stroke patients with walking disabilities.
17 subjects in experimental group and 15 subjects in control group completed the study. The experimental group received 30 minutes of BEAR-H1 assisted gait training(BAGT), and the control group received 30 minutes of conventional training, 5 times/week for 4weeks. All subjects were evaluated with 6-minute walk test (6MWT), Fugl-Meyer Assessment for lower extremity (FMA-LE), Functional Ambulatory Classification (FAC), Modified Ashworth Scale (MAS), and gait analysis at baseline and after 4 weeks intervention.
The improvements of 6MWT, FMA-LE, gait speed, cadence, step length and cycle duration in BAGT group were more noticeable than in the control group. However, there was no difference in the assessment of MAS between two groups.
Our results showed that BAGT is an effective intervention to improve the motor and walking ability during 4 weeks training for subacute stroke patients.
机器人辅助步态训练已被证实对脑卒中患者的康复具有有益的效果。一种名为 BEAR-H1 的外骨骼机器人被设计用来帮助有步行障碍的脑卒中患者。
实验组 17 名受试者和对照组 15 名受试者完成了这项研究。实验组接受 30 分钟 BEAR-H1 辅助步态训练（BAGT），对照组接受 30 分钟常规训练，每周 5 次，共 4 周。所有受试者在基线和干预 4 周后均进行 6 分钟步行测试（6MWT）、下肢 Fugl-Meyer 评估（FMA-LE）、功能性步行分类（FAC）、改良 Ashworth 量表（MAS）和步态分析评估。
BAGT 组在 6MWT、FMA-LE、步行速度、步频、步长和周期时间方面的改善比对照组更为明显。然而，两组在 MAS 评估方面没有差异。
我们的结果表明，BAGT 是一种有效的干预措施，可以在 4 周的亚急性期脑卒中患者训练中提高运动和步行能力。
