Yakşi Elif, Bahadır Elif Selim, Yaşar Mustafa Fatih, Alışık Tuğba, Kurul Ramazan, Demirel Adnan
Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Bolu Abant Izzet Baysal University, 14020, Bolu, Turkey.
Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Bolu Abant Izzet Baysal University, Bolu, Turkey.
Acta Neurol Belg. 2023 Apr;123(2):583-590. doi: 10.1007/s13760-023-02194-1. Epub 2023 Jan 30.
This study aims to investigate the effects of robot-assisted gait training (RAGT) frequency on walking, functional recovery, QoL and mood.
Sixty patients aged 50-75, diagnosed with post-stroke hemiplegia were entered into the retrospective analysis. Participants who scored maximum 3 on the Modified Rankin Scale and were diagnosed with moderate stroke according to The NIH Stroke Scale were included in the study. The participants in group 1 (G1) received only conventional treatment (CT), in group 2 (G2) participants received one session of RAGT per week in addition to the CT program, and group 3 (G3) received two sessions of RAGT per week in addition to the CT program. 6-min walk test (6-MWT), Barthel Index (BI), Stroke-Specific Quality of Life Scale (SSQoL), and Beck Depression Inventory (BDI) were recorded.
Median change in SSQoL of G3 was significantly higher from median change of G1 (p < 0.05), and median change in BDI of G3 was significantly lower than median change of G1 (p < 0.05). Median change in BDI of G3 was also significantly lower from change of G2 (p < 0.05).
Two weekly sessions of RAGT in addition to CT exhibit positive effects on QoL and mood but no additional contribution to functional status.
本研究旨在探讨机器人辅助步态训练（RAGT）频率对步行、功能恢复、生活质量和情绪的影响。
对60例年龄在50 - 75岁、诊断为中风后偏瘫的患者进行回顾性分析。纳入改良Rankin量表评分最高为3分且根据美国国立卫生研究院卒中量表诊断为中度中风的参与者。第1组（G1）参与者仅接受传统治疗（CT），第2组（G2）参与者除CT方案外每周接受一次RAGT治疗，第3组（G3）参与者除CT方案外每周接受两次RAGT治疗。记录6分钟步行试验（6 - MWT）、巴氏指数（BI）、卒中特异性生活质量量表（SSQoL）和贝克抑郁量表（BDI）。
G3组SSQoL的中位数变化显著高于G1组的中位数变化（p < 0.05），G3组BDI的中位数变化显著低于G1组的中位数变化（p < 0.05）。G3组BDI的中位数变化也显著低于G2组的变化（p < 0.05）。
除CT外，每周两次RAGT对生活质量和情绪有积极影响，但对功能状态无额外贡献。
