Choi Soojin, Kim Seong Woo, Jeon Ha Ra, Lee June Sung, Kim Dong Yeong, Lee Jang Woo
Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Brain Neurorehabil. 2019 Nov 15;13(1):e6. doi: 10.12786/bn.2020.13.e6. eCollection 2020 Mar.
Robots are being used to assist the recovery of walking ability for patients with neurologic disorders. This study aimed to evaluate the feasibility and functional improvement of training with robot-assisted gait training (RAGT) using the Morning Walk, an end-effector type robot using footplates and saddle seat support. A total of 189 individuals (65.1% men, 34.9% women; mean age, 53.2 years; age range: 5-87 years) with brain lesions, spinal cord injuries, Parkinson's disease, peripheral neuropathies, and pediatric patients were involved in this retrospectively registered clinical trial. Each participant performed 30 minutes of RAGT, five times a week, for a total of 24 sessions. Failure was defined as an inability to complete all 24 sessions, and the reasons for discontinuation were analyzed. Parameters of Medical Research Council scales and Functional Ambulation Categories were analyzed before and after RAGT training. Among the 189 patients, 22 (11.6%) failed to complete the RAGT. The reasons included decreased cooperation, musculoskeletal pain, saddle seat discomfort, excessive body-weight support, joint spasticity or restricted joint motion, urinary incontinence from an indwelling urinary catheter, and fatigue. Comparison between the pre- and post-training motor and ambulatory functions showed significant improvement. The result of the study indicates that the Morning Walk is feasible and safe and useful for functional improvement in patients with various neurologic disorders.
Clinical Research Information Service Identifier: KCT0003627.
机器人正被用于协助神经系统疾病患者恢复行走能力。本研究旨在评估使用“晨行”机器人辅助步态训练（RAGT）进行训练的可行性和功能改善情况，“晨行”是一种使用脚板和鞍座支撑的末端执行器型机器人。共有189名个体（男性占65.1%，女性占34.9%；平均年龄53.2岁；年龄范围：5 - 87岁）参与了这项回顾性注册临床试验，这些个体患有脑损伤、脊髓损伤、帕金森病、周围神经病变以及儿科患者。每位参与者每周进行5次，每次30分钟的RAGT训练，共进行24次。将未能完成所有24次训练定义为失败，并分析终止训练的原因。在RAGT训练前后分析医学研究委员会量表和功能步行分类的参数。在189名患者中，22名（11.6%）未能完成RAGT训练。原因包括合作度下降、肌肉骨骼疼痛、鞍座不适、体重支撑过度、关节痉挛或关节活动受限、留置导尿管导致的尿失禁以及疲劳。训练前后运动和步行功能的比较显示有显著改善。研究结果表明，“晨行”机器人对各种神经系统疾病患者的功能改善是可行、安全且有效的。
临床研究信息服务标识符：KCT0003627。
