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Tytuł:
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Robot-assisted Gait Training Using Welwalk in Hemiparetic Stroke Patients: An Effectiveness Study with Matched Control.
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Autorzy:
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Ii T; Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Aichi, Japan.
Hirano S; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan. Electronic address: .
Tanabe S; Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Aichi, Japan.
Saitoh E; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.
Yamada J; Department of Rehabilitation, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Mukaino M; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.
Watanabe M; Department of Rehabilitation, Fujita Health University Nanakuri Memorial Hospital, Tsu, Mie, Japan.
Sonoda S; Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University, Tsu, Mie, Japan.
Otaka Y; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.
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Źródło:
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Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2020 Dec; Vol. 29 (12), pp. 105377. Date of Electronic Publication: 2020 Oct 19.
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Typ publikacji:
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Journal Article; Observational Study
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Język:
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English
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Imprint Name(s):
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Publication: Philadelphia, PA : Saunders
Original Publication: New York, NY : Demos Publications, [1991-
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MeSH Terms:
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Gait*
Motor Activity*
Paresis/*rehabilitation
Robotics/*instrumentation
Stroke/*therapy
Stroke Rehabilitation/*instrumentation
Aged ; Disability Evaluation ; Exoskeleton Device ; Female ; Humans ; Male ; Middle Aged ; Paresis/diagnosis ; Paresis/physiopathology ; Prospective Studies ; Recovery of Function ; Retrospective Studies ; Stroke/diagnosis ; Stroke/physiopathology ; Time Factors ; Treatment Outcome
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Contributed Indexing:
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Keywords: Gait training; Hemiparetic; Rehabilitation; Robot; Stroke
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Entry Date(s):
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Date Created: 20201022 Date Completed: 20201208 Latest Revision: 20201214
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Update Code:
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20240105
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DOI:
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10.1016/j.jstrokecerebrovasdis.2020.105377
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PMID:
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33091753
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Objective: Although studies on the efficacy of the rehabilitation robot are increasing, there are few reports using the robot for gait training in the actual clinical setting. This study aimed to investigate the effectiveness of gait training using Welwalk in hemiparetic stroke patients in a real clinical setting.
Materials and Methods: This prospective study included 36 hemiparetic stroke patients who underwent gait training using Welwalk. We examined the walking ability improvement efficiency using Functional Independence Measure (FIM)-walk as the primary outcome, which was compared with that of 36 patients (matched control group) who underwent conventional rehabilitation. Other outcomes were the actual gait training period using Welwalk, raw FIM-walk score, lower extremity motor functions score in Stroke Impairment Assessment Set at discharge, and duration from stroke onset until discharge.
Results: The improvement efficiency of the FIM-walk was significantly higher in the Welwalk group than in the matched control group (control 0.48 ± 0.31, Welwalk 0.80 ± 0.38, p-value < 0.001). The mean gait training period using Welwalk was 5 weeks. No significant differences were found in other outcomes between the Welwalk group and the matched control group.
Conclusion: This study demonstrated the effectiveness of gait training using Welwalk on the improvement efficiency of the FIM-walk in hemiparetic stroke patients in an actual clinical setting.
(Copyright © 2020 The Author(s). Published by Elsevier Inc. All rights reserved.)
