Views of physiatrists and physical therapists on the use of gait-training robots for stroke patients

Kang, Chang Gu; Chun, Min Ho; Chang, Min Cheol; Kim, Won; Hee, Kyung

doi:10.1589/jpts.28.202

Cited by 12 publications

(9 citation statements)

References 33 publications

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“…Recently, electromechanical-assisted gait training has received much attention for gait improvement after stroke2, 3 ) . Electromechanical and robotic-assisted gait training could provide intensive, repetitive, and task-specific practice which may enhance functional restitution and improve motor performances4 ) .…”

Section: Introductionmentioning

confidence: 99%

Sustained effects of once-a-week gait training with hybrid assistive limb for rehabilitation in chronic stroke: case study

2016

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[Purpose] The purpose of this study was to investigate the accumulated and sustained effects of once-a-week gait training with a powered exoskeleton suit, Hybrid Assistive Limb, in a subject with chronic stroke. [Subject and Methods] The subject was a woman in her early sixties who had stroke onset approximately 5 years ago. A single-case ABA design was used. A 2-month baseline period was followed by an 8-week period of weekly gait training and a subsequent 2-month follow-up period. Throughout the study period, she underwent conventional physiotherapy. Outcome measures were the 10-meter walking test, timed up and go test, functional reach test, two-step test, and Berg Balance Scale. [Results] Significant improvements were seen in all outcome measures during the gait training period. Improvements in all outcome measures except walking speed were maintained at follow-up. [Conclusion] Continued gait training with Hybrid Assistive Limb once a week can improve gait and balance performance in patients with chronic stroke, and these improvements are maintained at least for two months.

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Section: Introductionmentioning

confidence: 99%

Sustained effects of once-a-week gait training with hybrid assistive limb for rehabilitation in chronic stroke: case study

2016

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“…More than 185 HAL ® have been introduced to Japanese medical institutions for the purpose of rehabilitation 5 ) . Several studies have reported on the effectiveness of robot-assisted gait training in improving walking speed, step length, muscle strength, balance and patient’s motivation for treatment 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 ) . However, there has been minimal research 13 ) of the effectiveness of robot-assisted rehabilitation for sit-to-stand (STS) and standing movements.…”

Section: Introductionmentioning

confidence: 99%

The effect of a hybrid assistive limb<sup>®</sup> on sit-to-stand and standing patterns of stroke patients

Kasai

Takeda

2016

J Phys Ther Sci

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[Purpose] The Hybrid Assistive Limb® (HAL®) robot suit is a powered exoskeleton that can assist a user’s lower limb movement. The purpose of this study was to assess the effectiveness of HAL® in stroke rehabilitation, focusing on the change of the sit-to-stand (STS) movement pattern and standing posture. [Subjects and Methods] Five stroke patients participated in this study. Single leg HAL® was attached to each subject’s paretic lower limb. The subjects performed STS three times both with and without HAL® use. A tri-axial accelerometer was used to assess the STS movement pattern. Forward-tilt angle (FTA) and the time required for STS were measured with and without HAL® use. Surface electromyography (EMG) of STS and standing were recorded to assess the vastus medialis muscle activities of the paretic limb. [Results] The average FTA without HAL® use was 35° and it improved to 43° with HAL® use. The time required for STS was longer for all subjects with HAL® use (without HAL® use: 3.42 s, with HAL® use: 5.11 s). The integrated EMGs of HAL® use compared to those without HAL®, were 83.6% and 66.3% for STS and standing, respectively. [Conclusion] HAL® may be effective in improving STS and standing patterns of stroke patients.

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“…Gait disorders are one of the most common complaints in up to 60% of patients with cerebrovascular diseases [6]; and up to 80% of patients after stroke being affected [7]. It has been shown that aerobic capacity correlates with gait recovery [8,9] and it is well known, that patients after stroke are limited in their activities of daily living such as walking due to reduced aerobic capacity [4].…”

Section: Introductionmentioning

confidence: 99%

Implementation of a gait center training to improve walking ability and vital parameters in inpatient neurological rehabilitation- a cohort study

Reichl

Weilbach

Mehrholz

2020

J NeuroEngineering Rehabil

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Background: Many studies showed that robot-assisted gait training might improve walking of patients after stroke. The question remains whether patients with other neurological diagnoses can improve their ability to walk by training in a gait center. Aim of the present study was therefore to investigate the effects of a gait center training in inpatient neurological rehabilitation on walking ability. Methods: We implemented a gait center training in addition to individual inpatient rehabilitation. Our primary outcome was walking ability based on the Functional Ambulation Categories (FAC). Our secondary outcomes were vital capacity and blood pressure. We predefined subgroups of patients with ischemic and hemorrhagic stroke and critical illness myopathy (CIM) and polyneuropathy (CIP). Results: We included 780 patients from our inpatient rehabilitation center in our cohort study. We analyzed 329 patients with ischemic, 131 patients with hemorrhagic stroke and 74 patients with CIP/ CIM. A large number of patients were able to improve their ability to walk. At the end of rehabilitation, patients with ischemic stroke and FAC 3 = increased theirFAC scores by 5%, FAC 4 = 4% and FAC 5 = 7%. Patients with hemorrhagic stroke and FAC 3 = increased by 5%, FAC 4 = 11% and FAC 5 = 9% and patients with CIP/CIM increased by FAC 3 = 3%, FAC 4 = 22% and FAC 5 = 26%. The largest improvement in walking ability during rehabilitation had patients with a FAC = 1 at baseline who improved by a median of 1.4 FAC points (p < 0.001). After adjusting for the number of gait training sessions, the largest improvement in walking ability during rehabilitation had patients with a FAC = 0 at baseline who improved by 1.8 FAC points (p < 0.001). Conclusions: Implementation of an additional gait center training may significantly improve walking ability in neurological rehabilitation.

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Views of physiatrists and physical therapists on the use of gait-training robots for stroke patients

Cited by 12 publications

References 33 publications

Sustained effects of once-a-week gait training with hybrid assistive limb for rehabilitation in chronic stroke: case study

Sustained effects of once-a-week gait training with hybrid assistive limb for rehabilitation in chronic stroke: case study

The effect of a hybrid assistive limb<sup>®</sup> on sit-to-stand and standing patterns of stroke patients

Implementation of a gait center training to improve walking ability and vital parameters in inpatient neurological rehabilitation- a cohort study

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