Effects of end-effector type lower limb rehabilitation robot-assisted gait training in patients with subacute stroke
Overview
- Phase
- 未知
- Intervention
- Not specified
- Conditions
- Diseases of the circulatory system
- Sponsor
- Asan Medical Center
- Enrollment
- 55
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Methods: Forty-nine stroke patients were randomly assigned to 2 treatment groups: a 30-minute end-effector lower limb rehabilitation robot training plus 1.5-hour conventional physiotherapy (robot group; n = 26), or a 2-hour conventional physiotherapy (control group; n = 23). All patients received 5 treatments weekly for 4 weeks. The functional ambulatory category was the primary outcome and the motricity index, Fugl Meyer assessment-lower extremity, rivermead mobility index, 10 meter walk test, Berg balance scale, and modified Barthel index were secondary outcomes. Results: All outcome measures significantly improved in both groups after training (P > .05). The robot group improved more in FAC than the control group (P = .005). Conclusions: Compared with conventional physiotherapy alone, end-effector lower limb robot-assisted gait training with conventional physiotherapy improved subacute stroke patients walking ability.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age \= 19 years
- •\- Within 3 months of stroke onset
- •\- Hemiparesis
- •\- Functional Ambulatory Category (FAC) score \= 3 and Trunk Control Test \= 49
- •\- Ability to participate in the robot\-assisted gait training
- •\- Previously independent walker
Exclusion Criteria
- •\- Severe cognitive disorders(MMSE \<10\) or aphasia that impeded communication
- •\- Severe lower extremity musculoskeletal disease
- •\- Severe lower extremity contracture that limits range of motion
- •\- Fractures, open wound, or unhealed ulcers
- •\- Body weight \> 135kg, height \> 195cm
- •\- Difficulty in robot\-assisted gait treatment due to serious medical conditions such as cardiovascular or lung disease
- •\- Risk of compression fracture due to severe osteoporosis
- •\- Other neurological disorders affecting the lower extremities (eg Parkinson disease, multiple sclerosis, etc.)
- •\- In case the researcher judges that participation in this study is inappropriate
Outcomes
Primary Outcomes
Not specified