Effectiveness of Gait Exercise Assist Robot (GEAR) for stroke patients with hemiplegia

DOI Web Site 被引用文献6件 参考文献20件 オープンアクセス
  • Hirano Satoshi
    Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University
  • Kagaya Hitoshi
    Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University
  • Saitoh Eiichi
    Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University
  • Sonoda Shigeru
    Department of Rehabilitation Medicine II, School of Medicine, Fujita Health University
  • Tanabe Shigeo
    Faculty of Rehabilitation, School of Health Sciences, Fujita Health University
  • Katoh Masaki
    Department of Rehabilitation, Fujita Health University Hospital
  • Yamada Junya
    Department of Rehabilitation, Fujita Health University Hospital
  • Tanino Genichi
    Department of Rehabilitation, Fujita Health University Nanakuri Memorial Hospital
  • Suzuki Akira
    Department of Rehabilitation, Fujita Health University Nanakuri Memorial Hospital
  • Itoh Norihide
    Department of Advanced Rehabilitation Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine

抄録

<p>Hirano S, Kagaya H, Saitoh E, Sonoda S, Tanabe S, Katoh M, Yamada J, Tanino G, Suzuki A, Itoh N. Effectiveness of Gait Exercise Assist Robot (GEAR) for stroke patients with hemiplegia. Jpn J Compr Rehabil Sci 2017; 8: 71-76.</p><p>Objective: This study examined whether subacute stroke patients with hemiplegia who receive gait training using the Gait Exercise Assist Robot (GEAR) show early improvement in gait independence compared to patients who receive orthosis-assisted gait training.</p><p>Methods: Six patients who satisfied the following criteria were included in the study: patients with hemiplegia caused by primary supratentorial intracerebral hemorrhage or cerebral infarction, within 60 days after onset, aged 20 to 75 years, Functional Independence Measure (FIM) walking score ≤ 3, Stroke Impairment Assessment Set (SIAS) lower extremity total score ≤ 6, and use of a knee-ankle-foot orthosis. Rehabilitation was conducted for a maximum of 3 h a day, including 40 min of gait training using GEAR. A historical control group was selected from among patients admitted to the ward for intensive inpatient rehabilitation at Nanakuri Memorial Hospital. One control patient matching the criteria of each subject was selected, with a total of six in the control group. The primary outcome measure was the improvement in efficiency of FIM-walk, defined as the gain in FIM walking score from the baseline to supervised walking divided by the number of weeks required.</p><p>Results: The mean improvement in efficiency of FIM-walk was 1.0 in the GEAR group and 0.54 in the control group, and was significantly higher in the GEAR group (p = 0.042).</p><p>Conclusion: Gait training using GEAR may facilitate early improvement in gait independence.</p>

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