Effect of an End Effector Gait Assistance Robot on the Gait of Chronic Stroke Patients

[Purpose] To verify the effects of the use of an end effector gait assistance robot on the gait of chronic stroke patients with gait disorders. [Subjects and Methods] Eleven patients who were able to walk 6 months after stroke with and without the use of the end effector gait assistance robot were c...

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Published inRigaku ryoho kagaku Vol. 33; no. 2; pp. 301 - 305
Main Authors YAMAZAKI, Naoki, NAKAMURA, Hisashi, TANAKA, Kazuhide, ONUKI, Mutsumi
Format Journal Article
LanguageJapanese
Published The Society of Physical Therapy Science 2018
Subjects
chronic stroke
end effector gait assistance robot
exercise efficiency
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ISSN1341-1667
2434-2807
DOI10.1589/rika.33.301

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Abstract [Purpose] To verify the effects of the use of an end effector gait assistance robot on the gait of chronic stroke patients with gait disorders. [Subjects and Methods] Eleven patients who were able to walk 6 months after stroke with and without the use of the end effector gait assistance robot were compared. The evaluation items were walking speed (m/min), step rate (steps/min), stride length (m), Physical Cost Index (beats/m), Borg Scale and heart rate variation (beats/min). [Results] Patients who used the gait assistance robot had a lower Physical Cost Index and a longer stride length. [Conclusion] Ambulatory exercise was done at a lower load when the end effector gait assistance robot was used, suggesting gait ability would improve through long-term use.
AbstractList [Purpose] To verify the effects of the use of an end effector gait assistance robot on the gait of chronic stroke patients with gait disorders. [Subjects and Methods] Eleven patients who were able to walk 6 months after stroke with and without the use of the end effector gait assistance robot were compared. The evaluation items were walking speed (m/min), step rate (steps/min), stride length (m), Physical Cost Index (beats/m), Borg Scale and heart rate variation (beats/min). [Results] Patients who used the gait assistance robot had a lower Physical Cost Index and a longer stride length. [Conclusion] Ambulatory exercise was done at a lower load when the end effector gait assistance robot was used, suggesting gait ability would improve through long-term use.
Author ONUKI, Mutsumi
YAMAZAKI, Naoki
NAKAMURA, Hisashi
TANAKA, Kazuhide
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Cites_doi 10.1093/ptj/86.5.618
10.1002/14651858.CD006185.pub3
10.1007/978-1-349-04835-9_20
10.1161/STROKEAHA.107.504779
10.1016/S0140-6736(98)09477-X
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References 3) Mehrholz J, Elsner B, Werner C, et al.: Electromechanical-assisted training for walking after stroke. Cochrane, 2013, 7: 1-97.
13) Kwakkel G, Wagenaar RC, Twisk JW, et al.: Intensity of leg and arm training after primary middle-cerebral-artery stroke: a randomised trial. Lancet, 1999, 354: 191-196.
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4) 有末伊織，田中直次郎，藤井靖晃・他：歩行アシストロボットを用いた回復期脳卒中患者に対する歩行練習の影響─歩行速度による違い─．理学療法科学，2015, 30: 119-123.
8) Hornby TG, Campbell DD, Kahn JH, et al.: Enhanced gait-related improvements after therapist- versus robotic-assisted locomotor training in subjects with chronic stroke: a randomized controlled study. Stroke, 2008, 39: 1786–1792.
11) 山本澄子：脳血管障害の歩行分析．理学療法科学，2001, 17: 3-10.
2) 日本脳卒中学会脳卒中ガイドライン委員会：脳卒中治療ガイドライン2015．協和企画，東京，2015，pp288-291
5) 渡邊亜紀，川井康平，佐藤浩二・他：HONDA歩行アシストの継続使用による脳卒中片麻痺患者の歩行変化．理学療法学，2016, 43: 337-341.
12) 平山昌男，加藤順一，村上雅仁・他：片麻痺患者における運動耐容能と歩行能力の関係．理学療法科学，2001, 16: 173-177.
6) 平野雄三，本間一成，後藤恒夫・他：生活期脳卒中片麻痺における歩行支援ロボット仕様による歩行訓練の効果検証．東北理学療法学，2014, 26: 166-171.
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9) Kollen B, Kwakkel G, Lindeman E: Time dependency of walking classification in stroke. Phys Ther, 2006, 86: 618-625.
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1
2
3
4
5
References_xml – reference: 2) 日本脳卒中学会脳卒中ガイドライン委員会：脳卒中治療ガイドライン2015．協和企画，東京，2015，pp288-291．
– reference: 8) Hornby TG, Campbell DD, Kahn JH, et al.: Enhanced gait-related improvements after therapist- versus robotic-assisted locomotor training in subjects with chronic stroke: a randomized controlled study. Stroke, 2008, 39: 1786–1792.
– reference: 9) Kollen B, Kwakkel G, Lindeman E: Time dependency of walking classification in stroke. Phys Ther, 2006, 86: 618-625.
– reference: 5) 渡邊亜紀，川井康平，佐藤浩二・他：HONDA歩行アシストの継続使用による脳卒中片麻痺患者の歩行変化．理学療法学，2016, 43: 337-341.
– reference: 12) 平山昌男，加藤順一，村上雅仁・他：片麻痺患者における運動耐容能と歩行能力の関係．理学療法科学，2001, 16: 173-177.
– reference: 4) 有末伊織，田中直次郎，藤井靖晃・他：歩行アシストロボットを用いた回復期脳卒中患者に対する歩行練習の影響─歩行速度による違い─．理学療法科学，2015, 30: 119-123.
– reference: 6) 平野雄三，本間一成，後藤恒夫・他：生活期脳卒中片麻痺における歩行支援ロボット仕様による歩行訓練の効果検証．東北理学療法学，2014, 26: 166-171.
– reference: 10) MacGregor J: Disability. Macmillan, London, 1979, pp159-172.
– reference: 1) 厚生労働省：平成25年国民生活基礎調査の概況. http://www.mhlw.go.jp/toukei/list/20-21kekka.html （閲覧日2017年2月15日）．
– reference: 7) 大塚　圭，才藤栄一，横田元実・他：脳卒中の歩行障害に対する課題指向的アプローチ．理学療法，2010, 27: 1407-1414.
– reference: 11) 山本澄子：脳血管障害の歩行分析．理学療法科学，2001, 17: 3-10.
– reference: 3) Mehrholz J, Elsner B, Werner C, et al.: Electromechanical-assisted training for walking after stroke. Cochrane, 2013, 7: 1-97.
– reference: 13) Kwakkel G, Wagenaar RC, Twisk JW, et al.: Intensity of leg and arm training after primary middle-cerebral-artery stroke: a randomised trial. Lancet, 1999, 354: 191-196.
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  doi: 10.1002/14651858.CD006185.pub3
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  doi: 10.1007/978-1-349-04835-9_20
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  doi: 10.1161/STROKEAHA.107.504779
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SubjectTerms chronic stroke
end effector gait assistance robot
exercise efficiency
Title Effect of an End Effector Gait Assistance Robot on the Gait of Chronic Stroke Patients
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