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Title: Effects of periodic robot rehabilitation using the Hybrid Assistive Limb for a year on gait function in chronic stroke patients
Authors: Tanaka, Hiroki
Nankaku, Manabu
Kikuchi, Takayuki
Nishi, Hidehisa
Nishikawa, Toru
Yonezawa, Honami
Kitamura, Gakuto
Takagi, Yasushi
Miyamoto, Susumu
Ikeguchi, Ryosuke
Matsuda, Shuichi
Author's alias: 田中, 浩基
南角, 学
菊池, 隆幸
西, 秀久
西川, 徹
米澤, 穂波
北村, 岳斗
宮本, 享
池口, 良輔
松田, 秀一
Keywords: Rehabilitation
Gait
Stroke
Robot
Hybrid Assistive Limb
Issue Date: Oct-2021
Publisher: Elsevier BV
Journal title: Journal of Clinical Neuroscience
Volume: 92
Start page: 17
End page: 21
Abstract: Using a robot for gait training in stroke patients has attracted attention for the last several decades. Previous studies reported positive effects of robot rehabilitation on gait function in the short term. However, the long-term effects of robot rehabilitation for stroke patients are still unclear. The purpose of the present study was to investigate the long-term effects of periodic gait training using the Hybrid Assistive Limb (HAL) on gait function in chronic stroke patients. Seven chronic stroke patients performed 8 gait training sessions using the HAL 3 times every few months. The maximal 10-m walk test and the 2-minute walking distance (2MWD) were measured before the first intervention and after the first, second, and third interventions. Gait speed, stride length, and cadence were calculated from the 10-m walk test. Repeated one-way analysis of variance showed a significant main effect on evaluation time of gait speed (F = 7.69, p < 0.01), 2MWD (F = 7.52, p < 0.01), stride length (F = 5.24, p < 0.01), and cadence (F = 8.43, p < 0.01). The effect sizes after the first, second, and third interventions compared to pre-intervention in gait speed (d = 0.39, 0.52, and 0.59) and 2MWD (d = 0.35, 0.46, and 0.57) showed a gradual improvement of gait function at every intervention. The results of the present study showed that gait function of chronic stroke patients improved over a year with periodic gait training using the HAL every few months.
Rights: © 2021. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
The full-text file will be made open to the public on 1 October 2022 in accordance with publisher's 'Terms and Conditions for Self-Archiving'
This is not the published version. Please cite only the published version. この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。
URI: http://hdl.handle.net/2433/275803
DOI(Published Version): 10.1016/j.jocn.2021.07.040
PubMed ID: 34509247
Appears in Collections:Journal Articles

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