TY - JOUR
T1 - The features of Gait Exercise Assist Robot
T2 - Precise assist control and enriched feedback
AU - Hirano, Satoshi
AU - Saitoh, Eiichi
AU - Tanabe, Shigeo
AU - Tanikawa, Hiroki
AU - Sasaki, Shinya
AU - Kato, Daisuke
AU - Kagaya, Hitoshi
AU - Itoh, Norihide
AU - Konosu, Hitoshi
N1 - Funding Information:
Acknowledgments The author disclose receipt of the following financial support for the research and/or authorship of this article: This study was partially supported by Japan Society for the Promotion of Science (JSPS) KAKENHI Grant Number 16K01476.
PY - 2017
Y1 - 2017
N2 - BACKGROUND: In a patient with severe hemiplegia, the risk of the knee giving way is high during the early stage of gait exercise with an ankle-foot orthosis. However, use of a knee-ankle-foot orthosis has many problems such as large amount of assistance and compensatory motions. To resolve these problems, we have engaged in the development of the Gait Exercise Assist Robot (GEAR). OBJECTIVE: To evaluate the improvement efficiency of walk with GEAR in a stroke patient. METHODS: The subject was a 70-year-old man presented with left thalamus hemorrhage and right hemiplegia. The patient underwent exercise with the GEAR 5 days a week, for 40 minutes per day. We evaluated the Functional Independence Measure score for walk (FIM-walk score) every week. The control group consisted of 15 patients aged 20-75 years with hemiplegia after primary stroke, who had equivalent walking ability with the subject at start. As the primary outcome, we defined improvement efficiency of FIM-walk, which was gain of FIM-walk divided the number of required weeks. RESULTS: Improvement efficiency of FIM-walk of the subject was 1.5, while that of control group was 0.48±3.2 (mean±SD). CONCLUSIONS: GEAR is potentially useful for gait exercise in hemiplegic patients.
AB - BACKGROUND: In a patient with severe hemiplegia, the risk of the knee giving way is high during the early stage of gait exercise with an ankle-foot orthosis. However, use of a knee-ankle-foot orthosis has many problems such as large amount of assistance and compensatory motions. To resolve these problems, we have engaged in the development of the Gait Exercise Assist Robot (GEAR). OBJECTIVE: To evaluate the improvement efficiency of walk with GEAR in a stroke patient. METHODS: The subject was a 70-year-old man presented with left thalamus hemorrhage and right hemiplegia. The patient underwent exercise with the GEAR 5 days a week, for 40 minutes per day. We evaluated the Functional Independence Measure score for walk (FIM-walk score) every week. The control group consisted of 15 patients aged 20-75 years with hemiplegia after primary stroke, who had equivalent walking ability with the subject at start. As the primary outcome, we defined improvement efficiency of FIM-walk, which was gain of FIM-walk divided the number of required weeks. RESULTS: Improvement efficiency of FIM-walk of the subject was 1.5, while that of control group was 0.48±3.2 (mean±SD). CONCLUSIONS: GEAR is potentially useful for gait exercise in hemiplegic patients.
UR - http://www.scopus.com/inward/record.url?scp=85025807377&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85025807377&partnerID=8YFLogxK
U2 - 10.3233/NRE-171459
DO - 10.3233/NRE-171459
M3 - Article
C2 - 28505990
AN - SCOPUS:85025807377
VL - 41
SP - 77
EP - 84
JO - NeuroRehabilitation
JF - NeuroRehabilitation
SN - 1053-8135
IS - 1
ER -