Early rehabilitation with lumbar-type hybrid assistive limb for acute stroke patients: a pilot study and clinical review.

Takafumi Kobayashi, Takashi Tsujiuchi, Ayako Motomura, Takafumi Sagisaka, Hayato Asai, Yoshino Ueki
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Abstract

[Purpose] To examine the impacts of using lumbar-type hybrid assistive limbs during the acute stage of stroke, specifically on motor function involving the trunk and activities of daily living, as compared to conventional physical therapy. [Participants and Methods] This was a single-center randomized controlled trial. Participants were randomly assigned to either the hybrid assistive limb or conventional physical therapy groups and underwent early rehabilitation with and without hybrid assistive limb training for ten 40-minute sessions over 10 days. Motor functions, including trunk function and activities of daily living, were evaluated before and immediately after the rehabilitation. [Results] Fifteen patients (median age, 67 years; hybrid assistive limb, n=7; conventional physical therapy, n=8) completed the study. No adverse events were observed. After training, both groups exhibited significant improvements on Berg Balance Scale, Functional Independence Measure-total, Functional Independence Measure-motor, and Stroke Impairment Assessment Set-motor scores. The conventional physical therapy group further exhibited significant enhancement in the Functional Independence Measure-cognitive and Functional Ambulation Category. The degree of improvement on the Berg Balance Scale was significantly larger in the hybrid assistive limb group than in the conventional physical therapy group. [Conclusion] Early rehabilitation using lumbar-type hybrid assistive limbs can improve trunk function in the early stages of stroke more than conventional physical therapy and may enhance walking ability and activities of daily living.

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腰型混合辅助肢体早期康复治疗急性脑卒中患者:一项初步研究和临床回顾。
[目的]探讨在脑卒中急性期使用腰型混合型辅助肢体对患者的影响,特别是与常规物理治疗相比,对涉及躯干和日常生活活动的运动功能的影响。[参与者和方法]这是一项单中心随机对照试验。参与者被随机分配到混合辅助肢体组或常规物理治疗组,并在10天内进行10次40分钟的混合辅助肢体训练和不进行混合辅助肢体训练的早期康复。运动功能,包括躯干功能和日常生活活动,在康复前后进行评估。[结果]15例患者,中位年龄67岁;混合型辅助肢体,n=7;常规物理治疗(n=8)完成研究。未观察到不良事件。训练后,两组在伯格平衡量表、功能独立量表-总分、功能独立量表-运动和脑卒中损害评估组-运动得分上均有显著改善。常规物理治疗组在功能独立性测试-认知和功能行走类别上进一步表现出显著的增强。混合辅助肢体组的Berg平衡量表改善程度明显大于常规物理治疗组。[结论]腰型混合辅助肢早期康复比常规物理治疗更能改善脑卒中早期患者的躯干功能,并可提高患者的行走能力和日常生活能力。
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137
审稿时长
4-8 weeks
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