Acute effects of 10-minute robotic leg movements on a dynamic tilt table in patients with chronic stroke.

Ken Kouda, Yuta Sakurai, Shohei Araki, Izumi Yoshioka, Motohiko Banno, Yoshi-Ichiro Kamijo, Yukio Mikami, Yasunori Umemoto, Fumihiro Tajima
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Abstract

[Purpose] We previously reported that a combination of stepping and functional electrical stimulation on a dynamic tilt table with robotic leg movement improved walking speed in patients with stroke. The purpose of this study was to assess the effect of a single bilateral lower limb exercise session using a dynamic tilt table with robotic leg movement without functional electrical stimulation on walking speed in patients with chronic stroke. [Participants and Methods] Ten patients with chronic stroke who were capable of walking independently (73 ± 44 months post stroke onset) were included. The participants performed passive lower extremity walking for 10 minutes in a standing position on the dynamic tilt table with robotic leg movement. The effects of the intervention on walking speed, cadence, and Modified Ashworth Scale score for the quadriceps muscle on the paralyzed side were assessed using the 10-meter walking test. [Results] The 10-minute intervention significantly increased the walking speed (baseline: 0.49 ± 0.17 m/sec, after: 0.56 ± 0.23 m/sec) and cadence (baseline: 96 ± 22 steps/min, after: 99 ± 24 steps/min); however, it had no effect on the Modified Ashworth Scale score for the paralyzed quadriceps muscle. [Conclusion] This study highlights the potential of the dynamic tilt table with robotic leg movement without functional electrical stimulation in rehabilitation therapy for patients with chronic stroke.

慢性脑卒中患者在动态倾斜台上10分钟机械腿运动的急性效应。
【目的】我们之前报道过,在带有机械腿运动的动态倾斜台上,行走和功能性电刺激相结合可以提高中风患者的行走速度。本研究的目的是评估单次双侧下肢运动对慢性卒中患者步行速度的影响,该运动采用动态倾斜台和机械腿运动,无功能性电刺激。[对象与方法]纳入10例慢性脑卒中患者,均能独立行走(卒中后73±44个月)。受试者在动态倾斜台上站立,机械腿运动,进行下肢被动行走10分钟。采用10米步行测试评估干预对瘫痪侧四头肌步行速度、节奏和修正Ashworth评分的影响。[结果]10分钟干预显著提高了步行速度(基线:0.49±0.17 m/sec,干预后:0.56±0.23 m/sec)和步频(基线:96±22步/min,干预后:99±24步/min);然而,它对麻痹四头肌的改良阿什沃斯量表评分没有影响。【结论】本研究强调了无功能电刺激机械腿运动的动态倾斜台在慢性脑卒中患者康复治疗中的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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137
审稿时长
4-8 weeks
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