Early Initiation of Exoskeletal Robotic Gait Training Improves Functional Outcomes in the Patients with Stroke: A Retrospective Observational Study.

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY

European Neurology Pub Date : 2023-01-01 DOI:10.1159/000527710

Akira Degami, Shingo Taki, Takeshi Imura, Yuji Iwamoto, Naoki Imada, Ryo Tanaka, Susumu Urakawa, Tetsuji Inagawa, Hayato Araki, Osamu Araki

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引用次数: 2

Abstract

Introduction: The effect of early initiation of gait training using hybrid assistive limb (HAL) remains unclear. This observational study aimed to investigate whether early initiation of gait training using HAL improves functional outcomes in patients with stroke.

Methods: We retrospectively analyzed patients with acute stroke admitted to our facility. HAL was used for exoskeletal robotic gait training. Study participants were median split into an early group and a late group based on the days from stroke onset to initiation of gait training using HAL. The functional outcomes, defined by the Brunnstrom recovery stage (BRS), modified Rankin Scale (mRS), and Functional Independence Measure (FIM) at discharge, were compared using propensity score-matched analysis.

Results: We performed a propensity score-matched analysis in 63 patients with stroke (31 from the early group and 32 from the late group), and 17 pairs were matched. There were no significant differences in discharge in the BRS of the upper limb and finger in the post-matched cohort. On the other hand, the BRS of the lower limb in the early group was significantly higher than that in the late group. In addition, the mRS, but not FIM scores, was significantly better in the early group than that in the late group.

Conclusions: In conclusion, early initiation of gait training using HAL might improve the motor function of the paralyzed lower limb and disability in patients with stroke.

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早期进行外骨骼机器人步态训练可改善脑卒中患者的功能预后:一项回顾性观察研究。

前言:早期使用混合辅助肢体(HAL)进行步态训练的效果尚不清楚。本观察性研究旨在探讨早期使用HAL进行步态训练是否能改善脑卒中患者的功能预后。方法:回顾性分析我院收治的急性脑卒中患者。HAL用于外骨骼机器人步态训练。研究参与者根据从中风发作到开始使用HAL进行步态训练的天数分为早期组和晚期组。使用倾向评分匹配分析比较出院时由Brunnstrom恢复阶段(BRS)、改良Rankin量表(mRS)和功能独立性测量(FIM)定义的功能结局。结果:我们对63例卒中患者(早期组31例，晚期组32例)进行了倾向评分匹配分析，其中17对匹配。在配对后的队列中，上肢和手指的BRS放电无显著差异。另一方面，早期组下肢BRS明显高于晚期组。此外，早期组的mRS评分明显优于晚期组，而非FIM评分。结论:早期开展HAL步态训练可改善脑卒中患者下肢瘫痪的运动功能和功能障碍。

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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来源期刊

European Neurology 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

审稿时长

4-8 weeks

期刊介绍： ''European Neurology'' publishes original papers, reviews and letters to the editor. Papers presented in this journal cover clinical aspects of diseases of the nervous system and muscles, as well as their neuropathological, biochemical, and electrophysiological basis. New diagnostic probes, pharmacological and surgical treatments are evaluated from clinical evidence and basic investigative studies. The journal also features original works and reviews on the history of neurology.