The features of Gait Exercise Assist Robot: Precise assist control and enriched feedback.

Abstract:

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.

journal_name

NeuroRehabilitation

journal_title

NeuroRehabilitation

authors

Hirano S,Saitoh E,Tanabe S,Tanikawa H,Sasaki S,Kato D,Kagaya H,Itoh N,Konosu H

doi

10.3233/NRE-171459

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

77-84

issue

1

eissn

1053-8135

issn

1878-6448

pii

NRE1459

journal_volume

41

pub_type

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