계명대학교 의학도서관 Repository

Feasibility and Usability of a Robot-Assisted Complex Upper and Lower Limb Rehabilitation System in Patients with Stroke: A Pilot Study

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Author(s)
Kyoung Tae KimYongmin ChoiJang Hyuk ChoSoyoung Lee
Keimyung Author(s)
Kim, Kyoung TaeChoi, Yong MinCho, Jang HyukLee, So Young
Department
Dept. of Rehabilitation Medicine (재활의학)
Journal Title
Ann Dermatol
Issued Date
2023
Volume
47
Issue
2
Keyword
GaitLocomotionRehabilitationRoboticsStroke
Abstract
Objective:
To evaluate the feasibility and usability of cost-effective complex upper and lower limb robot-assisted gait training in patients with stroke using the GTR-A, a foot-plate based end-effector type robotic device.

Methods:
Patients with subacute stroke (n=9) were included in this study. The enrolled patients received 30-minute robot-assisted gait training thrice a week for 2 weeks (6 sessions). The hand grip strength, functional ambulation categories, modified Barthel index, muscle strength test sum score, Berg Balance Scale, Timed Up and Go Test, and Short Physical Performance Battery were used as functional assessments. The heart rate was measured to evaluate cardiorespiratory fitness. A structured questionnaire was used to evaluate the usability of robot-assisted gait training. All the parameters were evaluated before and after the robot-assisted gait training program.

Results:
Eight patients completed robot-assisted gait training, and all parameters of functional assessment significantly improved between baseline and posttraining, except for hand grip strength and muscle strength test score. The mean scores for each domain of the questionnaire were as follows: safety, 4.40±0.35; effects, 4.23±0.31; efficiency, 4.22±0.77; and satisfaction, 4.41±0.25.

Conclusion:
Thus, the GTR-A is a feasible and safe robotic device for patients with gait impairment after stroke, resulting in improvement of ambulatory function and performance of activities of daily living with endurance training. Further research including various diseases and larger sample groups is necessary to verify the utility of this device.
Keimyung Author(s)(Kor)
김경태
최용민
조장혁
이소영
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2234-0653
Source
https://www.e-arm.org/journal/view.php?doi=10.5535/arm.23017
DOI
10.5535/arm.23017
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44889
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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