Effect of Caregiver Driven Robot-Assisted In-Ward Training in Subacute Stroke Patients: A Case Series.
10.5535/arm.2018.42.2.195
- Author:
Sang Beom KIM
1
;
Kyeong Woo LEE
;
Jong Hwa LEE
;
Sook Joung LEE
;
Jin Gee PARK
;
Joo Won PARK
Author Information
1. Department of Physical Medicine and Rehabilitation and Regional Cardiocerebrovascular Center, Dong-A University College of Medicine, Busan, Korea. exception7@naver.com
- Publication Type:Original Article
- Keywords:
Stroke rehabilitation;
Stroke;
Robot
- MeSH:
Caregivers*;
Gait;
Humans;
Retrospective Studies;
Stroke*;
Walking
- From:Annals of Rehabilitation Medicine
2018;42(2):195-203
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To evaluate the effect of caregiver driven robot-assisted in-ward training in subacute stroke patients. METHODS: A retrospective evaluation was performed for patients treated with caregiver driven robot-assisted in-ward training to retain gait function from June 2014 and December 2016. All patients received more than 2 weeks of caregiver driven robot-assisted in-ward training after undergoing conventional programs. The robot was used as a sitting device, a standing frame, or a high-walker depending on functional status of the patient. Patients were evaluated before and after robot training. Patient records were assessed by Korean version of Modified Barthel Index (K-MBI), Functional Independence Measure (FIM), and Functional Ambulation Category (FAC). RESULTS: Initially, patients used the robot as a sitting device (n=6), a standing frame (n=7), or a partial body-weight support high-walker (n=2). As patient functions were improved, usage level of the robot was changed to the next level. At the end of the treatment, the robot was used as a sitting device (n=1), a standing frame (n=6), or high-walker (n=8). Scores of K-MBI (Δ17.47±10.72) and FIM (Δ19.80±12.34) were improved in all patients. CONCLUSION: Patients' usage level of the robot and functional scores were improved. Therefore, performing additional caregiver driven robot-assisted in-ward training is feasible and beneficial for subacute stroke patients.