The effects of robot assistance on the gait kinematics of hemiplegic stroke survivors
10.3760/cma.j.issn.0254-1424.2019.04.007
- VernacularTitle:骨盆辅助式康复机器人训练对脑卒中偏瘫患者下肢功能及骨盆运动学的影响
- Author:
Shuzhen HU
1
;
Xudong GU
;
Hua WU
;
Ming ZENG
;
Jianming FU
;
Zailong LIN
;
Hefeng BAI
;
Jingjing LU
;
Liang LI
Author Information
1. 浙江大学医学院附属儿童医院康复医学科
- Keywords:
Pelvis;
Kinematics;
Robots;
Rehabilitation;
Stroke
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2019;41(4):269-273
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of robot assistance on the gait kinematics of hemiplegic persons after a stroke.Methods Forty hemiplegic stroke patients were randomly divided into an experimental group and a control group,each of 20.Both groups were given routine neurological medication and rehabilitation training,while the experimental group was additionally provided with 20 minutes of robot-assisted gait training daily,six times a week,for 8 weeks.Before and after the intervention,both groups' motor function,balance,step length and pace were evaluated,as well as their pelvic rotation angles,side inclination,vertical displacement and lateral displacement.The Fugl-Meyer assessment for the lower extremities (FMA-LE) was used along with the Berg balance scale (BBS),the gait analysis system of Biodex Gait Trainer-2 equipment.Results After the treatment,the average FMA-LE score,BBS score,pace and step length of the experimental group were all significantly better than the before the treatment and significantly better than the control group's averages after the treatment.The improvements observed in the pelvic rotation angle,side inclination,vertical displacement and lateral displacement were all significant.Conclusion Robot assistance can usefully supplement routine rehabilitation training after stroke.It can improve control of the pelvis,enhance walking and balance and generally improve the motor function of the lower extremities.
