The clinical efficacy of two types of exoskeleton robots for training balance after stroke
10.3760/cma.j.cn421666-20221101-01177
- VernacularTitle:两种外骨骼机器人训练亚急性期脑卒中患者平衡功能的临床疗效比较
- Author:
Ruining WU
1
;
Ming ZHOU
;
Yan GAO
;
Lingling ZHANG
;
Yusheng WANG
;
Jingming YAN
;
Liping HUANG
Author Information
1. 解放军总医院第一医学中心康复医学科，北京 100853
- Publication Type:Journal Article
- Keywords:
Stroke;
Exoskeleton robots;
Balance
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(2):103-107
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical efficacy of a fixed exoskeleton robot with that of an exoskeleton walker in training the balance of stroke survivors in the subacute stage.Methods:Thirty persons with subacute stroke were divided at random into a fixed robot group (15 cases) and a walking robot group (15 cases). In addition to conventional rehabilitation treatment, the fixed robot group underwent daily 20-minute treadmill-based fixed exoskeleton robot training, 5 days a week for 2 weeks. The walking group was trained with an exoskeleton walking robot on the same schedule. Before and after the treatment, the Berg balance scale, the sitting modified functional stretch test (SMFRT), an isokinetic muscle strength test and the modified Barthel index (MBI) were used to evaluate the subjects′ global balance, self-dynamic balance, knee proprioception and ability in the activities of daily living (ADL).Results:After the treatment, both groups′ average Berg score, SMFRT extension difference, proprioceptive absolute error angle in the affected knee and MBI had improved significantly. The average SMFRT extension difference after treatment in the walker group was then significantly better than the fixed robot group′s average. However, the fixed robot group′s proprioception in the affected knee joint was then significantly better, on average, than among the walking robot group.Conclusions:Both fixed exoskeleton robot training and exoskeleton walker training can improve the balance, proprioception and ADL ability after a stroke. The former better improves dynamic balance; the latter better improves proprioception in the affected knee joint.
