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Journal of the Korean Academy of Rehabilitation Medicine 2008;32(3):258-266.
Effects of Robot-assisted Gait Therapy on Locomotor Recovery in Stroke Patients.
Jung, Kyung Hoon , Ha, Hyun Geun , Shin, Hee Joon , Ohn, Suk Hoon , Sung, Duk Hyun , Lee, Peter K W , Kim, Yun Hee
1Department of Physical Medicine and Rehabilitation, Sungkyunkwan University School of Medicine, Korea. yunkim@skku.edu
2Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Korea.
만성 뇌졸중 환자에서 운동 기능 회복에 대한 로봇-보조 보행치료의 효과
정경훈, 하현근1, 신희준1, 온석훈, 성덕현, 이강우, 김연희
성균관대학교 의과대학 재활의학교실, 1삼성서울병원 재활의학과
Abstract
Objective
To investigate the effects of robot-assisted gait therapy on locomotor recovery in hemiparetic patients after stroke.
Method
Twenty five stroke patients were randomly divided into 2 groups. Robotic training group received 30 minutes of robot-assisted gait therapy, 3 times a week for 4 weeks, while control group received conventional gait training with same duration and frequency as robotic group. Outcome was measured using Motricity index, Fugl-Meyer assessment (FMA), function ambulation category, modified motor assessment scale, 10-meter gait speed, isometric torque, Ashworth scale, gait analysis, body tissue composition, and Beck's depression inventory (BDI).
Results
Robotic training group showed significant improvement in motor functions measured by Motricity Index, FMA, 10-meter gait speed, isometric torque of hip compared with the baseline and with those of control group. Ashworth scale of hip, BDI, and muscle mass showed significantly greater improvement in robotic training group than control group. In gait analysis, stride length of unaffected leg demonstrated significant improvement in robotic training group (p<0.05).
Conclusion
The robot-assisted gait therapy with body weight-support is considered to facilitate locomotor recovery of the hemiparetic stroke patient. (J Korean Acad Rehab Med 2008; 32: 258-266)
Key Words: Robot-assisted gait therapy, Locomotor recovery, Stroke


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