뇌졸중 환자에서 로봇 보조 상지 재활의 임상적 결과·
Clinical Outcomes of Robot-assisted Arm Rehabilitation in Stroke Patients
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초록
Objective: We conducted a retrospective data analysis to review the results of robot-assisted arm rehabilitation in post stroke patients during past 2 years and find out positive influences of the outcomes. Method: We measured improvements of arm function longitudinally in a group of sixty-four stroke patients, who partici- pated in the robot-assisted arm therapy from January 2012 to December 2013. Treatment session lasted 30 to 40 minutes, 2 to 5 times a week. For at least more than one month, we used the InMotion2.0 (Interactive Motion Technologies, Watertown, MA, USA) and measured outcomes with the Fugl-Meyer assessment-upper extremity (FMA-UE), Korea-modified Barthel index (K-MBI) and InMotion robot arm evaluation index. Also, analysis on the subgroup was carried out. Results: Following the robot-assisted arm rehabilitation, FMA-UE, K-MBI and InMotion robot arm evaluation index were significantly improved compared to baseline. Mean FMA-UE and K-MBI gain were 4.22 ± 0.76, 7.63 ± 1.18 in each. However, in the subgroup analysis, the group with less intensity treatment (640 repetition) did not show any significant improvement. Conclusion: This is an observational study showing improvements in arm function following robot-assisted arm re- habilitation compared to baseline, which was significant only in the subgroup who received the intervention longer and more intensity.
Abstract
Objective: We conducted a retrospective data analysis to review the results of robot-assisted arm rehabilitation in post stroke patients during past 2 years and find out positive influences of the outcomes. Method: We measured improvements of arm function longitudinally in a group of sixty-four stroke patients, who partici- pated in the robot-assisted arm therapy from January 2012 to December 2013. Treatment session lasted 30 to 40 minutes, 2 to 5 times a week. For at least more than one month, we used the InMotion2.0 (Interactive Motion Technologies, Watertown, MA, USA) and measured outcomes with the Fugl-Meyer assessment-upper extremity (FMA-UE), Korea-modified Barthel index (K-MBI) and InMotion robot arm evaluation index. Also, analysis on the subgroup was carried out. Results: Following the robot-assisted arm rehabilitation, FMA-UE, K-MBI and InMotion robot arm evaluation index were significantly improved compared to baseline. Mean FMA-UE and K-MBI gain were 4.22 ± 0.76, 7.63 ± 1.18 in each. However, in the subgroup analysis, the group with less intensity treatment (640 repetition) did not show any significant improvement. Conclusion: This is an observational study showing improvements in arm function following robot-assisted arm re- habilitation compared to baseline, which was significant only in the subgroup who received the intervention longer and more intensity.
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