Effect of Caregiver Driven Robot-Assisted In-Ward Training in Subacute Stroke Patients: A Case Series
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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 inward 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 highwalker (n=8). Scores of K-MBI (D17.47±10.72) and FIM (D19.80±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.
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 inward 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 highwalker (n=8). Scores of K-MBI (D17.47±10.72) and FIM (D19.80±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.
참고문헌 (22)
- Belagaje SR, "Stroke rehabilitation", Continuum (Minneap Minn), 23(1), pp.238~253 (2017)
- Kwakkel G, "Effects of augmented exercise therapy time after stroke: a metaanalysis", Stroke, 35, pp.2529~2539 (2004)[DOI]
- Teasell RW, "What's new in stroke rehabilitation", Stroke, 35, pp.383~385 (2004)[DOI]
- Bhogal SK, "Intensity of aphasia therapy, impact on recovery", Stroke, 34, pp.987~993 (2003)[DOI]
- Astrand A, "Poststroke physical activity levels no higher in rehabilitation than in the acute hospital", J Stroke Cerebrovasc Dis, 25, pp.938~945 (2016)[DOI]
- Miller EL, "Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: a scientific statement from the American Heart Association", Stroke, 41, pp.2402~2448 (2010)[DOI]
- Vloothuis JD, "Caregiver-mediated exercises for improving outcomes after stroke", Cochrane Database Syst Rev, 12 (2016)
- Galvin R, "Family-Mediated Exercises (FAME): an exploration of participant's involvement in a novel form of exercise delivery after stroke", Top Stroke Rehabil, 21, pp.63~74 (2014)[DOI]
- Gandolfi M, "Feasibility and safety of early lower limb robot-assisted training in sub-acute stroke patients: a pilot study", Eur J Phys Rehabil Med, 53, pp.870~882 (2017)
- Tsunoda T, "Rehabilitation for a patient with hemiplegia, ataxia, and cognitive dysfunction caused by pontine hemorrhage", Case Rep Neurol, 7, pp.213~220 (2015)[DOI]
- Redzuan NS, "Effectiveness of a video-based therapy program at home after acute stroke: a randomized controlled trial", Arch Phys Med Rehabil, 93, pp.2177~2183 (2012)[DOI]
- van den Berg M, "Early supported discharge by caregiver-mediated exercises and e-health support after stroke: a proof-of-concept trial", Stroke, 47, pp.1885~1892 (2016)[DOI]
- Galvin R, "Family-mediated exercise intervention (FAME): evaluation of a novel form of exercise delivery after stroke", Stroke, 42, pp.681~686 (2011)[DOI]
- Kalra L, "Training carers of stroke patients: randomised controlled trial", BMJ, 328, pp.1099~ (2004)[DOI]
- Veerbeek JM, "What is the evidence for physical therapy poststroke? A systematic review and meta-analysis", PLoS One, 9, pp.e87987~ (2014)[DOI]
- Dean CM, "Sitting training early after stroke improves sitting ability and quality and carries over to standing up but not to walking: a randomised trial", Aust J Physiother, 53, pp.97~102 (2007)[DOI]
- Braun T, "Effects of additional, dynamic supported standing practice on functional recovery in patients with sub-acute stroke: a randomized pilot and feasibility trial", Clin Rehabil, 30, pp.374~382 (2016)[DOI]
- Hesse S, "Treadmill training with partial body weight support after stroke: a review", NeuroRehabilitation, 23, pp.55~65 (2008)
- Combs-Miller SA, "Body weightsupported treadmill training vs. overground walking training for persons with chronic stroke: a pilot randomized controlled trial", Clin Rehabil, 28, pp.873~884 (2014)[DOI]
- Manning CD, "Effectiveness of treadmill retraining on gait of hemiparetic stroke patients", Physiotherapy, 89, pp.337~349 (2003)[DOI]
- Hesse S, "Gait pattern of severely disabled hemiparetic subjects on a new controlled gait trainer as compared to assisted treadmill walking with partial body weight support", Clin Rehabil, 13, pp.401~410 (1999)[DOI]
- Gama GL, "Effects of gait training with body weight support on a treadmill versus overground in individuals with stroke", Arch Phys Med Rehabil, 98, pp.738~745 (2017)[DOI]