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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Robot-assisted Gait Training Using Welwalk in Hemiparetic Stroke Patients: An Effectiveness Study with Matched Control
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Robot-assisted Gait Training Using Welwalk in Hemiparetic Stroke Patients: An Effectiveness Study with Matched Control

机译：使用腹血管中风患者的Welwalk的机器人辅助步态训练：匹配控制的有效性研究

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Objective:Although studies on the efficacy of the rehabilitation robot are increasing, there are few reports using the robot for gait training in the actual clinical setting. This study aimed to investigate the effectiveness of gait training using Welwalk in hemiparetic stroke patients in a real clinical setting. Materials and Methods: This prospective study included 36 hemiparetic stroke patients who underwent gait training using Welwalk. We examined the walking ability improvement efficiency using Functional Independence Measure (FIM)-walk as the primary outcome, which was compared with that of 36 patients (matched control group) who underwent conventional rehabilitation. Other outcomes were the actual gait training period using Welwalk, raw FIM-walk score, lower extremity motor functions score in Stroke Impairment Assessment Set at discharge, and duration from stroke onset until discharge. Results: The improvement efficiency of the FIM-walk was significantly higher in the Welwalk group than in the matched control group (control 0.48 +/- 0.31, Welwalk 0.80 +/- 0.38, p-value < 0.001). The mean gait training period using Welwalk was 5 weeks. No significant differences were found in other outcomes between the Welwalk group and the matched control group. Conclusion: This study demonstrated the effectiveness of gait training using Welwalk on the improvement efficiency of the FIM-walk in hemiparetic stroke patients in an actual clinical setting.
机译：目的：虽然康复机器人的功效研究正在增加，但在实际临床环境中使用该机器人进行步态训练的报道很少。本研究的目的是在真实的临床环境中，调查使用Welwalk对偏瘫中风患者进行步态训练的有效性。材料和方法：这项前瞻性研究包括36名使用Welwalk进行步态训练的偏瘫中风患者。我们以功能独立性测量（FIM）-步行作为主要结果，并与36名接受常规康复治疗的患者（匹配对照组）进行比较，检查步行能力改善效率。其他结果包括使用Welwalk的实际步态训练时间、原始FIM步行评分、出院时中风损伤评估中的下肢运动功能评分，以及从中风开始到出院的持续时间。结果：Welwalk组的FIM步行改善效率显著高于匹配对照组（对照组为0.48+/-0.31，Welwalk组为0.80+/-0.38，p值<0.001）。Welwalk的平均步态训练时间为5周。Welwalk组和匹配的对照组之间的其他结果没有发现显著差异。结论：本研究证明了在实际临床环境中，使用Welwalk进行步态训练对改善偏瘫卒中患者FIM步行的效率的有效性。

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