Japanese

Title	ロボット支援歩行練習により歩行自立に至る回復期脳卒中後患者の特徴
Subtitle	原著
Authors	平戸大悟*1, 鈴木雄太*2, 平岡風気*1, 浦辺幸夫*1,3, 白川泰山*1
Authors (kana)
Organization	*1マッターホルンリハビリテーション病院リハビリテーション科, *2九州栄養福祉大学リハビリテーション学部, *3広島大学大学院医系科学研究科スポーツリハビリテーション学研究室
Journal	The Japanese Journal of Rehabilitation Medicine
Volume	62
Number	10
Page	1045-1054
Year/Month	2025 / 10
Article	原著
Publisher	日本リハビリテーション医学会
Abstract	「要旨」「目的」 : ロボット支援歩行練習後に歩行が自立に至った患者の臨床的特徴を, 練習開始時の状態から確認すること. 「方法」 : 対象はHybrid Assistive Limb(R) (Cyberdyne社製 : 以下, HAL) を使用した歩行練習を4週間完了した回復期脳卒中後患者とした. 検査項目はFunctlonal Ambulation Categories (FAC), Stroke Impairment Assessment Set (SIAS), Fugl-Meyer Assessment (FMA) 下肢運動項目, Berg Balance Scale (BBS), Functional Independence Measure (FIM), Hasegawa Dementia Scale-Revised (HDS-R) とした. 対象のうち, FAC 3 (監視) 以上を自立群, FAC 2 (軽介助) 以下を介助群に分け, 各項目で群間比較を行った. 有意水準は5%とした. 結果 : 自立群は10名, 介助群は7名であり, 年齢 (自立群 : 73.2±13.8歳, 介助群 : 83.6±6.1歳), SIAS合計点 (自立群 : 49.4±12.2点, 介助群 : 39.4±9.5点), BBS (自立群 : 23.4±12.5点, 介助群 : 6.0±4.4点), FIM運動項目 (自立群 : 33.8±13.5点, 介助群 : 22.9±5.4点), FIM認知項目 (自立群 : 25.6±6.6点, 介助群 : 18.0±6.4点), HDS-R (自立群 : 23.7±7.8点, 介助群 : 15.7±7.2点) にそれぞれ有意な群間差を認めた (p<0.05). さらに, SIAS下位項目では膝関節運動機能, 下肢関節可動域, 腹筋力, 垂直性, 非麻痺側大腿四頭筋筋力で自立群が介助群より高値を示した (p<0.05). 「結論」 : HAL治療後に歩行が自立できた患者は, 練習開始前の年齢が低く, 脳卒中後機能障害が軽度で, バランス能力, 日常生活動作自立度, 認知機能が高いことが示唆された.
Practice	医療技術
Keywords	脳卒中 (stroke), 回復期リハビリテーション (convalescent rehabilitation), 歩行練習 (ambulatory exercise), 訓練ロボット (training robot)

English

Title	Characteristics of Patients after Stroke in the Convalescent Period Achieving Independent Gait through Robot-assisted Gait Training
Subtitle
Authors	Daigo Hirado*1, Yuta Suzuki*2, Fuki Hiraoka*1, Yukio Urabe*1,3, Taizan Shirakawa*1
Authors (kana)
Organization	*1Department of Rehabilitation, Matterhorn Rehabilitation Hospital, *2Faculty of Rehabilitation, Kyushu Nutrition Welfare University, *3Department of Sports Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University
Journal	The Japanese Journal of Rehabilitation Medicine
Volume	62
Number	10
Page	1045-1054
Year/Month	2025 / 10
Article	Original article
Publisher	The Japanese Association of Rehabilitation Medicine
Abstract	[Abstract] [Objective] : This study aimed to identify the clinical characteristics of patients achieving independent gait through Robot-Assisted Gait Training, based on their condition at the onset of the training. [Methods] : The subjects were patients after stroke who underwent 4 weeks of gait training using the Hybrid Assistive Limb(R) (HAL, Cyberdyne, Inc.). The assessment items were Functional Ambulation Categories (FAC), Stroke Impairment Assessment Set (SIAS), Fugl-Meyer Assessment (FMA) for lower extremity, Berg Balance Scale (BBS), Functional Independence Measure (FIM), and Hasegawa Dementia Scale-Revised (HDS-R). Patients with a FAC score of 3 or higher were classified as the independent group, while those with a FAC score of 2 or lower were classified as the assistance group. A univariate analysis was conducted with a significance level set at 5%. [Results] : Ten patients were in the independent group (mean age 73.2+-13.8 years), while 7 patients were in the assistance group (mean age 83.6+-6.1 years). The independent group demonstrated significantly higher scores in SIAS total score, BBS, FIM, and HDS-R (p<0.05). Additionally, the SIAS subscales assessing knee joint function, lower limb range of motion, abdominal muscle strength, verticality, and quadriceps muscle strength on the non-paralyzed side were all significantly higher in the independent group (p<0.05). [Conclusion] : Patients achieving independent gait through training with HAL were younger, exhibited lower levels of functional disability, demonstrated better balance, and showed a greater capacity to perform activities of daily living and cognitive function.
Practice	Medical technology
Keywords	stroke, convalescent rehabilitation, ambulatory exercise, training robot

• 全文ダウンロード： 従量制、基本料金制の方共に770円(税込) です。