Preliminary Study of Ambulation Training on Electromechanical Gait Trainer in Stroke Patients

전동식 보행 훈련기를 이용한 뇌졸중 환자 보행훈련의 사전연구

  • Kim, Jae-Hyun (Department of physical Therapy, Bobath memorial Hospital) ;
  • An, Seung-Huon (Department of physical Therapy, National Rehabilitation Center) ;
  • Bae, Sung-Soo (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 김재현 (보바스기념병원 물리치료실) ;
  • 안승헌 (국립재활병원 물리치료실) ;
  • 배성수 (대구대학교 재활과학대학 물리치료학과)
  • Published : 2006.05.30

Abstract

Purpose : The purpose of this study was to investigate the effect of electromechanical gait trainer therapy in stroke patients. The gait trainer was designed to provide nonambulatory subjects the repetitive practice of a gait-like movement without overstraining therapist. To simulate normal gait, discrete stance and swing phase, lasting 60% and 40% of the gait cycle respectively, and the control of the movement of the centre of mass were required. Methods : This preliminary study investigated during 8 weeks therapy on the gait trainer could improve gait ability in 5 subacute and chronic hemiparetic stroke patients. Gait ability(time up & go [TUG], comfortable and maximal gait speed and functional ambulation category[FAC]), functional movement of lower extremity(Fugl-Meyer Assessment [FMA] and composite spasticity score [CSS]) and sensory of lower extremity(Fugl-Meyer Assessment sensory [FMA-s])were the measured. Results : TUG, comfortable and maximal gait speed and FMA were improved significantly. Although FAC, FMA-s and CSS were improved, there were not statistically significant. Conclusion : Therefore, the gait trainer enabled affected patients the repetitive practice of a gait-like movement, which is important for the restoration of walking ability.

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