Long-term Effects of Exoskeleton Ankle Robot on Lower-limb Functionality and Gait Pattern of Chronic Stroke Patients.
Refereed conference paper presented and published in conference proceedings


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摘要Background and aims:

Recent developments of powered ankle-foot orthosis (AFO) opened up the possibilities of robotic assistance in paretic ankle joint. However, the need for tethered power supply and bulky designs prevented existing powered AFO from daily-wear application. We have engineered a lightweight (~0.5kg) and portable (standalone) exoskeleton Ankle Robot for providing foot clearance during swing phase. The aim of this study was to investigate the long-term effect of the Ankle Robot on lower-limb functionality and temporal-spatial gait parameters of stroke patients.

Methods:

Fifteen chronic stroke patients who could walk independently participated in 20-session robotic gait training. They wore the Ankle Robot throughout each session. They walked on level ground for 2x10 minutes and climbed ascend/descend stairs for another 10 minutes. Clinical assessment of lower-limb functionality was performed before (Pre) and after (Post) the 20-session gait training and after 3-month (Follow-Up). Nine of the subjects had the changes in temporal-spatial gait parameters recorded.

Results:

Clinical assessment results showed stroke patients had improvement in gait independency and voluntary control of lower-limb by Wilcoxon signed-rank test on FAC (Z=12.3, p=.002) and FMA-LE for volitional movement (Z=13.8, p=.001). They could walk longer distance in 6MWT (F=6.84, p=.004). Significant improvements were kept even after 3-month Follow-Up. Temporal spatial gait parameters showed no significant changes.

Conclusions:

Long-term powered assistance in ankle dorsiflexion can promote lower-limb motor recovery. The synchronized proprioceptive feedback provided by the Ankle Robot might play a role in stimulating the brain plasticity.
著者Yeung LF, Junata M, Ockenfeld C, Pang MKP, Wai HW, Soo OYY, Li SWL, Tong KY
會議名稱11th International Society of Physical and Rehabilitation Medicine World Congress (ISPRM 2017)
會議開始日30.04.2017
會議完結日04.05.2017
會議地點Buenos Aires
會議國家/地區阿根廷
出版年份2017
語言美式英語

上次更新時間 2020-22-10 於 10:12