Tailor-made rehabilitation approach using multiple types of hybrid assistive limb robots for acute stroke patients: A pilot study. Issue 1 (2nd January 2016)

• Record Type: Journal Article
• Authors: Fukuda, Hiroyuki; Morishita, Takashi; Ogata, Toshiyasu; Saita, Kazuya; Hyakutake, Koichi; Watanabe, Junko; Shiota, Etsuji; Inoue, Tooru
• Is Part Of: Assistive technology. Volume 28:Issue 1(2016)
• Page Start: 53
• Page End: 56
• Publication Date: 2016-01-02
• Subjects: hybrid assistive limb -- neurorehabilitation -- physical impairment -- robot -- stroke rehabilitation; Self-help devices for people with disabilities -- Periodicals; Medicine, Physical -- Equipment and supplies -- Periodicals; Rehabilitation -- Equipment and supplies -- Periodicals; Biomedical Engineering -- instrumentation -- Periodicals; 617.03305
• DOI: 10.1080/10400435.2015.1080768
• Languages: English
• ISSNs: 1040-0435

Abstract

ABSTRACT: This article investigated the feasibility of a tailor-made neurorehabilitation approach using multiple types of hybrid assistive limb (HAL) robots for acute stroke patients. We investigated the clinical outcomes of patients who underwent rehabilitation using the HAL robots. The Brunnstrom stage, Barthel index (BI), and functional independence measure (FIM) were evaluated at baseline and when patients were transferred to a rehabilitation facility. Scores were compared between the multiple-robot rehabilitation and single-robot rehabilitation groups. Nine hemiplegic acute stroke patients (five men and four women; mean age 59.4 ± 12.5 years; four hemorrhagic stroke and five ischemic stroke) underwent rehabilitation using multiple types of HAL robots for 19.4 ± 12.5 days, and 14 patients (six men and eight women; mean age 63.2 ± 13.9 years; nine hemorrhagic stroke and five ischemic stroke) underwent rehabilitation using a single type of HAL robot for 14.9 ± 8.9 days. The multiple-robot rehabilitation group showed significantly better outcomes in the Brunnstrom stage of the upper extremity, BI, and FIM scores. To the best of the authors' knowledge, this is the first pilot study demonstrating the feasibility of rehabilitation using multiple exoskeleton robots. The tailor-made rehabilitation approach may be useful for the treatment of acute stroke.