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아급성기 뇌졸중 환자에서의 상지 재활 로봇 치료의 효과
Effects of Robot-assisted Arm Training in Patients with Subacute Stroke

Brain & NeuroRehabilitation 2014년 7권 2호 p.111 ~ p.117

주민철(Joo Min-Cheol) - 원광대학교 의과대학 재활의학교실
박효인(Park Hyo-In) - 원광대학교 의과대학 재활의학교실
노세응(No Se-Eung) - 원광대학교 의과대학 재활의학교실
김지희(Kim Ji-Hee) - 원광대학교 의과대학 재활의학교실
김현준(Kim Hyun-Jun) - 원광대학교 의과대학 재활의학교실
장철환(Jang Chul-Hwan) - 원광대학교 의과대학 재활의학교실

Abstract

Objective: To investigate the effects of robot-assisted arm training on motor and functional recovery of upper limb in patients with subacute stroke.

Method: Thirty one subacute stroke patients were randomly divided into 2 groups. Robot-assisted arm training group received robot-assisted therapy using ArmeoⓡSpring (Hocoma Inc., Zurich, Switzerland) for thirty minutes per day and five times every week during four weeks while control group received conventional arm training with same duration and frequency as robotic group. Outcome measures were used manual muscle test (MMT) for motor strength, Fugl-Meyer assessment (FMA), Manual function test (MFT) for arm function, Korean-modified Barthel index (K-MBI) for activities of daily living, Korean-mini mental state examination (K-MMSE) and Computerized Neuro-Cognitive Function test soft-ware-40 (CNT-40) for cognitive function. All recruited patients underwent these evaluations before and after four weeks robot-assisted arm training.

Results: Robot-assisted training on upper limb after subacute stroke showed improvement on motor strength, arm function, and activities of daily living. But change values in terms of MMT, FMA, MFT, K-MBI exhibited a no statistically significant difference compared with conventional group (p＞0.05).

Conclusion: In patients with upper limb deficits after subacute stroke, Robot-assisted arm training was considered to facilitate motor and functional recovery of upper limb. But robot-assisted arm training did not significantly improve motor and arm function at 4 weeks compared with conventional arm training group. Further research is required about the compar-ison of conventional rehabilitation therapy group and the questions about the duration, severity of stroke.

키워드

subacute stroke, robot, upper limb, rehabilitation

KMID : 1202320140070020111

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연구대상(Population)

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연구환경(Setting)

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DOI

KCD코드

ICD 03

건강보험코드

아급성기 뇌졸중 환자에서의 상지 재활 로봇 치료의 효과 Effects of Robot-assisted Arm Training in Patients with Subacute Stroke

Abstract

키워드

아급성기 뇌졸중 환자에서의 상지 재활 로봇 치료의 효과
Effects of Robot-assisted Arm Training in Patients with Subacute Stroke