Effect of Exoskeleton Robot-assisted Rehabilitation Training on Motor Function and Gait Ability in Patients with Stroke

Yu LI; Lin ZHU; Kerong CHEN; Yi LI; Zhongxiang YU; Chengyin WU; Hongling SHI

doi:10.12259/j.issn.2095-610X.S20240714

Volume 45 Issue 7

Jul. 2024

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Article Navigation > Journal of Kunming Medical University > 2024 > 45(7): 92-98

Yu LI, Lin ZHU, Kerong CHEN, Yi LI, Zhongxiang YU, Chengyin WU, Hongling SHI. Effect of Exoskeleton Robot-assisted Rehabilitation Training on Motor Function and Gait Ability in Patients with Stroke[J]. Journal of Kunming Medical University, 2024, 45(7): 92-98. doi: 10.12259/j.issn.2095-610X.S20240714

Citation:

Yu LI, Lin ZHU, Kerong CHEN, Yi LI, Zhongxiang YU, Chengyin WU, Hongling SHI. Effect of Exoskeleton Robot-assisted Rehabilitation Training on Motor Function and Gait Ability in Patients with Stroke[J]. Journal of Kunming Medical University, 2024, 45(7): 92-98. doi: 10.12259/j.issn.2095-610X.S20240714

Citation:

Yu LI, Lin ZHU, Kerong CHEN, Yi LI, Zhongxiang YU, Chengyin WU, Hongling SHI. Effect of Exoskeleton Robot-assisted Rehabilitation Training on Motor Function and Gait Ability in Patients with Stroke[J]. Journal of Kunming Medical University, 2024, 45(7): 92-98. doi: 10.12259/j.issn.2095-610X.S20240714

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Effect of Exoskeleton Robot-assisted Rehabilitation Training on Motor Function and Gait Ability in Patients with Stroke

doi: 10.12259/j.issn.2095-610X.S20240714

Dept. of Rehabilitation Medicine，The 3rd People’s Hospital of Yunnan Province，Kunming Yunnan 650011，China

Received Date: 2023-11-15
Available Online: 2024-06-14
Publish Date: 2024-07-25

Abstract

Abstract

Objective To explore the effect of exoskeleton robot-assisted rehabilitation training on lower limb motor and walking function in patients with hemiplegia after stroke. Methods We recruited 36 patients with lower limb hemiplegia after stroke in the Department of Rehabilitation Medicine of the Third People's Hospital of Yunnan Province, from January 2023 to February 2024. All patients received conventional rehabilitation, observation group received lower limb exoskeleton robot-assisted training. We assessed lower-extremity motor and walking function by following items: muscle strength （iliopsoas, quadriceps, hamstring, triceps, tibialis anterior）, functional ambulation category Scale （FAC）, 10-meter walk test （10MWT）, gait analysis （Tinetti score）, ADL score. These measurements were performed before and after the intervention. In addition, we observed the brain network connectivity of 2 patients and 2 normal volunteers during the walking state by functional near-infrared spectroscopy （fNIRS）. Results After two weeks of intervention, all patients in the observation group and control group showed improvement in lower extremity function, and the improvement in the observation group was significant. The muscle strength of all patients was significantly improved in the observation group, iliopsoas muscle （P < 0.01）, quadriceps muscle （P < 0.01）, hamstring muscle （P < 0.01）; Triceps calf （P < 0.005）, anterior tibialis （P < 0.005）. The motor ability of the lower limb was improved in both the observation group and control group, FAC score increased （P < 0.01）, 10MWT time was shortened than before （P < 0.01）, and Tinetti score was increased （P < 0.01）. The ADL score was improved significantly in the observation group （P < 0.01）. To compare with normal volunteers, the patients' brain map of fNIRS showed decreased inter-hemispheric connections. Conclusion Exoskeleton robot-assisted rehabilitation training on the lower limb can effectively improve the motor and walking function of patients with hemiplegia after stroke, and improve the quality of life. Enhancing brain network connectivity between interhemispheres might be a potential way to promote functional recovery of stroke patients’ hemiplegic limbs.
- Stroke,
- Exoskeleton robot,
- Hemiplegia,
- Functional near-infrared spectroscopy

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References(21)

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