Effect of cyborg-type robot Hybrid Assistive Limb on patients with severe walking disability in acute stroke: A randomized controlled study

• DOI: 10.1016/j.jstrokecerebrovasdis.2023.107020
• Publication Date: 2023-01-25T11:55:31Z
• Authors: Chiaki Yokota; Kenta Tanaka; Katsuhiro Omae; Masatoshi Kamada; Hiroyasu Nishikawa; Masatoshi Koga; Masafumi Ihara; Yasuyuki Fujimoto; Yoshiyuki Sankai; Takashi Nakajima; Manabu Minami
• Keywords: Stroke; Functional Independence Measure; Gait training; Apathy

ObjectivesTo investigate whether early gait training using Hybrid Assistive Limb (HAL) is feasible and improves walking independency compared with conventional physical therapy (CPT) in patients severe disability after stroke.MethodsWe conducted a single-center, randomized controlled study. Patients first-ever stroke who had were included. All started within 10 days post-stroke onset. Twenty-four randomly assigned into HAL or CPT groups. Outcome measures collected at three time points, baseline, completion of 20 sessions (second assessment), 3 months the initiation training. The primary outcomes changes motor sub-scores Functional Independence Measure Ambulation Category second assessment from baseline.ResultsTwenty-two (median age, 68 years; 12 group group) completed There no significant differences outcomes. Apathy scale, one secondary outcomes, showed decreasing trend (mean change -3.8, 95% CI -8.14 to 0.475), slight increasing 1.2, -2.66 5.06) assessment. experienced adverse events.ConclusionsEarly was feasible. Walking ability not improved