DOI QR코드

DOI QR Code

착용형 하지 로봇을 이용한 편마비 보행 재활 훈련 효과에 관한 연구

Study on Efficacy of Gait Training for Hemiplegia Patients Using Lower-Limb Wearable Robot

  • 지영훈 (한양대학교 메카트로닉스공학과) ;
  • 윤덕원 (한양대학교 기계공학과) ;
  • 장혜연 (한양대학교 기계공학과) ;
  • 이동복 (한양대학교 기계공학과) ;
  • 압둘마난칸 (한양대학교 기계설계공학과) ;
  • 김솔 (고영테크놀러지 제어기술부) ;
  • 김미정 (한양대학교 의학과) ;
  • 한정수 (한성대학교 기계시스템공학과) ;
  • 한창수 (한양대학교 로봇공학과)
  • Ji, Younghoon (Department of Mechatronics Engineering, Hanyang University) ;
  • Yun, Deokwon (Department of Mechanical Engineering, Hanyang University) ;
  • Jang, Hyeyoun (Department of Mechanical Engineering, Hanyang University) ;
  • Lee, Dongbock (Department of Mechanical Engineering, Hanyang University) ;
  • Khan, Abdul Manan (Department of Mechanical Design Engineering, Hanyang University) ;
  • Kim, Sol (Control Technology Department, Koh Young Technology) ;
  • Kim, Mijung (Department of Medicine, Hanyang University) ;
  • Han, Jungsoo (Department of Mechanical System Engineering, Hansung University) ;
  • Han, Changsoo (Department of Robot Engineering, Hanyang University)
  • 투고 : 2015.08.19
  • 심사 : 2015.09.04
  • 발행 : 2015.10.01

초록

Conventional gait rehabilitation requires at least three therapists in a traditional rehabilitation training program. Several robots have been developed to reduce human burden and increase rehabilitation efficacy. In this study, we present a lower-limb wearable robot (WA-H) for gait rehabilitation of hemiplegia patients, and propose a protocol of 12 weeks gait rehabilitation training program using WA-H. To identify the efficacy of the robot and protocols, we conducted a clinical study with two actual hemiplegia patients and observed a chronological change of ambulation ability through four assessments. We discovered the progression of results by 6 minute walking test, TUGT (Timed Up and Go Test), SPPB (Short Physical Performance Battery), BBS (Berg Balance Test), and Fugl-Meyer score. The torques generated in the normal side and paralyzed side of the patient became similar, indicating rehabilitation. The result also showed the walking of the paralysis patient improved and imbalance motion had considerable improved performance.

키워드

참고문헌

  1. OECD, "OECD Labour Force Statistics 2014," OECD Publishing, p. 20, 2015.
  2. Statistics, N. C. f. H., "Health, United States, 2014: With Special Feature on Adults Aged 55-64," 2015.
  3. Kim, H.-J., Kim, Y., Seo, H.-Y., Kim, E.-J., Yoon, S.-J., et al., "The Economic Burden of Stroke in 2010 in Korea," Journal of the Korean Medical Association, Vol. 55, No. 12, pp. 1226-1236, 2012. https://doi.org/10.5124/jkma.2012.55.12.1226
  4. Sveen, U., Bautz-Holter, E., Margrethe, S. K., Bruun Wyller, T., and Laake, K., "Association between Impairments, Self-Care Ability and Social Activities 1 Year after Stroke," Disability and Rehabilitation, Vol. 21, No. 8, pp. 372-377, 1999. https://doi.org/10.1080/096382899297477
  5. Willard-Holt, C., "Academic and Personality Characteristics of Gifted Students with Cerebral Palsy: A multiple Case Study," Exceptional Children, Vol. 65, No. 1, pp. 37-50, 1998. https://doi.org/10.1177/001440299806500103
  6. Hesse, S., Konrad, M., and Uhlenbrock, D., "Treadmill Walking with Partial Body Weight Support Versus Floor Walking in Hemiparetic Subjects," Archives of Physical Medicine and Rehabilitation, Vol. 80, No. 4, pp. 421-427, 1999. https://doi.org/10.1016/S0003-9993(99)90279-4
  7. Musicco, M., Emberti, L., Nappi, G., Caltagirone, C., and Patients, I., "Early and Long-Term Outcome of Rehabilitation in Stroke Patients: The Role of Patient Characteristics, Time of Initiation, and Duration of Interventions," Archives of Physical Medicine and Rehabilitation, Vol. 84, No. 4, pp. 551-558, 2003. https://doi.org/10.1053/apmr.2003.50084
  8. Lunenburger, L., Colombo, G., Riener, R., and Dietz, V., "Clinical Assessments Performed during Robotic Rehabilitation by the Gait Training Robot Lokomat," Proc. of the IEEE International Conference on Rehabilitation Robotics, 2005.
  9. Kim, S.-Y., Yang, L., Park, I. J., Kim, E. J., Park, M. S., et al., "Effects of Innovative Walkbot Robotic-Assisted Locomotor Training on Balance and Gait Recovery in Hemiparetic Stroke: A Prospective, Randomized, Experimenter Blinded Case Control Study with a 4-Week Follow-Up," IEEE Transactions on Neural Systems and Rehabilitation Engineering, Vol. 23, No. 4, pp. 636-642, 2015. https://doi.org/10.1109/TNSRE.2015.2404936

피인용 문헌

  1. Feasibility of Rehabilitation Training With a Newly Developed, Portable, Gait Assistive Robot for Balance Function in Hemiplegic Patients vol.41, pp.2, 2017, https://doi.org/10.5535/arm.2017.41.2.178
  2. Gait analysis of hemiplegic patients in ambulatory rehabilitation training using a wearable lower-limb robot: A pilot study vol.18, pp.12, 2017, https://doi.org/10.1007/s12541-017-0206-1