The effect of robot-assisted gait training on cortical activation in stroke patients: A functional near-infrared spectroscopy study

被引:20
作者
Song, Kyeong Joo [1 ]
Chun, Min Ho [1 ]
Lee, Junekyung [2 ]
Lee, Changmin [3 ]
机构
[1] Univ Ulsan, Asan Med Ctr, Dept Rehabil Med, Coll Med, 88 Olymp Ro 43 Gil, Seoul 05505, South Korea
[2] Hallym Univ, Coll Med, Dept Rehabil Med, Dongtan Sacred Heart Hosp, Hwaseong, South Korea
[3] Yonsei Univ, Sch Elect & Elect Engn, BK21 Y BASE R&E Inst, Seoul, South Korea
关键词
Stroke; stroke rehabilitation; robotics; gait; hospitalization; functional connectivity; WALKING; HEALTHY;
D O I
10.3233/NRE-210034
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
OBJECTIVE: To investigate the effects of the robot-assisted gait training on cortical activation and functional outcomes in stroke patients. METHODS: The patients were randomly assigned: training with Morning Walk (R) (Morning Walk group; n =30); conventional physiotherapy (control group; n= 30). Rehabilitation was performed five times a week for 3 weeks. The primary outcome was the cortical activation in the Morning Walk group. The secondary outcomes included gait speed, 10-Meter Walk Test (10MWT), FAC, Motricity Index-Lower (MI-Lower), Modified Barthel Index (MBI), Rivermead Mobility Index (RMI), and Berg Balance Scale (BBS). RESULTS: Thirty-six subjects were analyzed, 18 in the Morning Walk group and 18 in the control group. The cortical activation was lower in affected hemisphere than unaffected hemisphere at the beginning of robot rehabilitation. After training, the affected hemisphere achieved a higher increase in cortical activation than the unaffected hemisphere. Consequently, the cortical activation in affected hemisphere was significantly higher than that in unaffected hemisphere (P = 0.036). FAC, MBI, BBS, and RMI scores significantly improved in both groups. The Morning Walk group had significantly greater improvements than the control group in 10MWT (P = 0.017), gait speed (P = 0.043), BBS (P = 0.010), and MI-Lower (P = 0.047) scores. CONCLUSION: Robot-assisted gait training not only improved functional outcomes but also increased cortical activation in stroke patients.
引用
收藏
页码:65 / 73
页数:9
相关论文
共 27 条
[1]   Prefrontal Cortex Activation While Walking Under Dual-Task Conditions in Stroke: A Multimodal Imaging Study [J].
Al-Yahya, Emad ;
Johansen-Berg, Heidi ;
Kischka, Udo ;
Zarei, Mojtaba ;
Cockburn, Janet ;
Dawes, Helen .
NEUROREHABILITATION AND NEURAL REPAIR, 2016, 30 (06) :591-599
[2]   Cortical activation changes and improved motor function in stroke patients after focal spasticity therapy-an interventional study applying repeated fMRI [J].
Bergfeldt, Ulla ;
Jonsson, Tomas ;
Bergfeldt, Lennart ;
Julin, Per .
BMC NEUROLOGY, 2015, 15
[3]   Usefulness of the berg balance scale in stroke rehabilitation: A systematic review [J].
Blum, Lisa ;
Korner-Bitensky, Nicol .
PHYSICAL THERAPY, 2008, 88 (05) :559-566
[4]   ESTIMATION OF OPTICAL PATHLENGTH THROUGH TISSUE FROM DIRECT TIME OF FLIGHT MEASUREMENT [J].
DELPY, DT ;
COPE, M ;
VANDERZEE, P ;
ARRIDGE, S ;
WRAY, S ;
WYATT, J .
PHYSICS IN MEDICINE AND BIOLOGY, 1988, 33 (12) :1433-1442
[5]   MOTOR EVALUATION IN VASCULAR HEMIPLEGIA [J].
DEMEURISSE, G ;
DEMOL, O ;
ROBAYE, E .
EUROPEAN NEUROLOGY, 1980, 19 (06) :382-389
[6]   Strategies for stroke rehabilitation [J].
Dobkin, BH .
LANCET NEUROLOGY, 2004, 3 (09) :528-536
[7]  
Gonzalez EGMS., 2001, DOWNEY DARLINGS PHYS, V3rd ed
[8]   An adaptation of the Korean mini-mental state examination (K-MMSE) in elderly Koreans: Demographic influence and population-based norms (the AGE study) [J].
Han, Changsu ;
Jo, Sangmee Ahn ;
Jo, Inho ;
Kim, Eunkyung ;
Park, Moon Ho ;
Kan, Yeonwook .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2008, 47 (03) :302-310
[9]   Functional near-infrared spectroscopy in movement science: a systematic review on cortical activity in postural and walking tasks [J].
Herold, Fabian ;
Wiegel, Patrick ;
Scholkmann, Felix ;
Thiers, Angelina ;
Hamacher, Dennis ;
Schega, Lutz .
NEUROPHOTONICS, 2017, 4 (04)
[10]   fNIRS Study of Walking and Walking While Talking in Young and Old Individuals [J].
Holtzer, Roee ;
Mahoney, Jeannette R. ;
Izzetoglu, Meltem ;
Izzetoglu, Kurtulus ;
Onaral, Banu ;
Verghese, Joe .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2011, 66 (08) :879-887