Effects of gait training with a voluntary-driven wearable cyborg, Hybrid Assistive Limb (HAL), on quality of life in patients with neuromuscular disease, able to walk independently with aids
| Autor: | Eiichi Tsuda, Yuki Saito, Kazutomo Miura, Kazushi Maeda, Ikue Ito, Masakazu Kogawa, Yasuyuki Ishibashi, Kosuke Kuzuhara, Natsuka Masuno, Hiroaki Ishiyama, Kazutaka Urita, Rui Henmi, Hiroko Yokoyama |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Neuromuscular disease medicine.medical_treatment Walking Hospital Anxiety and Depression Scale 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Gait (human) Quality of life Gait training Physiology (medical) medicine Humans Gait Aged Rehabilitation business.industry Neuromuscular Diseases Robotics General Medicine Middle Aged Exoskeleton Device medicine.disease Mental health Exercise Therapy Preferred walking speed Neurology 030220 oncology & carcinogenesis Quality of Life Female Surgery Neurology (clinical) business human activities 030217 neurology & neurosurgery |
| Zdroj: | Journal of Clinical Neuroscience. 89:211-215 |
| ISSN: | 0967-5868 |
| Popis: | Robot-assisted gait training using a voluntary-driven wearable cyborg, Hybrid Assistive Limb (HAL), has been shown to improve the mobility of patients with neurological disorders; however, its effect on the quality of life (QOL) of patients is not clear. The aim of this study was to assess the effects of HAL-assisted gait training on QOL and mobility in patients with neuromuscular diseases (NMDs). Ten patients with NMDs (seven men and three women, mean age: 57 ± 11 years), with impairment in mobility but could walk alone with aids underwent two courses of gait training with HAL over 6 months, and the single course consisted of nine sessions of training for 4 weeks. We compared the findings of the 2 min walk test, 10 m walk test, the Short Form-36 (SF-36) questionnaire, and the Hospital Anxiety and Depression Scale at baseline, after the 1st training, before the 2nd training, and after the 2nd training using the Friedman test. A significant improvement was observed in the 2 min walking distance from baseline (93 ± 50 m) to after the 2nd training (115 ± 48 m, P = 0.034), as well as in the domains of vitality (P = 0.019) and mental component summary score (P = 0.019) of SF-36. The improvement in 10 m walking speed was significantly correlated with that in the physical functioning (R = 0.831, P = 0.003) and role physical (R = 0.697, P = 0.025) domains in the SF-36. Our findings suggest that HAL-assisted gait training is effective in improving QOL associated with mental health as well as gait ability in selected patients with NMDs. |
| Databáze: | OpenAIRE |
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