Effects of Balance Exercise Assist Robot training for patients with hemiparetic stroke: a randomized controlled trial

Autor: Seigo Inoue, Yohei Otaka, Masashi Kumagai, Masafumi Sugasawa, Naoki Mori, Kunitsugu Kondo
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of NeuroEngineering and Rehabilitation, Vol 19, Iss 1, Pp 1-15 (2022)
Druh dokumentu: article
ISSN: 1743-0003
DOI: 10.1186/s12984-022-00989-6
Popis: Abstract Background Robot-assisted rehabilitation for patients with stroke is promising. However, it is unclear whether additional balance training using a balance-focused robot combined with conventional rehabilitation programs supplements the balance function in patients with stroke. The purpose of this study was to compare the effects of Balance Exercise Assist Robot (BEAR) training combined with conventional inpatient rehabilitation training to those of conventional inpatient rehabilitation only in patients with hemiparetic stroke. We also aimed to determine whether BEAR training was superior to intensive balance training. Methods This assessor-blinded randomized controlled trial included 60 patients with first-ever hemiparetic stroke, admitted to rehabilitation wards between December 2016 and February 2019. Patients were randomly assigned to one of three groups, robotic balance training and conventional inpatient rehabilitation (BEAR group), intensive balance training and conventional inpatient rehabilitation (IBT group), or conventional inpatient rehabilitation-only (CR group). The intervention duration was 2 weeks, with assessments conducted pre- and post-intervention, and at 2 weeks follow-up. The primary outcome measure was a change in the Mini-Balance Evaluation Systems Test (Mini-BESTest) score from baseline. Results In total, 57 patients completed the intervention, and 48 patients were evaluated at the follow-up. Significant improvements in Mini-BESTest score were observed in the BEAR and IBT groups compared with in the CR group post-intervention and after the 2-week follow-up period (P
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