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Park YH, Lee DH, Lee JH. A Comprehensive Review: Robot-Assisted Treatments for Gait Rehabilitation in Stroke Patients. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:620. [PMID: 38674266 PMCID: PMC11052271 DOI: 10.3390/medicina60040620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2024] [Revised: 04/02/2024] [Accepted: 04/10/2024] [Indexed: 04/28/2024]
Abstract
Robot-assisted gait training (RAGT) is at the cutting edge of stroke rehabilitation, offering a groundbreaking method to improve motor recovery and enhance the quality of life for stroke survivors. This review investigates the effectiveness and application of various RAGT systems, including both end-effector and exoskeleton robots, in facilitating gait enhancements. The selection process for this comprehensive analysis involved a meticulous review of the literature from databases such as PubMed, the Cochrane Library, and EMBASE, focusing on studies published between 2018 and 2023. Ultimately, 27 studies met the criteria and were included in the final analysis. The focus of these studies was on the various RAGT systems and their role in promoting gait and balance improvements. The results of these studies conclusively show that patients experience significant positive effects from RAGT, and when combined with other physiotherapy methods, the outcomes are notably superior in enhancing functional ambulation and motor skills. This review emphasizes RAGT's capability to deliver a more customized and effective rehabilitation experience, highlighting the importance of tailoring interventions to meet the specific needs of each patient.
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Affiliation(s)
- Yong-Hwa Park
- Immanuel Medical Rehabilitation Hospital, 2140, Cheongnam-ro, Cheongju-si 28702, Republic of Korea; (Y.-H.P.); (D.-H.L.)
| | - Dae-Hwan Lee
- Immanuel Medical Rehabilitation Hospital, 2140, Cheongnam-ro, Cheongju-si 28702, Republic of Korea; (Y.-H.P.); (D.-H.L.)
| | - Jung-Ho Lee
- Department of Physical Therapy, University of Kyungdong, 815, Gyeonhwon-ro, Munmak-eup, Wonju-si 26495, Republic of Korea
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Hong R, Li B, Bao Y, Liu L, Jin L. Therapeutic robots for post-stroke rehabilitation. MEDICAL REVIEW (2021) 2024; 4:55-67. [PMID: 38515779 PMCID: PMC10954296 DOI: 10.1515/mr-2023-0054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Accepted: 01/25/2024] [Indexed: 03/23/2024]
Abstract
Stroke is a prevalent, severe, and disabling health-care issue on a global scale, inevitably leading to motor and cognitive deficits. It has become one of the most significant challenges in China, resulting in substantial social and economic burdens. In addition to the medication and surgical interventions during the acute phase, rehabilitation treatment plays a crucial role in stroke care. Robotic technology takes distinct advantages over traditional physical therapy, occupational therapy, and speech therapy, and is increasingly gaining popularity in post-stroke rehabilitation. The use of rehabilitation robots not only alleviates the workload of healthcare professionals but also enhances the prognosis for specific stroke patients. This review presents a concise overview of the application of therapeutic robots in post-stroke rehabilitation, with particular emphasis on the recovery of motor and cognitive function.
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Affiliation(s)
- Ronghua Hong
- Department of Neurology and Neurological Rehabilitation, Shanghai Disabled Persons’ Federation Key Laboratory of Intelligent Rehabilitation Assistive Devices and Technologies, Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China
- Neurotoxin Research Center, Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Department of Neurology, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China
| | - Bingyu Li
- Department of Neurology and Neurological Rehabilitation, Shanghai Disabled Persons’ Federation Key Laboratory of Intelligent Rehabilitation Assistive Devices and Technologies, Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China
| | - Yunjun Bao
- Department of Neurology and Neurological Rehabilitation, Shanghai Disabled Persons’ Federation Key Laboratory of Intelligent Rehabilitation Assistive Devices and Technologies, Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China
| | - Lingyu Liu
- Department of Neurology and Neurological Rehabilitation, Shanghai Disabled Persons’ Federation Key Laboratory of Intelligent Rehabilitation Assistive Devices and Technologies, Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China
| | - Lingjing Jin
- Department of Neurology and Neurological Rehabilitation, Shanghai Disabled Persons’ Federation Key Laboratory of Intelligent Rehabilitation Assistive Devices and Technologies, Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China
- Neurotoxin Research Center, Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Department of Neurology, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China
- Collaborative Innovation Center for Brain Science, Tongji University, Shanghai, China
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Hu X, Lu J, Wang Y, Pang R, Liu J, Gou X, Bai X, Zhang A, Cheng H, Wang Q, Chang Y, Yin J, Chang C, Xiao H, Wang W. Effects of a lower limb walking exoskeleton on quality of life and activities of daily living in patients with complete spinal cord injury: A randomized controlled trial. Technol Health Care 2024; 32:243-253. [PMID: 37483030 DOI: 10.3233/thc-220871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2023]
Abstract
BACKGROUND In recent years, lower limb walking exoskeletons have been widely used in the study of spinal cord injury (SCI). OBJECTIVE To explore the effect of a lower limb walking exoskeleton on quality of life and functional independence in patients with motor complete SCI. METHODS This was a multi-center, single blind, randomized controlled trial. A total of 16 SCI patients were randomly assigned to either the exoskeleton-assisted walking (EAW) group (n= 8) or the conventional group (n= 8). Both groups received conventional rehabilitation training, including aerobic exercise and strength training. The EAW group additionally conducted the exoskeleton-assisted walking training using an AIDER powered robotic exoskeleton for 40-50 minutes, 5 times/week for 8 weeks. World Health Organization quality of life-BREF (WHOQOL-BREF) and the Spinal Cord Independence Measure III (SCIM-III) were used for assessment before and after training. RESULTS There was an increasing tendency of scores in the psychological health, physical health, and social relationships domain of WHOQOL-BREF in the EAW group after the intervention compared with the pre-intervention period, but there was no significant difference (P> 0.05). SCIM-III scores increased in both groups compared to pre-training, with only the conventional group showing a significant difference after 8 weeks of training (P< 0.05). CONCLUSION A lower limb walking exoskeleton may have potential benefits for quality of life and activities of daily living in patients with motor complete SCI.
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Affiliation(s)
- Xiaomin Hu
- Department of Rehabilitation Medicine, The Western Theater General Hospital, Chengdu, China
- Department of Rehabilitation Medicine, The Western Theater General Hospital, Chengdu, China
| | - Jiachun Lu
- The Eighth People's Hospital of Chengdu, Chengdu, Sichuan, China
- Department of Rehabilitation Medicine, The Western Theater General Hospital, Chengdu, China
| | - Yunyun Wang
- Department of Rehabilitation Medicine, The Western Theater General Hospital, Chengdu, China
- College of Medicine, Southwest Jiaotong University, Chengdu, Sichuan, China
- Department of Rehabilitation Medicine, The Western Theater General Hospital, Chengdu, China
| | - Rizhao Pang
- Department of Rehabilitation Medicine, The Western Theater General Hospital, Chengdu, China
| | - Jiancheng Liu
- Department of Rehabilitation Medicine, The Western Theater General Hospital, Chengdu, China
| | - Xiang Gou
- Department of Rehabilitation Medicine, The Western Theater General Hospital, Chengdu, China
| | - Xingang Bai
- Department of Rehabilitation Medicine, The Western Theater General Hospital, Chengdu, China
| | - Anren Zhang
- Department of Rehabilitation, Shanghai Fourth People's Hospital, Shanghai, China
| | - Hong Cheng
- University of Electronic Science and Technology, Chengdu, Sichuan, China
| | - Qian Wang
- Chengdu Gulian Jinchen Rehabilitation Hospital, Chengdu, Sichuan, China
| | - Youjun Chang
- Sichuan Rehabilitation Hospital, Chengdu, Sichuan, China
| | - Jie Yin
- Department of Rehabilitation Medicine, The Western Theater General Hospital, Chengdu, China
- College of Medicine, Southwest Jiaotong University, Chengdu, Sichuan, China
| | - Cong Chang
- Department of Rehabilitation Medicine, The Western Theater General Hospital, Chengdu, China
| | - Hua Xiao
- Department of Rehabilitation Medicine, The Western Theater General Hospital, Chengdu, China
- College of Medicine, Southwest Jiaotong University, Chengdu, Sichuan, China
| | - Wenchun Wang
- Department of Rehabilitation Medicine, The Western Theater General Hospital, Chengdu, China
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Wu Y, Yan Z, Fornah L, Zhao J, Wu S. The mediation effect of social support between stigma and social alienation in patients with stroke. Front Public Health 2023; 11:1290177. [PMID: 38094234 PMCID: PMC10716442 DOI: 10.3389/fpubh.2023.1290177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 11/13/2023] [Indexed: 12/18/2023] Open
Abstract
Background Social alienation is prevalent and causes adverse outcomes in stroke. Previous studies have linked stigma with social alienation. However, little is known about the mechanisms behind this relationship. This study explored the mediation effects of social support between stigma and social alienation. Methods A cross-sectional design was used to study 248 patients with stroke admitted to a tertiary rehabilitation hospital in Beijing, China, from December 2022 to July 2023. Patients were assessed using a general information questionnaire, the Stroke Stigma Scale, the Social Support Rating Scale, and the Generalized Social Alienation Scale. The PROCESS macro in SPSS was used to examine the mediation model. Results The results showed that stigma has a negative effect on social support (β = -0.503, p<0.001); stigma has a positive effect on social alienation (β = 0.768, p<0.001). Social support mediated the relationship between stigma and social alienation, with a mediation effect of 0.131 (95%CI: 0.060, 0.214), and indirect effects accounted for 17.06% of the total effect. Conclusion Social support mediated the relationship between stigma and social alienation. These findings suggest that intervention targeting the enhancement of social support may prevent or reduce social alienation among patients with stroke.
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Affiliation(s)
- Yu Wu
- School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong Province, China
- University of Health and Rehabilitation Sciences, Qingdao, Shandong Province, China
- Beijing Boai Hospital, China Rehabilitation Research Center, Capital Medical University, Beijing, China
| | - Zeping Yan
- School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong Province, China
- University of Health and Rehabilitation Sciences, Qingdao, Shandong Province, China
- Beijing Boai Hospital, China Rehabilitation Research Center, Capital Medical University, Beijing, China
| | - Lovel Fornah
- Department of Epidemiology, School of Public Health, Shandong University, Jinan, Shandong Province, China
| | - Jun Zhao
- School of Rehabilitation Medicine, Capital Medical University, Beijing, China
- Department of Neurology, Beijing Boai Hospital, China Rehabilitation Research Center, Capital Medical University, Beijing, China
| | - Shicai Wu
- Beijing Boai Hospital, China Rehabilitation Research Center, Capital Medical University, Beijing, China
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