초기 뇌졸중 환자에서 체간 제한과 결합된 로봇 보조 상지 훈련의 효과: 무작위 대조 예비 연구

Abstract

Purpose This study was to determine the effect of robot assisted upper limb training combined with trunk restraint in early stroke patient. Methods Sixteen inpatients were randomly allocated into the experimental group (n=8), who received robot assisted upper limb training combined with trunk restraint, and the control group (n=8), who received a robot assisted upper limb training. Each intervention consisted of a 30 min session once a day, five times a week, for four weeks. To measure the functions of the upper limbs and performance capacities in the activities of daily living, the Fugl Meyer assessment upper extremity (FMA UE), Manual function test (MFT), Korean modified Barthel index (K MBI) were used before after the intervention. Results The robot assisted upper limb training combined with trunk restraint group and control group improved more significantly after intervention in FMA, MFT, K MBI (p<.05). However, robot assisted upper limb training combined with trunk restraint group was more effective than control group in increasing the FMA, MFT, K MBI (p<.05). Conclusion These results suggest that robot assisted upper limb training combined with trunk restraint is more helpful to improve upper extremity function than robot assisted upper limb training only early stroke patients.