The features of Gait Exercise Assist Robot: Precise assist control and enriched feedback

Issue title: Special Section: Journey of a Pioneer: Dr Stefan Hesse 1960-2016. Robotics, Reflections and What’s Next

Guest editors: Hermano Igo Krebs

Article type: Research Article

Authors: Hirano, Satoshi^{a; *} | Saitoh, Eiichi^a | Tanabe, Shigeo^b | Tanikawa, Hiroki^b | Sasaki, Shinya^c | Kato, Daisuke^c | Kagaya, Hitoshi^a | Itoh, Norihide^{b; d; e} | Konosu, Hitoshi^f

Affiliations: [a] Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan | [b] Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan | [c] Department of Rehabilitation, Fujita Health University Hospital, Toyoake, Japan | [d] Department of Advanced Rehabilitation Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan | [e] Department of Rehabilitation Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan | [f] Partner Robot Division, Toyota Motor Corporation, Toyota, Japan

Correspondence: [*] Address for correspondence: Satoshi Hirano, Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, 98-1 Dengakugakubo, Kutsukake, Toyoake, Aichi 470-1192, Japan. Tel.: +81 562 93 2167; Fax: +81 562 95 2906; E-mail: [email protected].

Abstract: BACKGROUND: In a patient with severe hemiplegia, the risk of the knee giving way is high during the early stage of gait exercise with an ankle-foot orthosis. However, use of a knee-ankle-foot orthosis has many problems such as large amount of assistance and compensatory motions. To resolve these problems, we have engaged in the development of the Gait Exercise Assist Robot (GEAR). OBJECTIVE: To evaluate the improvement efficiency of walk with GEAR in a stroke patient. METHODS: The subject was a 70-year-old man presented with left thalamus hemorrhage and right hemiplegia. The patient underwent exercise with the GEAR 5 days a week, for 40 minutes per day. We evaluated the Functional Independence Measure score for walk (FIM-walk score) every week. The control group consisted of 15 patients aged 20–75 years with hemiplegia after primary stroke, who had equivalent walking ability with the subject at start. As the primary outcome, we defined improvement efficiency of FIM-walk, which was gain of FIM-walk divided the number of required weeks. RESULTS: Improvement efficiency of FIM-walk of the subject was 1.5, while that of control group was 0.48±3.2 (mean±SD). CONCLUSIONS: GEAR is potentially useful for gait exercise in hemiplegic patients.

Keywords: Robotic therapy, gait training, stroke

DOI: 10.3233/NRE-171459

Journal: NeuroRehabilitation, vol. 41, no. 1, pp. 77-84, 2017