脳卒中急性期に対するロボットスーツHAL による介入試験

丸島 愛樹; 河本 浩明; 上野 友之; 松下 明; 五月女 康作; 門根 秀樹; 渡邉 大貴; 羽田 康司; 遠藤 歩; 清水 如代; 晝田 佳世; 廣瀬 聖一郎; 石川 公久; 中井 啓; 鶴田 和太郎; 滝川 知司; 伊藤 嘉朗; 鶴嶋 英夫; 山本 哲哉; 井上 貴昭; 山崎 正志; 松村 明

doi:10.3995/jstroke.10522

Symposium Reviews

Clinical study of robot suit HAL for patients with stroke in the acute phase

Aiki Marushima, Hiroaki Kawamoto, Tomoyuki Ueno, Akira Matsushita, Kosaku Saotome, Hideki Kadone, Hiroki Watanabe, Yasushi Hada, Ayumu Endo, Yukiyo Shimizu, Kayo Hiruta, Seiichiro Hirose, Kimihisa Ishikawa, Kei Nakai, Wataro Tsuruta, Tomoji Takigawa, Yoshiro Ito, Hideo Tsurushima, Tetsuya Yamamoto, Yoshiaki Inoue, Masashi Yamazaki, Akira Matsumura

Author information

Aiki Marushima
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba
Hiroaki Kawamoto
Center for Cybernics Research, University of Tsukuba
Tomoyuki Ueno
Department of Rehabilitation, Faculty of Medicine, University of Tsukuba
Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba
Akira Matsushita
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
Center for Cybernics Research, University of Tsukuba
Kosaku Saotome
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
Center for Cybernics Research, University of Tsukuba
Hideki Kadone
Center for Cybernics Research, University of Tsukuba
Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba
Hiroki Watanabe
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba
Yasushi Hada
Department of Rehabilitation, Faculty of Medicine, University of Tsukuba
Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba
Ayumu Endo
Department of Rehabilitation, Faculty of Medicine, University of Tsukuba
Yukiyo Shimizu
Department of Rehabilitation, Faculty of Medicine, University of Tsukuba
Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba
Kayo Hiruta
Department of Rehabilitation, Faculty of Medicine, University of Tsukuba
Seiichiro Hirose
Department of Rehabilitation, Faculty of Medicine, University of Tsukuba
Kimihisa Ishikawa
Department of Rehabilitation, Faculty of Medicine, University of Tsukuba
Kei Nakai
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
Wataro Tsuruta
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
Tomoji Takigawa
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
Yoshiro Ito
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
Hideo Tsurushima
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
Tetsuya Yamamoto
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
Yoshiaki Inoue
Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Tsukuba
Masashi Yamazaki
Department of Rehabilitation, Faculty of Medicine, University of Tsukuba
Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba
Akira Matsumura
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba

Keywords: Robot Suit HAL, stroke, functional recovery program

JOURNAL FREE ACCESS

2018 Volume 40 Issue 2 Pages 112-116

DOI https://doi.org/10.3995/jstroke.10522

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Details

Abstract

We evaluated the feasibility and safety protocol of the HAL intervention study to analyze the clinical condition that HAL was effective in the acute phase of stroke, and tested an intervention effect by the HAL. Method: A feasibility and safety as well as physical function and the activities of daily living in the stepped functional recovery program of HAL was evaluated for the 36 patients with stroke in the acute phase. Results: In the comparison between before and after HAL intervention, walking speed, 12-grade hemiplegia functional tests, NIHSS, Barthel index, and motor FIM showed a significant improvement. They were significantly associated with the initiation of the ambulation activity intervention by HAL, and the acquisition of walking speed 25 m/min or more. Discussion and Conclusion: A feasibility and safety of the stepped functional recovery program by HAL was proved in an acute stroke. Physical function and activities of daily living were useful in evaluating an intervention effect of stand- and ambulation- activity by HAL.

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