Clinical Uses of a Robot(Hybrid-Assisted Limb or HAL™) in Patients with Post-stroke Spasticity after Botulinum Toxin Injections

• 資料種別: 博士論文
• タイトル: Clinical Uses of a Robot(Hybrid-Assisted Limb or HAL™) in Patients with Post-stroke Spasticity after Botulinum Toxin Injections
• 著者・編者: Okuno, Tsuyoshi; Takeuchi, Toshiaki; Takeda, Eiji; Izumi, Yuisin; Kaji, Ryuji
• 著者標目: Okuno, Tsuyoshi; Takeuchi, Toshiaki; Takeda, Eiji; Izumi, Yuisin; Kaji, Ryuji
• 出版事項: Tokushima University Faculty of Medicine
• 出版年月日等: 2021-08
• 出版年（W3CDTF）: 2021-08
• 並列タイトル等: ボツリヌス治療後の痙縮を伴う脳卒中患者に対するロボットの臨床使用について; Effects of BTX and Robot (HAL)
• タイトル（掲載誌）: The Journal of Medical Investigation
• 巻号年月日等（掲載誌）: 68 3-4
• 掲載巻: 68
• 掲載号: 3-4
• 掲載ページ: 297-301
• ISSN（掲載誌）: ISSN : 1349-6867; ISSN : 1343-1420
• 授与機関名: 徳島大学
• 授与年月日: 2021-09-30
• 報告番号: 甲第3556号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Stroke; spasticity; botulinum; robotics; hybrid-assisted limb
• 対象利用者: 一般
• 一般注記: Spasticity is the major cause of disabilities in stroke-survivors. Botulinum neurotoxin (BoNT) injections have been used to reduce the muscle tone in those patients, but its efficacy in functional outcome is not well delineated. We have studied the effect of a robot (Hybrid-Assisted Limb or HAL™) designed for assisting the elbow flexion and extension in those who underwent BoNT injections with reduced muscle tone. We enrolled 15 post stroke patients who had BoNT injections for more than 12 months. They were measured for active ROM (range of motion) with video recordings before and after the use of HAL for 40 minutes. Active ROM was measured by a rater who were blinded as to the use of the robot. Significant increase of active ROM was observed immediately after the use of HAL, and the effect was maintained for another 12 months by repeating the sessions. It is suggested from present study that the combined use of BoNT and robotics is effective efficacious for regaining the active function of the upper limb in stroke survivors.
• 記録形式（IMT）: application/pdf
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.2152/jmi.68.297
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 徳島大学 : 徳島大学機関リポジトリ

目次

http://repo.lib.tokushima-u.ac.jp/files/public/11/116385/20211007150338475102/k3556_abstract_review.pdf fulltext

http://repo.lib.tokushima-u.ac.jp/files/public/11/116385/20211025113809183858/k3556_fulltext.pdf fulltext