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

• Material Type: 博士論文
• Title: Clinical Uses of a Robot(Hybrid-Assisted Limb or HAL™) in Patients with Post-stroke Spasticity after Botulinum Toxin Injections
• Author/Editor: Okuno, Tsuyoshi; Takeuchi, Toshiaki; Takeda, Eiji; Izumi, Yuisin; Kaji, Ryuji
• Author Heading: Okuno, Tsuyoshi; Takeuchi, Toshiaki; Takeda, Eiji; Izumi, Yuisin; Kaji, Ryuji
• Publication, Distribution, etc.: Tokushima University Faculty of Medicine
• Publication Date: 2021-08
• Publication Date (W3CDTF): 2021-08
• Alternative Title: 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)
• Periodical title: The Journal of Medical Investigation
• No. or year of volume/issue: 68 3-4
• Volume: 68
• Issue: 3-4
• Pages: 297-301
• ISSN (Periodical Title): ISSN : 1349-6867; ISSN : 1343-1420
• Degree grantor/type: 徳島大学
• Date Granted: 2021-09-30
• Dissertation Number: 甲第3556号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: Stroke; spasticity; botulinum; robotics; hybrid-assisted limb
• Target Audience: 一般
• Note (General): 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.
• Format (IMT): application/pdf
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.2152/jmi.68.297
• Data Provider (Database): 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
• Original Data Provider (Database): 徳島大学 : 徳島大学機関リポジトリ

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