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

Persistent ID (NDL): info:ndljp/pid/12319633

Material type: 博士論文

Author: Okuno, Tsuyoshiほか

Publisher: Tokushima University Faculty of Medicine

Publication date: 2021-08

Material Format: Digital

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Name of awarding university/degree: 徳島大学,博士（医学）

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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 ...

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Material Type: 博士論文
ISSN: 1349-6867
Title: Clinical Uses of a Robot(Hybrid-Assisted Limb or HAL™) in Patients with Post-stroke Spasticity after Botulinum Toxin Injections
Volume: 68 3-4
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
Degree grantor/type: 徳島大学
Date Granted: 2021-09-30
Date Granted (W3CDTF): 2021-09-30
Dissertation Number: 甲第3556号
Degree Type: 博士（医学）
Conferring No. (Dissertation): 甲第3556号
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.
DOI: info:doi/10.2152/jmi.68.297
https://doi.org/info:doi/10.2152/jmi.68.297
Persistent ID (NDL): info:ndljp/pid/12319633
https://dl.ndl.go.jp/pid/12319633
Collection: 障害者向け資料
Collection (Materials For Handicapped People:1): テキストデータ
Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
https://dl.ndl.go.jp/collections/A00014
Acquisition Basis: 博士論文（自動収集）
Date Accepted (W3CDTF): 2022-09-05T13:46:15+09:00
Format (IMT): PDF
Access Restrictions: 国立国会図書館内限定公開
Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
Availability of remote photoduplication service: 可
Periodical Title (URI): http://repo.lib.tokushima-u.ac.jp/116385
Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション
https://dl.ndl.go.jp