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Effects of Long-term Hybrid Assistive Limb Use on Gait in Patients with Amyotrophic Lateral Sclerosis.
Morioka, Harumi; Murata, Kiyoko; Sugisawa, Tatsuki; Shibukawa, Mari; Ebina, Junya; Sawada, Masahiro; Hanashiro, Sayori; Nagasawa, Junpei; Yanagihashi, Masaru; Hirayama, Takehisa; Uchi, Masayuki; Kawabe, Kiyokazu; Ebihara, Satoru; Murakami, Yoshitaka; Nakajima, Takashi; Kano, Osamu.
Afiliación
  • Morioka H; Department of Neurology, Toho University Faculty of Medicine, Japan.
  • Murata K; Department of Neurology, Toho University Faculty of Medicine, Japan.
  • Sugisawa T; Department of Rehabilitation Medicine, Toho University Faculty of Medicine, Japan.
  • Shibukawa M; Department of Neurology, Toho University Faculty of Medicine, Japan.
  • Ebina J; Department of Neurology, Toho University Faculty of Medicine, Japan.
  • Sawada M; Department of Neurology, Toho University Faculty of Medicine, Japan.
  • Hanashiro S; Department of Neurology, Toho University Faculty of Medicine, Japan.
  • Nagasawa J; Department of Neurology, Toho University Faculty of Medicine, Japan.
  • Yanagihashi M; Department of Neurology, Toho University Faculty of Medicine, Japan.
  • Hirayama T; Department of Neurology, Toho University Faculty of Medicine, Japan.
  • Uchi M; Department of Rehabilitation Medicine, Toho University Faculty of Medicine, Japan.
  • Kawabe K; Department of Neurology, Toho University Faculty of Medicine, Japan.
  • Ebihara S; Department of Rehabilitation Medicine, Toho University Faculty of Medicine, Japan.
  • Murakami Y; Department of Medical Statistics, Toho University Faculty of Medicine, Japan.
  • Nakajima T; Niigata National Hospital, National Hospital Organization, Japan.
  • Kano O; Department of Neurology, Toho University Faculty of Medicine, Japan.
Intern Med ; 61(10): 1479-1484, 2022.
Article en En | MEDLINE | ID: mdl-35569927
Objective To assess the long-term effects of hybrid assistive limb (HAL) treatment on gait in patients with amyotrophic lateral sclerosis (ALS). Methods Three courses of treatment with HAL were administered to three women with ALS. Each course had a four- to five-week duration, during which the treatment was performed nine times, with a rest period of at least two months between each course. Gait ability (2-minutes-walk and 10-m-walk tests), ALS Functional Rating Scale-Revised, and respiratory function tests were performed before and after each treatment course. Patients Patients diagnosed with ALS, according to the updated Awaji criteria, by board-certified neurologists in the Department of Neurology and Department of Rehabilitation Medicine, Toho University Omori Faculty of Medicine between January and December 2019 were recruited. Results The average time from the start to the end of the 3 courses was 319.7±33.7 days. A multiple regression analysis was performed for the 2-minutes-walk and 10-m-walk tests, using the baseline value, each participant's ID, and time point as covariates. Changes after each course were considered outcomes. Following the 3 treatment courses, the 2-minutes walk distance improved by 16.61 m (95% confidence interval, -9.33-42.54) compared with the baseline value, but this improvement was not statistically significant (p=0.21). However, cadence significantly improved by 1.30 steps (95% confidence interval, 0.17-2.42; p=0.02). Conclusion Long-term, repetitive HAL treatments may help patients with ALS maintain their gait.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Esclerosis Amiotrófica Lateral Límite: Female / Humans Idioma: En Revista: Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Esclerosis Amiotrófica Lateral Límite: Female / Humans Idioma: En Revista: Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón