Document Detail


Preliminary trial of postural strategy training using a personal transport assistance robot for patients with central nervous system disorder.
MedLine Citation:
PMID:  22935332     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To examine the efficacy of postural strategy training using a personal transport assistance robot for patients with central nervous system disorders. DESIGN: Single group intervention trial. SETTING: Rehabilitation center at a university hospital. PARTICIPANTS: Eight outpatients (mean age, 50±13 years; male/female ratio, 5/3) with gait disturbance (mean time after onset, 34±29 months) as the result of central nervous system disorders were selected from a volunteer sample. INTERVENTIONS: Two methods of balance exercise using a personal transport assistance robot (PTAR) were devised: exercise against perturbation and exercise moving the center of gravity. The exercises were performed twice a week for 4 weeks. MAIN OUTCOME MEASURES: Preferred and tandem gait speeds, functional reach test, functional base of support, center of pressure (COP), muscle strength of lower extremities, and grip strength were assessed before and after the completion of the exercise program. Following the exercise program, enjoyment of exercise was investigated via a visual analog scale questionnaire. RESULTS: After the program, statistically significant improvements were noted for tandem gait speeds (P=.009), functional reach test (P=.003), functional base of support (P=.014), and lower extremity muscle strength (P<.001-.042). On the other hand, preferred gait speeds (P=.151), COP (P=.446-.714), and grip power (P=.584) did not change. Finally, subjects rated that this exercise was more enjoyable than traditional balance exercises. CONCLUSIONS: Dynamic balance and lower extremity muscle strength were significantly improved in response to postural strategy training with the PTAR. These results suggest that postural strategy training with the PTAR may contribute to fall prevention of patients with balance disorder.
Authors:
Kenichi Ozaki; Hitoshi Kagaya; Satoshi Hirano; Izumi Kondo; Shigeo Tanabe; Norihide Itoh; Eiichi Saitoh; Toshio Fuwa; Ryo Murakami
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-27
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  -     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 the American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Rehabilitation Medicine 1, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan; Department of Rehabilitation Medicine, National Hospital for Geriatrics Medicine, Obu, Aichi, Japan.
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