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ID 116385
Title Alternative
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)
Author
Okuno, Tsuyoshi Kenshokai Gakuen College for Health and Welfare|Tokushima University
Takeuchi, Toshiaki Tokushima University|Utano National Hospital
Keywords
Stroke
spasticity
botulinum
robotics
hybrid-assisted limb
Content Type
Thesis or Dissertation
Description
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.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA11166929
Publisher
Tokushima University Faculty of Medicine
Volume
68
Issue
3-4
Start Page
297
End Page
301
Sort Key
297
Published Date
2021-08
Remark
内容要旨・審査要旨・論文本文の公開
本論文は,著者Tsuyoshi Okunoの学位論文として提出され, 学位審査・授与の対象となっている。
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
ETD
MEXT report number
甲第3556号
Diploma Number
甲医第1509号
Granted Date
2021-09-30
Degree Name
Doctor of Medical Science
Grantor
Tokushima University
departments
Medical Sciences
University Hospital