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| Name | Class |
|---|---|
| Ministry of Health, Republic of Korea | OTHER_GOV |
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Gait enables individuals to move forward and is considered a natural skill. However, gait disturbances are very common in patients with burn injury. Major causes of functional impairment are pain and joint contractures. Recent studies focused on the application of robot-assisted gait training (RAGT). This study aimed to elucidate the efficacy and investigate the mechanism of motor recovery after RAGT on patients with lower extremity burn.
This study aimed to elucidate the efficacy and investigate the mechanism of motor recovery after RAGT on patients with lower extremity burn.
20 patients with burn were randomly divided into 2 groups. RAGT group received RAGT 5 sessions per week at duration 30 minutes with 30 minutes conventional physical therapy in 12 weeks. SUBAR® (CRETEM, Korea) is a wearable robot with a footplate that assists patients to perform voluntary muscle movements. The conventional group underwent conventional physical therapy twice a day, 5 times a week in 12 weeks. Main outcomes were functional ambulatory category(FAC), 6 minutes walking test(6MWT), visual analogue scale(VAS), isometric forces of bilateral knee and ankle muscles, and foot pressure analysis before and after 12 weeks training.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Robot assisted gait training | Experimental | Robot assisted gait training(RAGT) group received RAGT 5 sessions per week at duration 30 minutes with 30 minutes conventional physical therapy in 12 weeks. SUBAR® (CRETEM, Korea) is a wearable robot with a footplate that assists patients to perform voluntary muscle movements. |
|
| conventional physical training group | Active Comparator | The conventional group underwent conventional physical therapy( even level gait training and range of motion exercises) twice a day, 5 times a week in 12 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Robot assisted gait training | Device | SUBAR® (CRETEM, Korea) is a wearable robot with a footplate that assists patients to perform voluntary muscle movements. RAGT group received RAGT 5 sessions per week at duration 30 minutes with 30 minutes conventional physical therapy in 12 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| the changes of functional ambulatory category | Scale 0 means that the patient cannot walk or can only walk with assistance of two people. Scale 5 means that the patient can walk independently. Higher scores mean a better outcome. | baseline, and after 12 weeks intervention |
| the changes of 6 minutes walking test | 6MWT was performed in accordance with standardized guidelines, and the walking course was 20 m. Patients were instructed to walk as far as possible in 6 min. Higher scores mean a better outcome. | baseline, and after 12 weeks intervention |
| the changes of visual analogue scale | Visual analogue scale was used to rate the degree of subjective pain during gait movement: 0 points were assigned when no pain was noted, and unbearable pain was assigned 10 points. higher scores mean a worse outcome | baseline, and after 12 weeks intervention |
| Measure | Description | Time Frame |
|---|---|---|
| the changes of active range of motion of flexion and extension | The active range of motion(ROM) of different joints was measured using a goniometer and an inclinometer with a standardized technique(hip joint) | baseline, and after 12 weeks intervention |
| the changes of active range of motion of flexion and extension |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hangang Sacred Heart Hospital | Seoul | Yeong-deungpo-Dong | 150-719 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27689789 | Background | Goto K, Morishita T, Kamada S, Saita K, Fukuda H, Shiota E, Sankai Y, Inoue T. Feasibility of rehabilitation using the single-joint hybrid assistive limb to facilitate early recovery following total knee arthroplasty: A pilot study. Assist Technol. 2017 Winter;29(4):197-201. doi: 10.1080/10400435.2016.1219883. Epub 2016 Aug 10. | |
| 30616685 |
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| ID | Term |
|---|---|
| D002056 | Burns |
| D020233 | Gait Disorders, Neurologic |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
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patients with full or virtually full thickness involvement of >50% on the body surface area of the lower extremity
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| conventional gait training | Other | even level gait training and range of motion exercises |
|
The active range of motion(ROM) of different joints was measured using a goniometer and an inclinometer with a standardized technique(knee joint) |
| baseline, and after 12 weeks intervention |
| the changes of active range of motion of dorsiflexion and plantarflexion | The active range of motion(ROM) of different joints was measured using a goniometer and an inclinometer with a standardized technique(ankle joint) | baseline, and after 12 weeks intervention |
| the changes of isometric forces of knee flexion and knee extension | Isometric knee extension and knee flexion muscle strength were measured by handheld dynamometer. Two measurements were taken using handheld dynamometer. Each trial lasted for 3-5 s, with 30 second rest period between trials. The higher of the two valid measurements was recorded. | baseline, and after 12 weeks intervention |
| the changes of isometric forces of ankle dorsiflexion and ankle plantarflexion | Isometric ankle dorsiflexion, and ankle plantar flexion muscle strength were measured by handheld dynamometer. Two measurements were taken using handheld dynamometer. Each trial lasted for 3-5 s, with 30 second rest period between trials. The higher of the two valid measurements was recorded. | baseline, and after 12 weeks intervention |
| the changes of gait symmetry using stride length | Stride is the equivalent of a gait cycle. The duration of a stride is the interval between two sequential initial floor contacts by the same limb. symmetry ratio is defined with affected side stride length/ non affected side stride length. | baseline, and after 12 weeks intervention |
| the changes of center of foot pressure pattern | center of foot pressure patten during a normal stride. longitudinal line analysis | baseline, and after 12 weeks intervention |
| Kang MG, Yun SJ, Shin HI, Kim E, Lee HH, Oh BM, Seo HG. Effects of robot-assisted gait training in patients with Parkinson's disease: study protocol for a randomized controlled trial. Trials. 2019 Jan 7;20(1):15. doi: 10.1186/s13063-018-3123-4. |
| D013568 | Pathological Conditions, Signs and Symptoms |