Investigation of factors affecting walking independence at discharge in hemiplegic stroke patients at the time of discharge from a convalescent rehabilitation ward using Welwalk WW-1000 ∼A study including patients with reduced cognitive and attentional functions
Objective : This research aimed to investigate independently the factors that influence gait, and cutoff values in patients with stroke who underwent gait training using WelWalk WW-1000 (WW). It is based on various assessments, including cognitive and attentional functions, from the time of admissio...
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| Published in | Journal of Assistive Technology in Physical Therapy Vol. 3; no. 2; pp. 79 - 88 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society of Assistive Technologies in Physical Therapy
29.03.2024
日本支援工学理学療法学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2436-6951 |
| DOI | 10.57302/jatpt.3.2_79 |
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| Abstract | Objective : This research aimed to investigate independently the factors that influence gait, and cutoff values in patients with stroke who underwent gait training using WelWalk WW-1000 (WW). It is based on various assessments, including cognitive and attentional functions, from the time of admission to the recovery phase rehabilitation ward.Methods : We included 113 patients with stroke who presented with a Functional Independence Measure (FIM) gait score 4 or below, and needed to use Knee-Ankle-Foot Orthosis (KAFO) for gait training. They underwent gait training using WW at least 10 times, and their communicative functions were sufficient. The assessment items to analyze were age, side of paralysis, Stroke Impairment Assessment Set (SIAS), FIM motor items, FIM cognitive items, Mini-Mental State Examination (MMSE), Catherine Bergego Scale, Trail Making Test Japanese version (TMT-J), and parameters calculated by WW. A binomial logistic regression analysis was conducted by dividing the participants into two groups depends on the final gait level at the time of discharge: the independent and non-independent group.Results : The predictors were age (odds ratio: 0.880) and TMT-J part-A (odds ratio: 0.964). The cut off values were 68 years old in age, and 148 seconds in TMT-J part-A.Conclusion : This study revealed that age, and cognitive and attentional functions are likely to be related to gait independently in patients with stroke using WW. |
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| AbstractList | Objective : This research aimed to investigate independently the factors that influence gait, and cutoff values in patients with stroke who underwent gait training using WelWalk WW-1000 (WW). It is based on various assessments, including cognitive and attentional functions, from the time of admission to the recovery phase rehabilitation ward.Methods : We included 113 patients with stroke who presented with a Functional Independence Measure (FIM) gait score 4 or below, and needed to use Knee-Ankle-Foot Orthosis (KAFO) for gait training. They underwent gait training using WW at least 10 times, and their communicative functions were sufficient. The assessment items to analyze were age, side of paralysis, Stroke Impairment Assessment Set (SIAS), FIM motor items, FIM cognitive items, Mini-Mental State Examination (MMSE), Catherine Bergego Scale, Trail Making Test Japanese version (TMT-J), and parameters calculated by WW. A binomial logistic regression analysis was conducted by dividing the participants into two groups depends on the final gait level at the time of discharge: the independent and non-independent group.Results : The predictors were age (odds ratio: 0.880) and TMT-J part-A (odds ratio: 0.964). The cut off values were 68 years old in age, and 148 seconds in TMT-J part-A.Conclusion : This study revealed that age, and cognitive and attentional functions are likely to be related to gait independently in patients with stroke using WW.
【目的】脳卒中片麻痺を呈してウェルウォークWW-1000（以下WW）を使用した患者の、回復期リハビリテーション病棟（以下回リハ）入棟時の認知・注意機能面を含めた各評価から、退院時の歩行自立因子とそのカットオフ値を検討した。【方法】対象は脳卒中片麻痺患者113名で、回リハ入棟時のFunctional Independence Measure（以下FIM）歩行4点以下、麻痺側立脚中期の膝折れが著明なため歩行練習において長下肢装具が必要で、WWを10回以上使用した方とした。加えて何らかの方法で自分の意志を伝えられる方は包含とした。調査項目は、年齢、脳卒中機能障害評価法、FIM運動項目、FIM認知項目、Mini-Mental State Examination、Catherine Bergego Scale、Trail Making Test（以下TMT）、WWで算出される各パラメータとした。退院時の歩行レベルを自立群と非自立群に分類し、二項ロジスティック回帰分析を実施した。【結果】予測因子は年齢（オッズ比0.88）、TMT-A（オッズ比0.96）であり、カットオフ値は年齢68歳、TMT-A 148秒であった。【結論】WW使用者の歩行自立因子は年齢と注意機能であり、臨床現場での歩行予後予測の一助になると考える。 Objective : This research aimed to investigate independently the factors that influence gait, and cutoff values in patients with stroke who underwent gait training using WelWalk WW-1000 (WW). It is based on various assessments, including cognitive and attentional functions, from the time of admission to the recovery phase rehabilitation ward.Methods : We included 113 patients with stroke who presented with a Functional Independence Measure (FIM) gait score 4 or below, and needed to use Knee-Ankle-Foot Orthosis (KAFO) for gait training. They underwent gait training using WW at least 10 times, and their communicative functions were sufficient. The assessment items to analyze were age, side of paralysis, Stroke Impairment Assessment Set (SIAS), FIM motor items, FIM cognitive items, Mini-Mental State Examination (MMSE), Catherine Bergego Scale, Trail Making Test Japanese version (TMT-J), and parameters calculated by WW. A binomial logistic regression analysis was conducted by dividing the participants into two groups depends on the final gait level at the time of discharge: the independent and non-independent group.Results : The predictors were age (odds ratio: 0.880) and TMT-J part-A (odds ratio: 0.964). The cut off values were 68 years old in age, and 148 seconds in TMT-J part-A.Conclusion : This study revealed that age, and cognitive and attentional functions are likely to be related to gait independently in patients with stroke using WW. |
| Author | 河野 寛一 平川 裕紀 森下 元賀 宮永 陽亮 倉爪 康裕 東 洋介 |
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| References | 25) 日本高次脳機能障害学会：Trail Making Test 日本語版 (TMT-J) : 1-13, 新興医学出版社, 東京, 2019. 27) Akobeng, AK : Understanding diagnostic tests 3: receiver operating characteristic curves. Acta paediatrica, 96 : 644-647, 2007. 4) Hirano, S, Saitoh, E, Tanabe S, et al.: The feature of Gait Exercise Assist Robot-precise assist control and enriched feedback. NeuroRehabilitation, 41 : 77-84, 2017. 33) 神﨑恒一：加齢に伴う認知機能の低下と認知症. 日本内科学会雑誌, 107 : 2461-2468, 2018. 9) Wang, Y, Mukaino, M, Hirano, S, et al.: Persistent Effect of Gait Exercise Assist Robot Training on Gait Ability and Lower Limb Function of Patients With Subacute Stroke: A Matched Case-Control Study With Three-Dimensional Gait Analysis. Front Neurorobot, 14 : 42, 2020. 21) 宮永陽亮，平川裕紀，郡敏宏，他：症例報告「ウェルウォーク WW-1000」を使用して歩行能力の早期改善を認めた1症例—高次脳機能障害を呈する脳卒中片麻痺患者—. 臨床と理学療法, 7 : 35-42, 2020. 29) 近藤克則，安達元明：脳卒中リハビリテーション患者の退院先決定に影響する因子の研究. 日本公衆衛生雑誌, 46 : 542-549, 1999. 22) 大畑光司：特集 理学療法と下肢装具 歩行獲得を目的とした装具療法—長下肢装具の使用とその離脱, PTジャーナル, 51 : 291-299, 2017. 40) 二木立：脳卒中リハビリテーション患者の早期自立度予測. リハビリテーション医学, 19 : 201-223, 1982. 42) 株式会社グッドライフデザイン/リハビリテーション支援ロボット・ウェルウォーク, https://www.toyota.co.jp/robotics/welwalk/ (2022/11/20確認 12) 大田尾浩，八谷瑞紀，村田伸，他：脳卒中片麻痺患者の歩行自立に影響を及ぼす要因—認知機能が低下した患者を対象に含めた検討—. ヘルスプロモーション理学療法研究, 1 : 93-99, 2012. 39) 水野裕，渡辺智之：認知症高齢者に対する運動介入の効果について—無作為割り付け比較試験—. 老年精神医学雑誌, 18 : 68-76, 2007. 28) 道免和久：リハビリテーションに役立つ予後予測—脳卒中における予後予測—. J Clin Rehabil, 7 : 347-356, 1998. 7) Takuma, I, Tanabe, S, Tanabe, S et al.: Robot-assisted Gait Training Using Welwalk in Hemiparetic Stroke Patients: An Effectiveness Study with Matched Control. J Stroke Cerebrovasc Dis, 29 : 105377, 2020. 13) 杉本諭：高次脳機能障害に対する理学療法—全般性注意障害と方向性注意障害に対する理学療法評価と治療の考え方—. 理学療法学, 40 : 248-251, 2013. 17) 北里堅二，入江泰子，園田知恵，他：半側空間無視を有する脳卒中片麻痺患者の歩行能力. PTジャーナル, 37 : 29-34, 2003. 38) 大谷道明，岡村仁：高齢者の認知機能と運動療法 (特集/高齢者の運動療法の効果と限界). PTジャーナル, 41 : 47-52, 2007. 2) 日本脳卒中学会 脳卒中ガイドライン委員会：脳卒中治療ガイドライン2021 : 263-264, 協和企画, 東京, 2021. 18) 近藤和泉：自立歩行を阻害する要因は何か (特集 脳卒中の歩行障害). 総合リハ, 27 : 1117-1121, 1999. 35) Baddeley, A : Working memory: lokking back and looking forward. Nat Rev Neurosci, 4 : 829-839, 2003. 30) 平野恵健，新田收，高橋秀寿，他：ロジスティック回帰分析を用いた重度脳卒中片麻痺患者の歩行可否に及ぼす因子の検討—回復期リハビリテーション病棟での試み—. 理学療法科学, 29 : 885-890, 2014. 36) Baddeley, A : Working memory. Science, 255 : 556-559, 1992. 20) 山下浩樹，前山裕樹，諸橋勇，他：ロジスティック回帰分析を用いた回復期病棟脳卒中患者の歩行自立確率の検討. 東北理学療法学, 21 : 69-73, 2009. 26) Kanda, Y : Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant, 48 : 452-458, 2013. 14) 松谷茂，佐々木和人，永井勝信，他：脳卒中片麻痺者の歩行自立度判定スケールの作成. 埼玉理学療法学, 11 : 45-51, 2004. 24) 水野勝広，辻哲也，水野勝広，他：Catherine Bergego Scale (CBS) を用いた左半側空間無視の評価—Behavioral Inattention Test (BIT) との比較. リハ医学, 44 : S253, 2007. 8) Katoh, D, Tanikawa, H, Hirano, S, et al.: The effect of using gait exercise assist robot (GEAR) on gait pattern in stroke patients: a cross-sectional pilot study. Top Stroke Rehabil, 27 : 103-109, 2020. 11) Ozdemir, F, Birtane, M, Tabatabaei, R, et al.: Cognitive evaluation and functional outcome after stroke. Am J Phys Med Rehabil, 80 : 410-415, 2001. 3) Cho, J E, Yoo, J S, Kim, K E, et al.: Systematic review of appropriate robotic intervention for gait function in subacute stroke patients. Biomed Res Int, 2018 : 2018. 34) 田渕肇：遂行機能障害の評価法. 高次脳機能障害のリハビリテーション. 臨床精神医学, 35 : 1517-1525, 2006. 23) 増田知子：エビデンスからみた下肢装具と理学療法. Jpn J Rehabil Med, 56 : 277-281, 2019. 31) 道免和久，里宇明元，近藤国嗣，他：Classification and Regression Trees (CART) による脳卒中患者の退院時ADL予測. リハ医学, 32 : 920-921, 1995. 41) Jorgensen, S, Nakayama, H, Raaschou, HO, et al.: Recovery of walking function in stroke patients: the Copenhagen Stroke Study. Arch Phys Med Rehabil, 76 : 27-32, 1995. 5) 才藤栄一，平野哲，田辺茂雄，他：運動学習と歩行練習 ロボット—片麻痺の歩行再建—. Jpn J Rehabil Med, 53 : 27-34, 2016. 6) 山内実，今井田昌幸，藤掛祥則，他：片麻痺者向け歩行練習支援ロボット「ウェルウォークWW-1000」. 日本ロボット学会誌, 37 : 65-66, 2019. 1) 厚生労働省ホームページ 中央社会保険医療協議会総会. 令和2年2月7日, https://www.mhlw.go.jp/content/12404000/000593372.pdf (2022/5/1確認 10) 森下守弘，逸見功，JADNI研究：MMSE-J (精神状態短時間検査—日本版) 原法の妥当性と信頼性. 認知神経科学, 20 : 91-100, 2018. 37) Suzuki, E, Chen, W, Kondo, T, et al.: Measuring unilateral spatial neglect during stepping. Arch Phys Med Rehabil, 78 : 173-178, 1997. 15) 増田司，平野正仁，本田哲三，他：安静時と歩行時における注意機能の比較検討. 脳科学とリハビリテーション, 5 : 39-42, 2005. 16) 網本和，杉本諭，小松みゆき，他：高次脳機能障害が歩行自立に及ぼす影響. 理学療法学, 17 : 353-358, 1990. 19) Paker, N, Bugdayci, D, Tekdos, D, et al.: Impact of cognitive impairment on functional outcome in stroke. Stroke Res Treat, 2010 : 652612, 2010. 32) Doherty, TJ : aging and sarcopenia. Journal of applied physiology, : 2003. |
| References_xml | – reference: 11) Ozdemir, F, Birtane, M, Tabatabaei, R, et al.: Cognitive evaluation and functional outcome after stroke. Am J Phys Med Rehabil, 80 : 410-415, 2001. – reference: 22) 大畑光司：特集 理学療法と下肢装具 歩行獲得を目的とした装具療法—長下肢装具の使用とその離脱, PTジャーナル, 51 : 291-299, 2017. – reference: 4) Hirano, S, Saitoh, E, Tanabe S, et al.: The feature of Gait Exercise Assist Robot-precise assist control and enriched feedback. NeuroRehabilitation, 41 : 77-84, 2017. – reference: 6) 山内実，今井田昌幸，藤掛祥則，他：片麻痺者向け歩行練習支援ロボット「ウェルウォークWW-1000」. 日本ロボット学会誌, 37 : 65-66, 2019. – reference: 16) 網本和，杉本諭，小松みゆき，他：高次脳機能障害が歩行自立に及ぼす影響. 理学療法学, 17 : 353-358, 1990. – reference: 17) 北里堅二，入江泰子，園田知恵，他：半側空間無視を有する脳卒中片麻痺患者の歩行能力. PTジャーナル, 37 : 29-34, 2003. – reference: 28) 道免和久：リハビリテーションに役立つ予後予測—脳卒中における予後予測—. J Clin Rehabil, 7 : 347-356, 1998. – reference: 34) 田渕肇：遂行機能障害の評価法. 高次脳機能障害のリハビリテーション. 臨床精神医学, 35 : 1517-1525, 2006. – reference: 27) Akobeng, AK : Understanding diagnostic tests 3: receiver operating characteristic curves. Acta paediatrica, 96 : 644-647, 2007. – reference: 3) Cho, J E, Yoo, J S, Kim, K E, et al.: Systematic review of appropriate robotic intervention for gait function in subacute stroke patients. Biomed Res Int, 2018 : 2018. – reference: 19) Paker, N, Bugdayci, D, Tekdos, D, et al.: Impact of cognitive impairment on functional outcome in stroke. Stroke Res Treat, 2010 : 652612, 2010. – reference: 2) 日本脳卒中学会 脳卒中ガイドライン委員会：脳卒中治療ガイドライン2021 : 263-264, 協和企画, 東京, 2021. – reference: 18) 近藤和泉：自立歩行を阻害する要因は何か (特集 脳卒中の歩行障害). 総合リハ, 27 : 1117-1121, 1999. – reference: 30) 平野恵健，新田收，高橋秀寿，他：ロジスティック回帰分析を用いた重度脳卒中片麻痺患者の歩行可否に及ぼす因子の検討—回復期リハビリテーション病棟での試み—. 理学療法科学, 29 : 885-890, 2014. – reference: 9) Wang, Y, Mukaino, M, Hirano, S, et al.: Persistent Effect of Gait Exercise Assist Robot Training on Gait Ability and Lower Limb Function of Patients With Subacute Stroke: A Matched Case-Control Study With Three-Dimensional Gait Analysis. Front Neurorobot, 14 : 42, 2020. – reference: 21) 宮永陽亮，平川裕紀，郡敏宏，他：症例報告「ウェルウォーク WW-1000」を使用して歩行能力の早期改善を認めた1症例—高次脳機能障害を呈する脳卒中片麻痺患者—. 臨床と理学療法, 7 : 35-42, 2020. – reference: 40) 二木立：脳卒中リハビリテーション患者の早期自立度予測. リハビリテーション医学, 19 : 201-223, 1982. – reference: 37) Suzuki, E, Chen, W, Kondo, T, et al.: Measuring unilateral spatial neglect during stepping. Arch Phys Med Rehabil, 78 : 173-178, 1997. – reference: 42) 株式会社グッドライフデザイン/リハビリテーション支援ロボット・ウェルウォーク, https://www.toyota.co.jp/robotics/welwalk/ (2022/11/20確認) – reference: 23) 増田知子：エビデンスからみた下肢装具と理学療法. Jpn J Rehabil Med, 56 : 277-281, 2019. – reference: 32) Doherty, TJ : aging and sarcopenia. Journal of applied physiology, : 2003. – reference: 10) 森下守弘，逸見功，JADNI研究：MMSE-J (精神状態短時間検査—日本版) 原法の妥当性と信頼性. 認知神経科学, 20 : 91-100, 2018. – reference: 12) 大田尾浩，八谷瑞紀，村田伸，他：脳卒中片麻痺患者の歩行自立に影響を及ぼす要因—認知機能が低下した患者を対象に含めた検討—. ヘルスプロモーション理学療法研究, 1 : 93-99, 2012. – reference: 31) 道免和久，里宇明元，近藤国嗣，他：Classification and Regression Trees (CART) による脳卒中患者の退院時ADL予測. リハ医学, 32 : 920-921, 1995. – reference: 14) 松谷茂，佐々木和人，永井勝信，他：脳卒中片麻痺者の歩行自立度判定スケールの作成. 埼玉理学療法学, 11 : 45-51, 2004. – reference: 5) 才藤栄一，平野哲，田辺茂雄，他：運動学習と歩行練習 ロボット—片麻痺の歩行再建—. Jpn J Rehabil Med, 53 : 27-34, 2016. – reference: 36) Baddeley, A : Working memory. Science, 255 : 556-559, 1992. – reference: 25) 日本高次脳機能障害学会：Trail Making Test 日本語版 (TMT-J) : 1-13, 新興医学出版社, 東京, 2019. – reference: 39) 水野裕，渡辺智之：認知症高齢者に対する運動介入の効果について—無作為割り付け比較試験—. 老年精神医学雑誌, 18 : 68-76, 2007. – reference: 13) 杉本諭：高次脳機能障害に対する理学療法—全般性注意障害と方向性注意障害に対する理学療法評価と治療の考え方—. 理学療法学, 40 : 248-251, 2013. – reference: 1) 厚生労働省ホームページ 中央社会保険医療協議会総会. 令和2年2月7日, https://www.mhlw.go.jp/content/12404000/000593372.pdf (2022/5/1確認) – reference: 29) 近藤克則，安達元明：脳卒中リハビリテーション患者の退院先決定に影響する因子の研究. 日本公衆衛生雑誌, 46 : 542-549, 1999. – reference: 20) 山下浩樹，前山裕樹，諸橋勇，他：ロジスティック回帰分析を用いた回復期病棟脳卒中患者の歩行自立確率の検討. 東北理学療法学, 21 : 69-73, 2009. – reference: 7) Takuma, I, Tanabe, S, Tanabe, S et al.: Robot-assisted Gait Training Using Welwalk in Hemiparetic Stroke Patients: An Effectiveness Study with Matched Control. J Stroke Cerebrovasc Dis, 29 : 105377, 2020. – reference: 8) Katoh, D, Tanikawa, H, Hirano, S, et al.: The effect of using gait exercise assist robot (GEAR) on gait pattern in stroke patients: a cross-sectional pilot study. Top Stroke Rehabil, 27 : 103-109, 2020. – reference: 26) Kanda, Y : Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant, 48 : 452-458, 2013. – reference: 24) 水野勝広，辻哲也，水野勝広，他：Catherine Bergego Scale (CBS) を用いた左半側空間無視の評価—Behavioral Inattention Test (BIT) との比較. リハ医学, 44 : S253, 2007. – reference: 15) 増田司，平野正仁，本田哲三，他：安静時と歩行時における注意機能の比較検討. 脳科学とリハビリテーション, 5 : 39-42, 2005. – reference: 33) 神﨑恒一：加齢に伴う認知機能の低下と認知症. 日本内科学会雑誌, 107 : 2461-2468, 2018. – reference: 35) Baddeley, A : Working memory: lokking back and looking forward. Nat Rev Neurosci, 4 : 829-839, 2003. – reference: 38) 大谷道明，岡村仁：高齢者の認知機能と運動療法 (特集/高齢者の運動療法の効果と限界). PTジャーナル, 41 : 47-52, 2007. – reference: 41) Jorgensen, S, Nakayama, H, Raaschou, HO, et al.: Recovery of walking function in stroke patients: the Copenhagen Stroke Study. Arch Phys Med Rehabil, 76 : 27-32, 1995. |
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| Title | Investigation of factors affecting walking independence at discharge in hemiplegic stroke patients at the time of discharge from a convalescent rehabilitation ward using Welwalk WW-1000 ∼A study including patients with reduced cognitive and attentional functions |
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