뇌졸중 환자에 대한 하지 재활 로봇 치료의 만족도

Abstract

Objective: To investigate levels of satisfaction with robot-assisted gait training in patients with stroke, and to investigate the satisfaction according to the patient's demographic characteristics, type of robot, and functional level. Methods: One-hundred-and-ninety-nine stroke patients who received robot-assisted gait training completed a purpose-designed survey. Data on the characteristics of patients, type of robot, number of robot training sessions, and duration of each robot session were collected. Functional Ambulation Category (FAC), Berg Balance Scale (BBS), Modified Barthel Index (MBI), and Mini-Mental State Examination (MMSE) were measured at baseline. Results: Patients showed high satisfaction in most items in the satisfaction survey for the robot-assisted gait training in patients with stroke. However, it showed the lowest level of satisfaction in the item whether the robot-assisted gait training was more effective than conventional physiotherapy. In addition, significantly higher satisfaction was observed in some items in women, when the disease duration was less than 3 months, and when the MBI score was low. When walking ability was high, significantly low satisfaction was observed in some items. No differences in satisfaction were observed according to age, type of robot, and level of balance and cognitive function. Conclusion: Overall, robot-assisted gait training showed high satisfaction in patients with stroke. In some items, women, patients with short disease duration and low activities of daily living function showed high satisfaction, and patients with high walking ability showed low satisfaction. Therefore, various factors need to be considered in robot-assisted gait training in patients with stroke.