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The Pilot Study of Robot-Assisted Training for the Lower Extremity Rehabilitation of Burn Patients

대한화상학회지 2020년 23권 2호 p.31 ~ 36
조윤수, 노민혜, 주소영, 서정훈,
소속 상세정보
조윤수 ( Cho Yoon-Soo ) - Hallym University College of Medicine Hangang Sacred Heart Hospital Department of Rehabilitation Medicine
노민혜 ( Noh Min-Hye ) - Hallym University College of Medicine Hangang Sacred Heart Hospital Department of Rehabilitation Medicine
주소영 ( Joo So-Young ) - Hallym University College of Medicine Hangang Sacred Heart Hospital Department of Rehabilitation Medicine
서정훈 ( Seo Cheong-Hoon ) - Hallym University College of Medicine Hangang Sacred Heart Hospital Department of Rehabilitation Medicine

Abstract


Purpose: Scar contracture influence the outcome of burn patients significantly. This study aims to investigate the feasibility of robot-assisted training for the lower extremity rehabilitation of burn patients.

Methods: This pilot study was conducted on 7 burn patients for 8 weeks between January 2019 and November 2019. Two of 7 patients withdrew from this study because one had skin abrasion on the legs which thigh fastening devices were applied on and the other was not participate in the assessment at 4 weeks after training. Final 5 patients received gait training with SUBAR? and numeric rating scale (NRS), 6-minutes walking test, and range of motion in flexion and extension of knee and ankle joint were evaluated before training, 4 weeks and 12 weeks after training.

Results: The subjects had a mean age of 51.8±98 years, mean total burn surface area of 30.8±13.7%, mean duration from injury to 1st assessment of 102.8±39.3 days. Anyone of 5 patients did not have musculoskeletal or cardiovascular side effects such as increased or decreased blood pressure or dizziness. The significant improvement in NRS, gait speed, and range of motion in knee extension and ankle plantarflexion after robotic training (all P<0.05).

Conclusion: Robot-assisted training could be feasible for the rehabilitation of burn patients and it could improve muscle strength and range of motion in lower extremities, and gait function.

키워드

Robot-assisted training; Rehabilitation; Scar contracture; Burns

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