Impact of exoskeleton robots on walking ability and gait biomechanics in patients with subacute hemiplegia

Liu Long; He Wanjun; Tian Xuefeng

doi:10.11986/j.issn.1673-873X.2024.S1.15

Abstract：Objective To investigate the effects of exoskeleton robot-assisted rehabilitation training on walking ability and gait biomechanics in stroke patients with subacute hemiplegia.Methods Sixty patients with subacute hemiplegia after stroke ad-mitted to The First People's Hospital of Aksu Prefecture from January 2022 to December 2023 were selected and randomly assigned to a control group and an observation group,with 30 cases each.The control group received traditional manual weight reduction training,while the observation group underwent exoskeleton robot-assisted challenge-based gait training.The Fugl-Meyer Assessment(FMA),Berg Balance Scale(BBS),Functional Ambulation Category(FAC),Manual Muscle Testing(MMT),modified Ashworth scale(MAS),and Activities of Daily Living(ADL)were compared between the two groups.Results The FMA,BBS,MMT,and ADL scores in the observation group were significantly higher than those in the control group(P<0.05).The MAS score in the observation group was significantly lower than that in the control group(P<0.05).The FAC grade in the observation group was significantly superior to that in the control group(P<0.05).Conclusion The application of exoskeleton robots in patients with subacute hemiplegia significantly improves walking abili-ty,manifested as enhanced motor and balance functions.Additionally,it strengthens muscle strength,reduces spasticity through neurological remodeling,and optimizes capacity for activities of daily living.