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KMID : 1024720220120010046
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Geriatric Rehabilitation
2022 Volume.12 No. 1 p.46 ~ p.52
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Effectiveness of Robotic Exoskeleton-assisted Gait Training in a Patient with Guillain-Barre Syndrome: A Case Report
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Mun Bo-Ra
Jang Yun-Chol
Kim San-Ha
Jeong Won-Hyeong
Park Hyeng-Kyu
Song Min-Keun
Choi In-Sung
Han Jae-Young
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Abstract
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An 80-year-old man diagnosed with Guillain-Barre syndrome (GBS) 8 years ago visited our clinic. He complained of gait disturbance with motor weakness and postural instability. Muscle strength of both lower limbs was good grade. He walked independently under supervision, but had difficulty walking a long distance. Eight weeks of robotic rehabilitation using powered robotic exoskeleton-assisted gait training (REGT) was programed for the patient. The REGT program consisted of sit-to-stand exercise, stand-to-sit exercise, and over-ground walking on a flat hallway. After 8 weeks of training, the patient showed improved balance function in three-dimensional dynamic posturography and kinematic gait patterns. Although energy cost and energy efficiency aggravated 4 weeks after the training, the exoskeletal gait training may be beneficial for improving balance function and kinematic gait pattern in GBS patients.
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KEYWORD
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Guillain-Barre syndrome, Exoskeleton, Gait training, Cardiopulmonary function
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