556 KB28 KB200820252015Bizovičar, NatašaFreitag, Tinaletnik:14številka:2str. 63-69ISSN:1580-9315COBISSID:2115433URN:URN:NBN:SI:doc-YOG6SX8OslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)E-go robotic devicefizioterapijaGaithojamožganska kapPhysical Therapy Modalitiesphysiotherapyrehabilitacijarehabilitationrobotska naprava E-goStrokevocational rehabilitationPrikaz treh primerov vadbe hoje z napravo E-go pri osebah po preboleli možganski kapi| Three clinical cases of training with E-go device in patients after stroke|Introduction: Balance and walking ability are often affected in patients after stroke. Engineers at the University Rehabilitation Institute in Ljubljana developed a prototype of a device for dynamic balance training during over-ground walking (E-go). The E-go device comprises a mobile platform attached to the supporting mechanism that enables adjustable mechanical pelvis support in the transversal plane. The speed and direction of the E-go device is controlled by the therapist. The aim of the study was to evaluate the usefulness and effectiveness of the E-go device in patients after stroke. Methods: The study included three patients: a 49- in and a 55-year-old female (1 month and 5 months after intracerebral haemorrhage, respectively) who underwent gait training for 3 weeks with the E-go device, followed by 3 weeks of gait training within regular physiotherapy programmes. A 65-year-old man (6 months after ischaemic stroke) underwent gait training first within regular physiotherapy programmes and then with the E-go device (both for 3 weeks). We assessed walking ability, balance and lower limb function with various clinical tests: Fugl-Meyer Assessment for lower extremity, Berg Balance Scale, Functional Ambulation Classification, Postural Assessment Scale for Stroke patients and Romberg%s test. Results: After 6 weeks of training, all the patients improved their walking distance, walking speed and balance. The first female patient and the male patient also had better results on the Fugl-Meyer Assessment for lower extremity, but there were no differences for the second female patient. Conclusions: The use of the E-go device was a useful method in one of the female patients and the male patient, improving their walking and balance function. Due to pronounced hemiparesis, training with the E-go device was not appropriate for the second female patient % it was difficult for the therapist to control the device and to guide the patient during walking at the same timeIzhodišče: Pri bolnikih po preboleli možganski kapi (MK) je pogosto okvarjena funkcija hoje in ravnotežja. Inženirji na Univerzitetnem rehabilitacijskem inštitutu Republike Slovenije (URI-Soča) so razvili prototip naprave za urjenje dinamičnega ravnotežja med hojo (E-go). E-go je mobilna platforma, na katero je nameščen mehanizem, ki omogoča nastavljivo mehansko podporo medenice v transverzalni ravnini. Hitrost in smer gibanja naprave določa fizioterapevt preko ročnega krmilnega modula. S študijo primerov smo želeli oceniti uporabnost in učinkovitost naprave E-go pri bolnikih po MK. Metode: V raziskavo smo vključili tri bolnike: 49-letna in 55-letna bolnica (prva en mesec po znotrajmožganski krvavitvi, druga pet mesecev po znotrajmožganski krvavitvi) sta vadili hojo prve tri tedne z napravo E-go in nato tri tedne z običajno fizioterapevtsko obravnavo. 65-letni bolnik (šest mesecev po ishemični MK) je najprej tri tedne vadil hojo z običajno FTH obravnavo, nato pa tri tedne z E-go. Funkcijo hoje, ravnotežje in funkcijo spodnjega uda smo ocenili s testi: Fugl-Meyer Assessment za oceno funkcije spodnjega uda, Bergova lestvica za oceno ravnotežja, Lestvica Functional Ambulation Classification, Lestvica ocenjevanja drže pri bolnikih po možganski kapi in Rombergov test. Rezultati: Po zaključeni šesttedenski vadbi se je pri vseh bolnikih izboljšala prehojena razdalja, hitrost hoje in ravnotežje. Pri prvi bolnici in bolniku se je izboljšala tudi ocena z lestvico Fugl-Meyer Assessment za oceno funkcije spodnjega uda, pri drugi bolnici pa ni bilo sprememb. Zaključek: Uporaba naprave E-go se je pri prvi bolnici in bolniku izkazala za uspešno metodo, saj je prišlo do znatnega izboljšanja funkcije hoje in ravnotežja. Pri drugi bolnici se zaradi težke hemipareze tovrstna vadba ni izkazala za primerno, saj je bilo pri vadbi s strani terapevta oteženo sočasno nadziranje naprave in usmerjanje bolnice pri hojiTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča