The effect of an end-effector type of robot-assisted gait training on patients with Guillain-Barre syndrome: a cross-sectional study

Seung Yeon Rhee,Hara Jeon,Seong Woo Kim,June Sung Lee

doi:10.12688/f1000research.26246.1

Seung Yeon Rhee, Hara Jeon + Show 2 more

Open Access

https://doi.org/10.12688/f1000research.26246.1

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Abstract

Background: Guillain-Barre syndrome (GBS) is a peripheral nerve injury caused by a post-infectious immune response. Although the prognosis of GBS is relatively good, some patients have severe impairments, such as walking disabilities. Robot-assisted gait training (RAGT) is used to improve gait function in various neurologic disorders; however, no studies have reported its effectiveness in GBS patients. We aimed to evaluate the effect of gait training using an end-effector type robotic device on GBS patients. Methods: This was a retrospective study of patients diagnosed with GBS who received RAGT using Morning Walk® at an inpatient department. The main outcome measures evaluated before and after RAGT were: Medical Research Council scale, Functional Ambulation Categories, Modified Barthel Index score, Rivermead Mobility Index, and 2-minute walk test. Results: In total, 15 patients underwent RAGT 24 times. The mean age was 55.7 (±15.3) years and the average time from onset was 3.9 (±3.6) months. When compared to the baseline, all outcome measures associated with gait function were improved after RAGT. Conclusions: RAGT can improve walking ability in GBS patients. RAGT can be considered as one gait training tool to recover gait function in GBS patients.

Highlights

Guillain-Barre syndrome (GBS), known acute inflammatory demyelinating polyneuropathy, is a rapid-onset immunemediated polyradiculopathy involving sensory, motor, and autonomic nerves[1,2]
Sixteen patients diagnosed with GBS underwent Robot-assisted gait training (RAGT) using Morning Walk®
Compared to the baseline measurements, all the outcome measures were improved after Morning Walk®-assisted gait training

Summary

Introduction

Guillain-Barre syndrome (GBS), known acute inflammatory demyelinating polyneuropathy, is a rapid-onset immunemediated polyradiculopathy involving sensory, motor, and autonomic nerves[1,2]. The most common cause of GBS is post-infectious aberrant immune response that results from peripheral nerve injury. The clinical manifestations of GBS can range from mild muscle weakness to complete muscle paralysis, which may lead to severe impairment in walking ability and cause functional deficits[1,2,3]. Guillain-Barre syndrome (GBS) is a peripheral nerve injury caused by a post-infectious immune response. Robot-assisted gait training (RAGT) is used to improve gait function in various neurologic disorders; no studies have reported its effectiveness in GBS patients. Conclusions: RAGT can improve walking ability in GBS patients. RAGT can be considered as one gait training tool to recover gait function in GBS patients

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