Publications by authors named "Shingo Taki"

Robot-assisted gait training is effective for walking independence in stroke rehabilitation, the hybrid assistive limb (HAL) is an example. However, gait training with HAL may not be effective for everyone, and it is not clear who is not expected to benefit. Therefore, we aimed to identify the characteristics of stroke patients who have difficulty gaining benefits from gait training with HAL.

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Introduction: The effect of early initiation of gait training using hybrid assistive limb (HAL) remains unclear. This observational study aimed to investigate whether early initiation of gait training using HAL improves functional outcomes in patients with stroke.

Methods: We retrospectively analyzed patients with acute stroke admitted to our facility.

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The Hybrid Assistive Limb (HAL) is used in training to improve walking ability for stroke patients; however, the quality of the evidence for its effects has not been fully critiqued to date. This study conducted a systematic review of randomized controlled trials to investigate the effectiveness of post-stroke gait training with the HAL. PubMed, the Cochrane Library, the Physiotherapy Evidence Database (PEDro), and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) were searched for randomized controlled clinical trials evaluating the effect of HAL on gait training in stroke patients, published from the inception of each database until March 2021.

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Article Synopsis
  • The study investigates which stroke patients benefit most from robot-assisted upper limb rehabilitation, specifically using the hybrid assistive limb (HAL-SJ) technology.
  • Using a machine learning method called the CHAID model, researchers identified key factors like age, sex, and cognitive function that predict a patient's improvement in upper limb function after therapy.
  • Results showed that the initial Fugl-Meyer Upper Extremity Evaluation score was the best predictor of improvement, with the model achieving high accuracy, suggesting early intervention in patients with moderate dysfunction leads to better outcomes.
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Assistive exoskeleton robots are being widely applied in neurorehabilitation to improve upper-limb motor and somatosensory functions. During robot-assisted exercises, the central nervous system appears to highly attend to external information-processing (IP) to efficiently interact with robotic assistance. However, the neural mechanisms underlying this process remain unclear.

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Article Synopsis
  • The study investigates the impact of different frequencies of using the single-joint hybrid assistive limb (HAL-SJ) on recovery of upper limb motor function and daily living activities in stroke patients.
  • Patients were divided into high and low frequency use groups, and improvements were assessed after 30 days, showing that high-frequency users had better results in specific motor functions and daily living assessments.
  • However, frequent use of the HAL-SJ didn’t significantly increase the number of patients achieving clinically meaningful improvements, suggesting that while frequency may aid recovery, it doesn't guarantee better outcomes for everyone.
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Purpose: There is limited evidence of gait training using newly developed exoskeletal lower limb robot called Hybrid Assistive Limb (HAL) on the function and ability to perform ADL in stroke patients. In clinical settings, we frequently find it challenging to conduct a randomized controlled trial; thus, a large-scale observational study using propensity score analysis methods is a feasible alternative. The present study aimed to determine whether exoskeletal lower limb robot training improved the ability to perform ADL in stroke patients.

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Purpose: Previous studies have suggested that upper limb rehabilitation using therapeutic robots improves motor function of stroke patients. However, the effect of upper limb robotic rehabilitation on improving functioning in activities of daily living (ADL) remains unclear. The present study aimed to determine whether upper limb rehabilitation using single joint Hybrid Assistive Limb (HAL-SJ) affects ADL function and the use of a hemiparetic arm in ADLs of acute stroke patients.

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