뇌졸중환자에서 로봇보조 보행치료 후 뇌가소성 - 증례보고

• 영문명: Neuroplasticity Induced by Robot-assisted Gait Training in a Stroke Patient -A case report-
• 발행기관: 개인저작물
• 저자명: 유지성(Ji Sung Yoo) 박창현(Chang-hyun Park) 하현근(Hyun-Geun Ha) 신희준(Hee Joon Shin) 허정필(Jung Phil Huh) 김연희(Yun-Hee Kim)
• 간행물 정보: 『개인저작물 - 의학』Brain NeuroRehabilitation Vol.1 No.1, 29~34쪽, 전체 6쪽
• 주제분류: 의약학 > 개인저작물
• 파일형태: PDF
• 발행일자: 2008.03.01

영문 초록

In this case study, we investigated the effects of robot-assisted gait training on the plasticity of motor system in a stroke patient using functional MRI. A patient who suffered from the left hemiparesis following the right MCA infarction performed gait training with a robot-assisted gait orthosis. Before and after gait training, motor performances were assessed and functional MRIs were acquired with motor activation task of affected lower limb. After gait training with a robot-assisted orthosis, the patient’s motor performances were improved and cortical activities were changed. Activation in the ipsilesional primary sensorimotor cortex was increased and cortical reorganization was induced in a way that nearby regions were recruited for the movement of affected lower limb. The results of this study showed that gait training with a robot-assisted orthosis induced cortical reorganization of the motor network that resulted in enhancement of motor performance of the lower limb.

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키워드

reorganization robot-assisted gait training stroke