Objective:Although studies on the efficacy of the rehabilitation robot are increasing, there are few reports using the robot for gait training in the actual clinical setting. This study aimed to investigate the effectiveness of gait training using Welwalk in hemiparetic stroke patients in a real clinical setting. Materials and Methods: This prospective study included 36 hemiparetic stroke patients who underwent gait training using Welwalk. We examined the walking ability improvement efficiency using Functional Independence Measure (FIM)-walk as the primary outcome, which was compared with that of 36 patients (matched control group) who underwent conventional rehabilitation. Other outcomes were the actual gait training period using Welwalk, raw FIM-walk score, lower extremity motor functions score in Stroke Impairment Assessment Set at discharge, and duration from stroke onset until discharge. Results: The improvement efficiency of the FIM-walk was significantly higher in the Welwalk group than in the matched control group (control 0.48 ± 0.31, Welwalk 0.80 ± 0.38, p-value < 0.001). The mean gait training period using Welwalk was 5 weeks. No significant differences were found in other outcomes between the Welwalk group and the matched control group. Conclusion: This study demonstrated the effectiveness of gait training using Welwalk on the improvement efficiency of the FIM-walk in hemiparetic stroke patients in an actual clinical setting.

目的：尽管对康复机器人功效的研究不断增加，但在实际临床环境中使用该机器人进行步态训练的报道很少。这项研究旨在探讨在实际临床环境中，使用Welwalk对半身卒中患者进行步态训练的有效性。材料和方法：这项前瞻性研究纳入了36名使用Welwalk进行步态训练的中风偏瘫患者。我们以功能独立性测量（FIM）-步行作为主要结局，检查了步行能力的提高效率，并将其与36例接受常规康复的患者（配对对照组）进行了比较。其他结局包括使用Welwalk进行的实际步态训练时间，原始FIM-walk评分，出院时卒中障碍评估集中的下肢运动功能评分以及从中风发作到出院的持续时间。结果：Welwalk组的FIM-walk改善效率显着高于配对对照组（对照组0.48±0.31，Welwalk 0.80±0.38，p值<0.001）。使用Welwalk进行的平均步态训练时间为5周。在Welwalk组和配对对照组之间，其他结局无明显差异。结论：本研究证明了在实际临床环境中，使用Welwalk进行步态训练对改善偏瘫中风患者FIM-walk效率的有效性。