Excellent Case 1.
National Health Insurance Service Ilsan Hospital-Morning Walk (Jointly developed by Hyundai Heavy Industries/Seoul Asan Medical Center)
The National Health Insurance Service Ilsan Hospital has promoted the yearly introduction and utilization of rehabilitation robots for the patients of stoke, spinal injury, youth's cerebral palsy, Parkinson's disease, and geriatric sacropenia due to chronic wasting disease by the year 2019 from 2016. The Ilsan Hospital has led the improvement in the function of rehabilitation robot through various verification works. Especially, the Ilsan Hospital plans to identify safety and problem at the time of walking robot treatment with a type of End Effector and to promote the improvement activity continuously with manufacturers of robots.
Last year, the Ilsan Hospital was selected for a robot utilizing institution of the distribution business for medical rehabilitation robot. Since September in last year, the Ilsan Hospital has performed tests for the function targeting patients after the introduction of a rehabilitation robot so called 'Morning Walk'. Patients of utilization target are total 109 people of hemiparalysis and diplegia due to stroke(59), paralysis on lower and upper limbs due to spinal injury(29), pediatric cerebral palsy(14), Parkinson's disease (3), Guillain-Barre Syndrome(3), and progressive muscular dystrophy (1). Monthly use hours and number of patients have been maintained for a continuous increase.

▲(Left)'Morning Walk' installed in Robot Walking Treatment Room in Ilsan Hospital
(Right) Appearance of Actual Use of Morning Walk installed in National Rehabilitation Center
In order to evaluate the business performance of walking rehabilitation robot, it is important to inspect and evaluate the target values such as use hours of walking rehabilitation robot, patient's satisfaction, and therapist's satisfaction. In order for the survey on the satisfaction for the rehabilitation robot treatment, the Ilsan Hospital has prepared evaluation sheets targeting patients and therapists and proceeded an evaluation work.
The Ilsan Hospital plans to gather strength to deduce the matters to improve robots based on the use status of rehabilitation robots during the first fiscal year of the business for robot distribution. The Ilsan Hospital has continued the improvement, correction and supplementation works for the problems through the periodic team conferences for more than once a month with the participation from doctors of rehabilitation medicine, exclusive therapists and manufactures. The treatment by rehabilitation robot is not always successful. There were cases of stopping robot treatment by some stroke patients in the middle of treatment who showed low recognition and low concentration. Some patients of spinal injury stopped robot treatment as a phenomena of low proprioception and unstable ankle joint had occurred. Such cases have been utilized for significant data to improve utilization measures of rehabilitation robots.