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新型可穿戴机器人辅助运动对行动不便患者康复训练的可行性。

Feasibility of rehabilitation training with a newly developed wearable robot for patients with limited mobility.

机构信息

Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan.

出版信息

Arch Phys Med Rehabil. 2013 Jun;94(6):1080-7. doi: 10.1016/j.apmr.2012.12.020. Epub 2013 Jan 10.

Abstract

OBJECTIVE

To investigate the feasibility of rehabilitation training with a new wearable robot.

DESIGN

Before-after clinical intervention.

SETTING

University hospital and private rehabilitation facilities.

PARTICIPANTS

A convenience sample of patients (N=38) with limited mobility. The underlying diseases were stroke (n=12), spinal cord injuries (n=8), musculoskeletal diseases (n=4), and other diseases (n=14).

INTERVENTIONS

The patients received 90-minute training with a wearable robot twice per week for 8 weeks (16 sessions).

MAIN OUTCOME MEASURES

Functional ambulation was assessed with the 10-m walk test (10MWT) and the Timed Up & Go (TUG) test, and balance ability was assessed with the Berg Balance Scale (BBS). Both assessments were performed at baseline and after rehabilitation.

RESULTS

Thirty-two patients completed 16 sessions of training with the wearable robot. The results of the 10MWT included significant improvements in gait speed, number of steps, and cadence. Although improvements were observed, as measured with the TUG test and BBS, the results were not statistically significant. No serious adverse events were observed during the training.

CONCLUSIONS

Eight weeks of rehabilitative training with the wearable robot (16 sessions of 90min) could be performed safely and effectively, even many years after the subjects received their diagnosis.

摘要

目的

探讨新型可穿戴机器人康复训练的可行性。

设计

前后临床干预。

地点

大学医院和私人康复机构。

参与者

患有运动障碍的患者(N=38)。基础疾病为中风(n=12)、脊髓损伤(n=8)、肌肉骨骼疾病(n=4)和其他疾病(n=14)。

干预

患者每周接受两次,每次 90 分钟的可穿戴机器人训练,共 8 周(16 次)。

主要观察指标

10 米步行测试(10MWT)和计时起立行走测试(TUG)评估功能性步行能力,Berg 平衡量表(BBS)评估平衡能力。所有评估均在基线和康复后进行。

结果

32 例患者完成了 16 次可穿戴机器人训练。10MWT 的结果包括步速、步数和步频的显著改善。尽管 TUG 测试和 BBS 测量结果有所改善,但无统计学意义。在训练过程中未观察到严重不良事件。

结论

即使在患者确诊多年后,每周接受 2 次、每次 90 分钟、共 16 次的可穿戴机器人康复训练 8 周是安全有效的。

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