外骨骼机器人训练对脊髓损伤患者下肢功能的影响：一项系统综述。
The use of exoskeleton robotic training on lower extremity function in spinal cord injuries: A systematic review.
作者信息
Moriarty Brian, Jacob Thomas, Sadlowski Max, Fowler Michael, Rowan Colten, Chavarria Joseph, Avramis Ioannis, Rizkalla James
机构信息
Baylor University Medical Center, Department of Orthopaedics, Dallas, TX, USA.
Texas A&M School of Medicine, Texas A&M University Health Science Center, Bryan, TX, USA.
出版信息
J Orthop. 2024 Oct 30;65:1-7. doi: 10.1016/j.jor.2024.10.036. eCollection 2025 Jul.
OBJECTIVE
To perform a systematic review of the utility of exoskeleton robotic therapy on lower extremity recovery in Spinal Cord Injury (SCI) patients.
METHODS
We used the Embase, Cochrane, and PubMed databases and searched from to December 2023 for studies on exoskeleton robotic assist devices used in working with SCI patients. Only articles published in English were evaluated, and the retrieved articles were screened via our inclusion/exclusion criteria. We conducted our meta-analysis with the Cochrane Review Manager 5.4 (RevMan) software.
RESULTS
Eleven randomized clinical trials (RCTs) involving total participants were included in the meta-analysis. The results of the meta-analysis indicated statistically significant improvement in WISCII and 6MWT in patients with SCI as compared to conventional gait training (CGT) therapy. : Robotic Therapy could improve ambulation/quality of life in patients with spinal cord injuries compared to the standard treatment only, but future studies should include additional measures addressing quality of life and patient satisfaction.
目的
对脊髓损伤（SCI）患者下肢恢复中使用外骨骼机器人疗法的效用进行系统评价。
方法
我们使用了Embase、Cochrane和PubMed数据库，检索了截至2023年12月关于与SCI患者合作使用的外骨骼机器人辅助设备的研究。仅评估以英文发表的文章，并通过我们的纳入/排除标准对检索到的文章进行筛选。我们使用Cochrane系统评价管理软件5.4（RevMan）进行荟萃分析。
结果
荟萃分析纳入了11项涉及[具体总参与者数量]名参与者的随机临床试验（RCT）。荟萃分析结果表明，与传统步态训练（CGT）疗法相比，SCI患者的WISCII和6MWT有统计学上的显著改善。结论：与仅采用标准治疗相比，机器人疗法可改善脊髓损伤患者的步行能力/生活质量，但未来的研究应纳入更多针对生活质量和患者满意度的测量指标。
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