Effect of robotic-assisted gait training on functional independence measure scores in patients with acquired brain injury: retrospective study.

IF 1.9 Q3 REHABILITATION
Frontiers in rehabilitation sciences Pub Date : 2025-05-26 eCollection Date: 2025-01-01 DOI:10.3389/fresc.2025.1575148
Andrea M Ethier, Luis A Escalante, Nathan West, Christina M Kwasnica
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Abstract

Introduction: Many individuals with acquired brain injury require inpatient rehabilitation services. Robotic devices, including robotic exoskeletons for gait training, have been shown to optimize rehabilitation efforts and functional outcomes. The purpose of this study was to investigate the effect of robotic-assisted gait training using the Ekso GT robotic-assisted gait training device (Ekso Bionics) on Functional Independence Measure (FIM) scores in patients with subacute acquired brain injuries.

Methods: This retrospective study assessed patients who participated in traditional physical therapy during an acute neurological rehabilitation stay; study group participants also received at least 3 robotic-assisted gait training sessions during their rehabilitation stay. Patient medical records were reviewed retrospectively to collect patient demographic and clinical data, including patient age and sex, admission date, acquired brain injury category, number of robotic-assisted gait training sessions and session details, length of stay, and admission and discharge FIM overall scores, as well as the scores for the gait, transfer, motor, and cognition FIM subscales. Change in FIM score was used as the primary outcome measure.

Results: The study group and the control group each included 56 patients (study group: 44 patients with cerebrovascular accident, 12 with traumatic brain injury; control group: 45 patients with cerebrovascular accident, 11 with traumatic brain injury). Summary statistics revealed similar characteristics between the groups in all areas except mean length of stay, which was significantly longer in the study group (P = 0.04) compared to the control group. Analysis of variance was used to assess the treatment effect between the study and control groups; no significant difference was found between the 2 groups in change in FIM scores between admission and discharge. Regression analysis showed a significant difference between the baseline and discharge scores in the study group for all 5 FIM categories assessed (overall, gait, transfer, motor, and cognition).

Discussion/conclusion: These results indicate that robotic walking devices, when used for gait training in patients with acquired brain injury, led to similar improvements in FIM scores compared with traditional gait training. No negative effects were observed associated with the use of this robotic walking device in patients recovering from acquired brain injury.

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Abstract Image

机器人辅助步态训练对后得性脑损伤患者功能独立性测量评分的影响:回顾性研究。
许多个体获得性脑损伤需要住院康复服务。机器人设备,包括用于步态训练的机器人外骨骼,已被证明可以优化康复效果和功能结果。本研究的目的是探讨使用Ekso GT机器人辅助步态训练装置(Ekso Bionics)进行机器人辅助步态训练对亚急性获得性脑损伤患者功能独立测量(FIM)评分的影响。方法:本回顾性研究评估了急性神经康复住院期间接受传统物理治疗的患者;研究组的参与者在康复期间还接受了至少3次机器人辅助的步态训练。回顾性回顾患者医疗记录,收集患者人口统计学和临床数据,包括患者年龄和性别、入院日期、获得性脑损伤类别、机器人辅助步态训练次数和训练细节、住院时间、入院和出院FIM总得分,以及步态、转移、运动和认知FIM亚量表的得分。FIM评分的变化作为主要的结局指标。结果:研究组与对照组各56例,其中研究组脑血管意外44例,外伤性脑损伤12例;对照组:脑血管意外45例,外伤性脑损伤11例。综合统计结果显示,除了平均住院时间外,各组在各方面的特征相似,研究组的平均住院时间明显长于对照组(P = 0.04)。采用方差分析来评价研究组与对照组之间的治疗效果;两组患者入院与出院时FIM评分变化无显著差异。回归分析显示,研究组所有5个FIM类别评估(总体、步态、转移、运动和认知)的基线和出院评分之间存在显著差异。讨论/结论:这些结果表明,与传统的步态训练相比,机器人步行装置用于获得性脑损伤患者的步态训练,可以使FIM评分得到类似的改善。在后获得性脑损伤患者中使用该机器人行走装置未观察到相关的负面影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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