Improvement of quality of life after 2-month exoskeleton training in patients with chronic spinal cord injury.

IF 3 2区地球科学 Q1 GEOCHEMISTRY & GEOPHYSICS

Geophysics Pub Date : 2024-05-01 Epub Date: 2022-04-04 DOI:10.1080/10790268.2022.2052502

Ilse J W van Nes, Rosanne B van Dijsseldonk, Frank H M van Herpen, Hennie Rijken, Alexander C H Geurts, Noël L W Keijsers

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引用次数: 0

Abstract

Objective: To examine changes in quality of life (QoL) after an eight-week period of robotic exoskeleton training in a homogeneous group of patients with chronic complete spinal cord injury (SCI).

Design: Prospective single-group pre-post study.

Setting: Rehabilitation center.

Participants: Patients with a chronic (>6 months) motor complete SCI (T1-L1).

Intervention: Twenty-four training sessions with the ReWalk exoskeleton over an eight-week period.

Main outcome measure: QoL, assessed with the sum score of the Short Form-36 with Walk Wheel modification (SF-36ww). Secondary outcome measures were the eight SF-36ww subdomains, satisfaction with bladder and bowel management, lower extremity joint passive range of motion (pROM), and lower extremity spasticity.

Results: Twenty-one participants completed the training. QoL significantly improved after the training period (average SF-36 sum score 621 ± 90) compared to baseline (571 ± 133) (t(20)=-2.5, P=.02). Improvements were seen on the SF-36ww subdomains for pain (P=.003), social functioning (P=.03), mental health (P=.02), and general health perception (P=.01). Satisfaction with bladder management (range 1-5) improved from median 3 at baseline to 4 after exoskeleton training (P=0.01). No changes in satisfaction with bowel management (P=.11), pROM (hip-extension (P=.49), knee-extension (P=.36), ankle dorsiflexion (P=.69)), or spasticity (P=.94) were found.

Conclusion: Even in patients with chronic motor complete SCI and a relatively high level of QoL at baseline, a short-term exoskeleton training improved their QoL, pain and satisfaction with bladder management; findings that warrant further controlled studies in this specific SCI population.

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慢性脊髓损伤患者经过两个月的外骨骼训练后生活质量得到改善。

目的研究慢性完全性脊髓损伤（SCI）患者在接受为期八周的机器人外骨骼训练后生活质量（QoL）的变化：设计：前瞻性单组前后研究：康复中心：干预措施：使用 ReWorks 进行 24 次训练：干预措施：在为期八周的时间内使用 ReWalk 外骨骼进行 24 次训练：主要结果测量指标：QoL，用SF-36轮椅行走改良简表（SF-36ww）的总分进行评估。次要结果指标为SF-36ww的八个子域、膀胱和肠道管理满意度、下肢关节被动活动范围（pROM）和下肢痉挛：结果：21 名参与者完成了培训。与基线分数（571 ± 133）相比，训练期结束后 QoL（平均 SF-36 总分 621 ± 90）明显改善（t(20)=-2.5，P=.02）。疼痛（P=.003）、社会功能（P=.03）、心理健康（P=.02）和总体健康感知（P=.01）的 SF-36ww 子域均有改善。膀胱管理满意度（范围 1-5）从基线时的中位数 3 提高到外骨骼训练后的 4（P=0.01）。对排便管理的满意度（P=.11）、pROM（髋关节伸展（P=.49）、膝关节伸展（P=.36）、踝关节背屈（P=.69））或痉挛（P=.94）均无变化：结论：即使是慢性运动性完全性 SCI 患者和基线 QoL 水平相对较高的患者，短期外骨骼训练也能改善他们的 QoL、疼痛和对膀胱管理的满意度；这些发现值得在这一特定 SCI 群体中开展进一步的对照研究。

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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来源期刊

Geophysics 地学-地球化学与地球物理

CiteScore

6.90

自引率

18.20%

发文量

354

审稿时长

3 months

期刊介绍： Geophysics, published by the Society of Exploration Geophysicists since 1936, is an archival journal encompassing all aspects of research, exploration, and education in applied geophysics. Geophysics articles, generally more than 275 per year in six issues, cover the entire spectrum of geophysical methods, including seismology, potential fields, electromagnetics, and borehole measurements. Geophysics, a bimonthly, provides theoretical and mathematical tools needed to reproduce depicted work, encouraging further development and research. Geophysics papers, drawn from industry and academia, undergo a rigorous peer-review process to validate the described methods and conclusions and ensure the highest editorial and production quality. Geophysics editors strongly encourage the use of real data, including actual case histories, to highlight current technology and tutorials to stimulate ideas. Some issues feature a section of solicited papers on a particular subject of current interest. Recent special sections focused on seismic anisotropy, subsalt exploration and development, and microseismic monitoring. The PDF format of each Geophysics paper is the official version of record.