比较外骨骼辅助行走与亚急性非创伤性脑损伤患者标准护理的回顾性病例对照研究

IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY
Jenna Tosto-Mancuso, Gabriela Rozanski, Nehal Patel, E. Breyman, Sophie Dewil, O. Jumreornvong, D. Putrino, Laura Tabacof, M. Escalón, M. Cortes
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引用次数: 0

摘要

背景:越来越多的先进技术被用于解决神经损伤后的行动障碍,越来越多的证据表明这些技术对不同人群都有益处。然而,某些机器人设备尚未在特定条件下得到广泛研究,从而限制了对医疗保健最佳应用的了解。目的:比较传统步态训练与外骨骼辅助行走对非创伤性脑损伤早期康复的有效性。方法:通过回顾性病例对照设计获得入院和出院时的临床评估数据。患者接受标准理疗,或使用 Ekso GT,或不使用 Ekso GT。进行组内或组间统计检验,以确定随时间推移的变化和干预差异。结果:该研究分析了 49 名患者(33% 为女性),其中 20 名对照组和 29 名 Ekso 参与者的基线相同。两组的功能独立性测量得分和行走能力均有所提高(p < .00001 和 p < .001)。对照组受试者出院时的行走距离和辅助水平值与使用外骨骼治疗的受试者有明显差异(p < .01)。结论:机器人运动对于非创伤性脑损伤后的亚急性功能恢复并无劣势。传统疗法在住院期间的步态表现收益更大。需要进一步研究了解影响疗效的具体因素以及康复后的长期影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retrospective case-control study to compare exoskeleton-assisted walking with standard care in subacute non-traumatic brain injury patients
BACKGROUND: Advanced technologies are increasingly used to address impaired mobility after neurological insults, with growing evidence of their benefits for various populations. However, certain robotic devices have not been extensively investigated in specific conditions, limiting knowledge about optimal application for healthcare. OBJECTIVE: To compare effectiveness of conventional gait training with exoskeleton-assisted walking for non-traumatic brain injury during early stage rehabilitation. METHODS: Clinical evaluation data at admission and discharge were obtained in a retrospective case-control design. Patients received standard of care physical therapy either using Ekso GT or not. Within- or between-group statistical tests were performed to determine change over time and interventional differences. RESULTS: This study analyzed forty-nine individuals (33% female), 20 controls and 29 Ekso participants who were equivalent at baseline. Both groups improved in Functional Independence Measure scores and ambulation ability (p < .00001 and p < .001, respectively). Control subjects demonstrated significantly different distance walked and assistance level values at discharge from those who were treated with the exoskeleton (p < .01). CONCLUSION: Robotic locomotion is non-inferior for subacute functional recovery after non-traumatic brain injury. Conventional therapy produced larger gait performance gains during hospitalization. Further research is needed to understand specific factors influencing efficacy and the long-term implications after rehabilitation.
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来源期刊
NeuroRehabilitation
NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION
CiteScore
3.20
自引率
0.00%
发文量
178
审稿时长
6-12 weeks
期刊介绍: NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.
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