ExoBand,一种作为神经肌肉患者行走辅助工具的无源可穿戴设备:首次定量评估。

IF 3.2 4区 医学 Q2 CLINICAL NEUROLOGY
Claudio Semplicini, Michela Agostini, Cinzia Andrigo, Stefano Masiero, Francesco Piccione, Gianni Sorarù
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引用次数: 0

摘要

目标:Exoband(由意大利帕多瓦 Moveo 公司生产)具有行走支架的功能,它由一条腰带和两个腿环组成,通过一种机制连接起来,在步态周期的初始阶段储存能量,并在随后的阶段释放能量。这可以增强髋屈肌的推力,从而改善患有近端无力症的人的行走功能。它已被批准作为一种被动式可穿戴设备,用于治疗行走能力受损的患者。本研究的目的是制定一套方案,评估 Exoband 在各种神经肌肉疾病患者中的使用情况:这项探索性回顾研究包括连续诊断出患有神经肌肉疾病(CIDP、运动性多发性神经病、MND)、近端受累和步态异常的患者。评估方案包括与步行相关的特定结果测量,即 10 米步行测试 (10mWT)、定时行走测试 (TUG) 和 2 分钟步行测试 (2MWT)。评估在标准条件下使用或不使用 Exoband 进行:八名患者(六名男性,年龄在 60-78 岁之间)接受了测试。通过非参数 Wilcoxon 检验,10 米步行测试(中位数 13.4 秒,IQR 12.0-15.7 vs. 12.2 秒,IQR 11.3-14.2 秒,p < 0.05)和 TUG(14.0 秒,IQR 13-16.2 vs. 13.35 秒,IQR 11-13.8; p < 0.05)的速度有所提高,2MWT(中位数 88.2 vs. 92.6 米,n.s.)也有提高趋势。8名患者中有6名在首次使用时就报告了主观获益,包括行走稳定性、速度、信心和疲劳感的改善:我们的方案对 Exoband 对步态异常的神经病患者的作用进行了量化评估。我们有必要进行进一步研究,以评估定期使用 Exoband 的长期效果、其对特定神经肌肉疾病的疗效以及其作为康复设备的潜在作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ExoBand, A Passive Wearable Device as a Walking Aid in Neuromuscular Patients: First Quantitative Assessment.

Objective: Exoband (by Moveo, Padova, Italy) functions as a walking brace, comprising a belt and two leg loops connected by a mechanism that stores energy during the initial phase of the gait cycle and releases it in the subsequent phase. This enhances hip flexor thrust, leading to functional improvement in walking for individuals with conditions characterized by proximal weakness. It has been approved as a passive wearable device for individuals with impaired walking abilities. Objective of this study was to establish a protocol to assess the use of Exoband in patients with various neuromuscular disorders.

Methods: This exploratory retrospective study includes consecutive patients diagnosed with neuromuscular disorders (CIDP, motor polyneuropathy, MND), exhibiting a proximal involvement and gait abnormalities. The evaluation protocol incorporated specific walking-related outcome measures, the 10-meter walk test (10mWT), Time-up-and-go test (TUG), and 2-minute walking test (2MWT). The assessments were conducted both with and without the Exoband under standard conditions.

Results: Eight patients (6 males, aged 60-78 years) were tested. An increase in velocity was observed in the 10mWT (median 13.4 sec, IQR 12.0-15.7 vs. 12.2 sec, IQR 11.3-14.2 seconds, p < 0.05) and the TUG (14.0 sec, IQR 13-16.2 vs 13.35 sec, IQR 11-13.8; p < 0.05, by non-parametric Wilcoxon test), and a trend of increase in 2MWT (median 88.2 vs 92.6 m, n.s.). Six out of 8 patients reported subjective benefits from the very first use, including improved walking stability, speed, confidence, and reduced fatigue.

Conclusions: Our protocol provides a quantitative assessment of Exoband usefulness for patients affected by neuropathies with gait abnormalities. Further investigations are warranted to assess the long-term effects of its regular Exoband use, its efficacy in specific neuromuscular diseases, and its potential role as a rehabilitation device.

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来源期刊
Journal of neuromuscular diseases
Journal of neuromuscular diseases Medicine-Neurology (clinical)
CiteScore
5.10
自引率
6.10%
发文量
102
期刊介绍: The Journal of Neuromuscular Diseases aims to facilitate progress in understanding the molecular genetics/correlates, pathogenesis, pharmacology, diagnosis and treatment of acquired and genetic neuromuscular diseases (including muscular dystrophy, myasthenia gravis, spinal muscular atrophy, neuropathies, myopathies, myotonias and myositis). The journal publishes research reports, reviews, short communications, letters-to-the-editor, and will consider research that has negative findings. The journal is dedicated to providing an open forum for original research in basic science, translational and clinical research that will improve our fundamental understanding and lead to effective treatments of neuromuscular diseases.
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