两名运动性完全四肢瘫痪患者的地面机器人外骨骼训练强度:病例系列。

IF 0.7 Q4 CLINICAL NEUROLOGY
Katelyn D Bosteder, Ashlyn Moore, Ariana Weeks, Jonathan D Dawkins, Molly Trammell, Simon Driver, Rita Hamilton, Chad Swank
{"title":"两名运动性完全四肢瘫痪患者的地面机器人外骨骼训练强度:病例系列。","authors":"Katelyn D Bosteder, Ashlyn Moore, Ariana Weeks, Jonathan D Dawkins, Molly Trammell, Simon Driver, Rita Hamilton, Chad Swank","doi":"10.1038/s41394-023-00584-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Participation in moderate-to-vigorous intensity physical activity (MVPA) is recommended to reduce chronic disease risk in individuals with tetraplegia. Assessing exercise intensity using traditional methods, such as heart rate, may be inaccurate in patients with motor-complete tetraplegia due to autonomic and neuromuscular dysfunction. Direct gas analysis may be more accurate. Overground robotic exoskeleton (ORE) training can be physiologically demanding. Yet, its utility as an aerobic exercise modality to facilitate MVPA in patients with chronic and acute motor-complete tetraplegia has not been explored.</p><p><strong>Case presentation: </strong>We present the results of two male participants with motor-complete tetraplegia who completed one ORE exercise session while intensity was assessed using a portable metabolic system and expressed in metabolic equivalents (METs). METs were calculated using a rolling 30-s average with 1 MET defined as 2.7 mL/kg/min and MVPA defined as MET ≥ 3.0. Participant A (28-year-old) with a chronic (12 yrs) spinal cord injury (C5, AIS A) completed 37.4 min of ORE exercise (28.9 min walking) achieving 1047 steps. Peak METs were 3.4 (average 2.3) with 3% of walk time spent in MVPA. Participant B (21-year-old) with an acute (2 months) spinal cord injury (C4, AIS A) completed 42.3 min of ORE exercise (40.5 min walking) achieving 1023 steps. Peak METs were 3.2 (average 2.6) with 12% of walk time spent in MVPA. Both participants tolerated activity well without observed adverse responses to activity.</p><p><strong>Discussion: </strong>ORE exercise may be an effective aerobic exercise modality that may increase participation in physical activity in patients with motor-complete tetraplegia.</p>","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10313748/pdf/","citationCount":"0","resultStr":"{\"title\":\"Intensity of overground robotic exoskeleton training in two persons with motor-complete tetraplegia: a case series.\",\"authors\":\"Katelyn D Bosteder, Ashlyn Moore, Ariana Weeks, Jonathan D Dawkins, Molly Trammell, Simon Driver, Rita Hamilton, Chad Swank\",\"doi\":\"10.1038/s41394-023-00584-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Participation in moderate-to-vigorous intensity physical activity (MVPA) is recommended to reduce chronic disease risk in individuals with tetraplegia. Assessing exercise intensity using traditional methods, such as heart rate, may be inaccurate in patients with motor-complete tetraplegia due to autonomic and neuromuscular dysfunction. Direct gas analysis may be more accurate. Overground robotic exoskeleton (ORE) training can be physiologically demanding. Yet, its utility as an aerobic exercise modality to facilitate MVPA in patients with chronic and acute motor-complete tetraplegia has not been explored.</p><p><strong>Case presentation: </strong>We present the results of two male participants with motor-complete tetraplegia who completed one ORE exercise session while intensity was assessed using a portable metabolic system and expressed in metabolic equivalents (METs). METs were calculated using a rolling 30-s average with 1 MET defined as 2.7 mL/kg/min and MVPA defined as MET ≥ 3.0. Participant A (28-year-old) with a chronic (12 yrs) spinal cord injury (C5, AIS A) completed 37.4 min of ORE exercise (28.9 min walking) achieving 1047 steps. Peak METs were 3.4 (average 2.3) with 3% of walk time spent in MVPA. Participant B (21-year-old) with an acute (2 months) spinal cord injury (C4, AIS A) completed 42.3 min of ORE exercise (40.5 min walking) achieving 1023 steps. Peak METs were 3.2 (average 2.6) with 12% of walk time spent in MVPA. Both participants tolerated activity well without observed adverse responses to activity.</p><p><strong>Discussion: </strong>ORE exercise may be an effective aerobic exercise modality that may increase participation in physical activity in patients with motor-complete tetraplegia.</p>\",\"PeriodicalId\":22079,\"journal\":{\"name\":\"Spinal Cord Series and Cases\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2023-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10313748/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Spinal Cord Series and Cases\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1038/s41394-023-00584-4\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spinal Cord Series and Cases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1038/s41394-023-00584-4","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0

摘要

导言:建议参加中等强度到高强度的体育锻炼(MVPA),以降低四肢瘫痪患者患慢性病的风险。由于自主神经和神经肌肉功能障碍,使用心率等传统方法评估运动强度对运动完全性四肢瘫痪患者来说可能并不准确。直接气体分析可能更为准确。地面机器人外骨骼(ORE)训练对生理要求很高。然而,作为一种有氧运动方式,它在促进慢性和急性运动功能完全性四肢瘫痪患者进行有氧运动方面的效用尚未得到探讨:我们介绍了两名患有运动性完全四肢瘫痪的男性参与者完成一次 ORE 运动的结果,他们的运动强度使用便携式代谢系统进行评估,并以代谢当量(METs)表示。代谢当量采用 30 秒滚动平均值计算,1 MET 定义为 2.7 mL/kg/min,MVPA 定义为 MET ≥ 3.0。参与者 A(28 岁)患有慢性(12 年)脊髓损伤(C5,AIS A),完成了 37.4 分钟的 ORE 运动(28.9 分钟步行),走了 1047 步。峰值 METs 为 3.4(平均 2.3),3% 的步行时间用于 MVPA。参与者 B(21 岁)患有急性(2 个月)脊髓损伤(C4,AIS A),完成了 42.3 分钟的 ORE 运动(40.5 分钟步行),走了 1023 步。峰值 METs 为 3.2(平均 2.6),12% 的步行时间用于 MVPA。两位参与者对活动的耐受性都很好,没有观察到对活动的不良反应:讨论:ORE运动可能是一种有效的有氧运动方式,可以提高运动性完全四肢瘫痪患者参与体育锻炼的积极性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Intensity of overground robotic exoskeleton training in two persons with motor-complete tetraplegia: a case series.

Intensity of overground robotic exoskeleton training in two persons with motor-complete tetraplegia: a case series.

Introduction: Participation in moderate-to-vigorous intensity physical activity (MVPA) is recommended to reduce chronic disease risk in individuals with tetraplegia. Assessing exercise intensity using traditional methods, such as heart rate, may be inaccurate in patients with motor-complete tetraplegia due to autonomic and neuromuscular dysfunction. Direct gas analysis may be more accurate. Overground robotic exoskeleton (ORE) training can be physiologically demanding. Yet, its utility as an aerobic exercise modality to facilitate MVPA in patients with chronic and acute motor-complete tetraplegia has not been explored.

Case presentation: We present the results of two male participants with motor-complete tetraplegia who completed one ORE exercise session while intensity was assessed using a portable metabolic system and expressed in metabolic equivalents (METs). METs were calculated using a rolling 30-s average with 1 MET defined as 2.7 mL/kg/min and MVPA defined as MET ≥ 3.0. Participant A (28-year-old) with a chronic (12 yrs) spinal cord injury (C5, AIS A) completed 37.4 min of ORE exercise (28.9 min walking) achieving 1047 steps. Peak METs were 3.4 (average 2.3) with 3% of walk time spent in MVPA. Participant B (21-year-old) with an acute (2 months) spinal cord injury (C4, AIS A) completed 42.3 min of ORE exercise (40.5 min walking) achieving 1023 steps. Peak METs were 3.2 (average 2.6) with 12% of walk time spent in MVPA. Both participants tolerated activity well without observed adverse responses to activity.

Discussion: ORE exercise may be an effective aerobic exercise modality that may increase participation in physical activity in patients with motor-complete tetraplegia.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Spinal Cord Series and Cases
Spinal Cord Series and Cases Medicine-Neurology (clinical)
CiteScore
2.20
自引率
8.30%
发文量
92
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信