Raab Katharina, Krakow Karsten, Tripp Florian, Jung Michael
Department of Physiotherapy, Asklepios Neurological Hospital Falkenstein , Königstein-Falkenstein, Germany.
Department of Neurology, Hospital Falkenstein , Königstein-Falkenstein, Germany.
Spinal Cord Ser Cases. 2016 Jan 7;2:15025. doi: 10.1038/scsandc.2015.25. eCollection 2016.
It is a single case study. An investigation to what extent the quality of life (QoL) of patients with spinal cord injury can be influenced by the training with an exoskeleton. The study was carried out at a Hospital for neurological rehabilitation, Germany. One patient (male, 22 years), initially unable to walk independently after traumatic spinal cord injury with neurological level Th11 (ASIA Impairment Scale C) was recruited for this study 1 year after injury. The progress of the first 6 months of ReWalk training was documented and as primary outcome measure the QoL was measured with SF-36 questionnaire. Secondary outcome measures were ASIA scale, Berg-Balance-Scale and Dynamic Gait Index. At the end of the studyperiod the patient was able to walk independently supervised by one person. QoL, mobility, risk of falling, motor skills and control of bladder and bowel functions were improved. A positive effect of robot-assisted gait training on various areas of the QoL was shown. Subsequent studies should aim to verify this effect through a higher number of patients and to different injury levels.
这是一项单病例研究。旨在调查脊髓损伤患者的生活质量（QoL）在多大程度上会受到外骨骼训练的影响。该研究在德国一家神经康复医院开展。一名患者（男性，22岁），因创伤性脊髓损伤导致神经平面为胸11（美国脊髓损伤协会损伤分级C级），受伤1年后被招募参加本研究。记录了前6个月ReWalk训练的进展情况，并使用SF - 36问卷测量生活质量作为主要结局指标。次要结局指标包括美国脊髓损伤协会量表、伯格平衡量表和动态步态指数。在研究期结束时，患者能够在一人监督下独立行走。生活质量、活动能力、跌倒风险、运动技能以及膀胱和肠道功能控制均得到改善。研究表明机器人辅助步态训练对生活质量的各个方面具有积极影响。后续研究应旨在通过纳入更多患者并针对不同损伤水平来验证这一效果。
