Mcleod Jonathan C, Ward Susie Jm, Hicks Audrey L
a Department of Kinesiology, McMaster University , Hamilton , Ontario , Canada.
Disabil Rehabil Assist Technol. 2019 Jul;14(5):503-512. doi: 10.1080/17483107.2017.1396624. Epub 2017 Nov 2.
(1) To determine the specific functional characteristics of individuals with neurological impairments that may predict successful use of Keeogo™ dermoskeleton and (2) to quantify the specific benefit Keeogo™ provides to a regular user of the device. Thirteen individuals (seven males; six females; 52 ± 4.6 years old) with mobility impairments due to neurological disease or injury were recruited. Berg Balance Sale (BBS) score and Timed Up and Go (TUG) performance were used to identify baseline characteristics in participants. The 6-min walk test (6MWT) and 25-foot walk test (25FWT) were performed with the participants wearing and not wearing the dermoskeleton; a successful user of Keeogo™ displayed a ≥ 5% improvement in walking performance while wearing the device. A chronic stroke survivor (hemiparesis on left side) completed the stair climb test (SCT) and the 30-second chair stand test (30CST) with and without Keeogo™. Muscle activity, kinetics and postural control were analyzed during the sit-to-stand (sitTS), and compared to an age- and sex-matched healthy control. Successful users of Keeogo™ have a moderate level of functionality (BBS: 46-51 s and/or TUG: 8-12 s). Wearing Keeogo™ improved performance on the 30CST, SCT and improved motor control, postural control and movement kinetics during the sitTS task in a chronic stroke survivor with significant hemiparesis. This is the first study providing data to help to identify which individuals with neurological impairment might benefit from using Keeogo™ dermoskeleton, together with new information quantifying its functional benefit to the user. Implications for Rehabilitation Keeogo™ is a user-initiated dermoskeleton that has been designed to assist individuals with mobility impairments to participate more effectively in activities of daily living (ADLs). Moderately impaired individuals have the greatest potential to benefit from using the device. Benefits of wearing the device include improvements in walking speed and endurance, performance on ADLs, motor control, kinetics, and postural control.
(1) 确定可能预示着能成功使用Keeogo™真皮骨骼的神经功能障碍个体的具体功能特征，以及(2) 量化Keeogo™为该设备的常规使用者带来的具体益处。招募了13名因神经疾病或损伤而行动不便的个体（7名男性；6名女性；年龄52±4.6岁）。采用伯格平衡量表（BBS）评分和计时起立行走测试（TUG）表现来确定参与者的基线特征。在参与者佩戴和不佩戴真皮骨骼的情况下进行6分钟步行测试（6MWT）和25英尺步行测试（25FWT）；Keeogo™的成功使用者在佩戴该设备时步行表现提高了≥5%。一名慢性中风幸存者（左侧偏瘫）在使用和不使用Keeogo™的情况下完成了爬楼梯测试（SCT）和30秒坐立试验（30CST）。在坐立过程中分析了肌肉活动、动力学和姿势控制，并与年龄和性别匹配的健康对照进行了比较。Keeogo™的成功使用者具有中等水平的功能（BBS：46 - 51秒和/或TUG：8 - 12秒）。对于一名患有严重偏瘫的慢性中风幸存者，佩戴Keeogo™改善了其在30CST、SCT中的表现，并改善了坐立任务期间的运动控制、姿势控制和运动动力学。这是第一项提供数据以帮助确定哪些神经功能障碍个体可能从使用Keeogo™真皮骨骼中受益的研究，同时还提供了量化其对使用者功能益处的新信息。康复意义Keeogo™是一种由用户发起的真皮骨骼，旨在帮助行动不便的个体更有效地参与日常生活活动（ADL）。中度受损的个体从使用该设备中获益的潜力最大。佩戴该设备的益处包括步行速度和耐力的提高、ADL表现的改善、运动控制、动力学和姿势控制的改善。
