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结合机器人外骨骼和体重减重技术促进 SCI 后四肢瘫痪患者的步行活动:案例研究。

Combining robotic exoskeleton and body weight unweighing technology to promote walking activity in tetraplegia following SCI: A case study.

机构信息

Department of Physical Medicine and Rehabilitation, The University of Texas Health Science Center Houston, Houston, Texas, USA.

Center for Wearable Exoskeletons, NeuroRecovery Research Center, TIRR Memorial Hermann, Houston, Texas, USA.

出版信息

J Spinal Cord Med. 2020 Jan;43(1):126-129. doi: 10.1080/10790268.2018.1527078. Epub 2018 Oct 18.

DOI:10.1080/10790268.2018.1527078
PMID:30335593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7006789/
Abstract

To investigate the feasibility of combining the lower-limb exoskeleton and body weight unweighing technology for assisted walking in tetraplegia following spinal cord injury (SCI). A 66-year-old participant with a complete SCI at the C7 level, graded on the American Spinal Injury Association Impairment Scale (AIS) as AIS A, participated in nine sessions of overground walking with the assistance from exoskeleton and body weight unweighing system. The participant could tolerate the intensity and ambulate with exoskeleton assistance for a short distance with acceptable and appropriate gait kinematics after training. This report showed that using technology can assist non-ambulatory individuals following SCI to stand and ambulate with assistance which may promote general physical and psychological health if used in the long term.

摘要

为了探讨将下肢外骨骼和减重技术相结合用于辅助脊髓损伤后四肢瘫痪患者行走的可行性。一名 66 岁的参与者,其 C7 水平完全性脊髓损伤,根据美国脊髓损伤协会损伤量表(AIS)评定为 AIS A 级,参与了 9 次外骨骼和减重系统辅助的地面行走。经过训练,参与者可以耐受强度,并在外骨骼辅助下短距离行走,步态运动学可接受且适当。本报告表明,使用该技术可以帮助非运动性脊髓损伤患者站立和辅助行走,如果长期使用,可能会促进其身心健康。

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本文引用的文献

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Systematic review and clinical recommendations for dosage of supported home-based standing programs for adults with stroke, spinal cord injury and other neurological conditions.针对中风、脊髓损伤及其他神经系统疾病成人患者的家庭支持式站立训练项目剂量的系统评价与临床建议
BMC Musculoskelet Disord. 2015 Nov 17;16:358. doi: 10.1186/s12891-015-0813-x.
2
Gait speed using powered robotic exoskeletons after spinal cord injury: a systematic review and correlational study.脊髓损伤后使用动力机器人外骨骼的步态速度:系统评价与相关性研究。
J Neuroeng Rehabil. 2015 Oct 14;12:82. doi: 10.1186/s12984-015-0074-9.
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Mobility Outcomes Following Five Training Sessions with a Powered Exoskeleton.使用动力外骨骼进行五次训练后的运动能力结果
Top Spinal Cord Inj Rehabil. 2015 Spring;21(2):93-9. doi: 10.1310/sci2102-93. Epub 2015 Apr 12.
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HAL® exoskeleton training improves walking parameters and normalizes cortical excitability in primary somatosensory cortex in spinal cord injury patients.HAL®外骨骼训练可改善脊髓损伤患者的行走参数,并使初级体感皮层的皮质兴奋性恢复正常。
J Neuroeng Rehabil. 2015 Aug 20;12:68. doi: 10.1186/s12984-015-0058-9.
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