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使用新型助行训练设备对脊髓损伤患者进行 8 周步行训练的可行性研究。

The feasibility of an 8-Week walking training program using a novel assistive gait training device in individuals with spinal cord injury.

机构信息

Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, KS, USA.

Department of Physical Therapy, Jazan University, Jazan, Saudi Arabia.

出版信息

Disabil Rehabil Assist Technol. 2022 Aug;17(6):658-667. doi: 10.1080/17483107.2020.1805801. Epub 2020 Aug 11.

DOI:10.1080/17483107.2020.1805801
PMID:32780981
Abstract

PURPOSE

The objective of this study was to examine the feasibility of an 8-week walking training programme using a novel assistive gait training device in individuals with chronic spinal cord injury (SCI).

METHODS

This study was a pilot, single group, pretest-posttest study design. Participants received walking training, 3 sessions a week for 8 weeks. Participants were trained on a treadmill using a novel assistive gait training device. Feasibility data about recruitment, retention, compliance, and participants' performance, and participants' perception were collected throughout the study period.

RESULTS

11 participants with chronic SCI (8 males, 3 females, age: 38 ± 10 years old, injury levels T3-L1; injury onset 8 ± 10 years) completed the study. The recruitment rate of 27.2% reached in this study was acceptable. Throughout the period of training, all participants were able to progress in their walking performance with respect to treadmill speed, walking distance, duration of training, and percentage of body weight support. The overall compliance rate of participants with training sessions was 96.2 ± 6.5%. From responses to the end intervention questionnaire, the majority of participants showed positive perception to the walking training programme as well as the assistive gait training.

CONCLUSION

The 8 weeks of walking training was feasible in individuals with chronic SCI. The assistive gait training device was feasible and safe to use in individuals with paraplegia. NCT03940274Implication for rehabilitationThe use of a novel assistive gait training device using a pulley system with a pulling cable walking training is feasible.The novel assistive gait training device will reduce workload by allowing physical therapists to work on an ergonomic position while providing the necessary stepping assistance for the patient's legs/feet during walking on a treadmill.The novel assistive gait training device is developed to provide a low-cost assistive device to be used in walking rehabilitation for people with spinal cord injury.

摘要

目的

本研究旨在探讨使用新型助行训练装置进行 8 周步行训练对慢性脊髓损伤(SCI)患者的可行性。

方法

这是一项单组、预测试-后测试的初步研究。参与者每周接受 3 次、共 8 周的步行训练,在跑步机上使用新型助行训练装置进行训练。在整个研究期间收集了可行性数据,包括招募、保留、依从性以及参与者的表现和参与者的感知。

结果

11 名慢性 SCI 参与者(8 名男性,3 名女性,年龄:38±10 岁,损伤水平 T3-L1;发病时间 8±10 年)完成了研究。本研究的招募率为 27.2%,可接受。在整个训练期间,所有参与者都能够在跑步机速度、步行距离、训练持续时间和体重支撑百分比方面提高步行能力。参与者的训练课程整体依从率为 96.2±6.5%。从干预结束时的问卷调查结果来看,大多数参与者对步行训练方案和助行训练都有积极的看法。

结论

8 周的步行训练对慢性 SCI 患者是可行的。助行训练装置在截瘫患者中使用是可行且安全的。

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