Çinar Çiğdem, Yildirim Mustafa Aziz, Öneş Kadriye, Gökşenoğlu Gökşen
Physical Medicine and Rehabilitation Department, Physical Medicine and Rehabilitation Training Hospital, Istanbul, Turkey.
Int J Rehabil Res. 2021 Sep 1;44(3):262-268. doi: 10.1097/MRR.0000000000000486.
The purpose of this study was to investigate the effect of robotic-assisted gait training (RAGT) on functional status and the quality of life in patients with subacute complete spinal cord injury (SCI). Thirty-seven patients with complete SCI were included in this study. All patients underwent conventional rehabilitation 5 days a week for 8 weeks. The patients were divided into two groups: those who received RAGT (group I, n = 17) and those who received only conventional rehabilitation (group II, n = 20) for 30 min twice a week for a total of 8 weeks. Evaluations were performed using the Walking Index SCI II (WISCI II) for ambulation, Functional Independence Measure (FIM) for functional status and Short Form 36 (SF-36) for the quality of life at the beginning and end of rehabilitation. The mean duration of injury was 3.5 ± 2.1 months in group I and 3.8 ± 2.6 months in group II (P > 0.05). Significant improvement was observed in both groups as per WISCI II and FIM scores (P < 0.05). However, no significant inter-group difference was noted in pre- and post-treatment FIM and WISCI II change scores (P > 0.05). In groups I and II, there was significant improvement only in physical activity scores of SF-36 compared with baseline scores (P < 0.05); however, other SF-36 subparameter scores did not differ significantly between pre- and post-treatment (P > 0.05). Treatment with RAGT has positive effects on functional independence, ambulation and the quality of life in patients with subacute complete SCI. RAGT combined with conventional therapy in patients with complete SCI may facilitate the improvement of patient condition more than conventional therapy alone.
本研究旨在探讨机器人辅助步态训练（RAGT）对亚急性完全性脊髓损伤（SCI）患者功能状态及生活质量的影响。本研究纳入了37例完全性SCI患者。所有患者每周接受5天的常规康复治疗，持续8周。患者被分为两组：接受RAGT的患者（I组，n = 17）和仅接受常规康复治疗的患者（II组，n = 20），两组均每周进行2次，每次30分钟的治疗，共8周。在康复开始和结束时，使用步行指数SCI II（WISCI II）评估步行能力，使用功能独立性测量（FIM）评估功能状态，使用简短健康调查问卷（SF - 36）评估生活质量。I组损伤的平均持续时间为3.5±2.1个月，II组为3.8±2.6个月（P>0.05）。根据WISCI II和FIM评分，两组均有显著改善（P<0.05）。然而，治疗前后FIM和WISCI II变化评分在组间无显著差异（P>o.o5）。在I组和II组中，与基线评分相比SF - 36的身体活动评分仅有显著改善（P<0.05）；然而，治疗前后其他SF - 36子参数评分无显著差异（P>0.05）。RAGT治疗对亚急性完全性SCI患者的功能独立性、步行能力及生活质量具有积极影响。对于完全性SCI患者，RAGT联合传统治疗可能比单纯传统治疗更有助于改善患者病情。
