Corallo Francesco, Maresca Giuseppa, Formica Caterina, Bonanno Lilla, Bramanti Alessia, Parasporo Nicholas, Giambò Fabio Mauro, De Cola Maria Cristina, Lo Buono Viviana
IRCCS Centro Neurolesi Bonino-Pulejo, 98124 Messina, Italy.
Department of Medicine, Surgery and Dentistry-Medical School of Salerno, University of Salerno, 84084 Fisciano, Italy.
J Clin Med. 2022 May 23;11(10):2940. doi: 10.3390/jcm11102940.
Severe acquired brain injury (SABI) is a major global public health problem and a source of disability. A major contributor to disability after SABI is limited access to multidisciplinary rehabilitation, despite evidence of sustained functional gains, improved quality of life, increased return to work, and reduced need for long-term care. Twelve patients with a diagnosis of SABI were enrolled and equally divided into two groups: experimental and control. Patients in both groups underwent intensive neurorehabilitation according to the severity of their disabilities (motor, psycho-cognitive, and sensory deficits). However, in the experimental group, the treatment was performed by using a humanoid robot. At baseline, the two groups differed significantly only in Severe Impairment Battery (SIB) scores. Results showed that the experimental treatment had a higher effect than the traditional one on quality of life and mood. In conclusion, this pilot study provides evidence of the possible effects of relational and cognitive stimulation in more severely brain-injured patients.
严重获得性脑损伤（SABI）是一个重大的全球公共卫生问题和致残原因。尽管有证据表明，多学科康复能带来持续的功能改善、提高生活质量、增加重返工作岗位的几率以及减少长期护理需求，但SABI后致残的一个主要因素是获得多学科康复的机会有限。招募了12名被诊断为SABI的患者，并将他们平均分为两组：实验组和对照组。两组患者均根据其残疾严重程度（运动、心理认知和感觉缺陷）接受强化神经康复治疗。然而，在实验组中，治疗是通过使用人形机器人进行的。在基线时，两组仅在严重损伤量表（SIB）得分上有显著差异。结果表明，实验性治疗在生活质量和情绪方面比传统治疗有更高的效果。总之，这项初步研究提供了证据，证明关系和认知刺激对脑损伤更严重的患者可能产生的影响。
