Zasadzka Ewa, Tobis Sławomir, Trzmiel Tomasz, Marchewka Renata, Kozak Dominika, Roksela Anna, Pieczyńska Anna, Hojan Katarzyna
Department of Occupational Therapy, Poznan University of Medical Sciences, 60-781 Poznan, Poland.
Neurorehabilitation Ward, Greater Poland Provincial Hospital, 60-480 Poznan, Poland.
Int J Environ Res Public Health. 2022 Aug 20;19(16):10398. doi: 10.3390/ijerph191610398.
This pilot study aimed to assess the safety and feasibility of an EMG-driven rehabilitation robot in patients with Post-Viral Fatigue (PVF) syndrome after COVID-19. The participants were randomly assigned to two groups (IG-intervention group and CG-control group) in an inpatient neurological rehabilitation unit. Both groups were assessed on admission and after six weeks of rehabilitation. Rehabilitation was carried out six days a week for six weeks. The patients in the IG performed additional training using an EMG rehabilitation robot. Muscle fatigue was assessed using an EMG rehabilitation robot; secondary outcomes were changes in hand grip strength, Fatigue Assessment Scale, and functional assessment scales (Functional Independence Measure, Barthel Index). Both groups improved in terms of the majority of measured parameters comparing pre- and post-intervention results, except muscle fatigue. Muscle fatigue scores presented non-significant improvement in the IG and non-significant deterioration in the CG. Using an EMG rehabilitation robot in patients with PVF can be feasible and safe. To ascertain the effectiveness of such interventions, more studies are needed, particularly involving a larger sample and also assessing the participants' cognitive performance.
这项初步研究旨在评估肌电图驱动的康复机器人在新冠病毒感染后病毒性疲劳(PVF)综合征患者中的安全性和可行性。参与者被随机分配到住院神经康复单元的两组(IG-干预组和CG-对照组)。两组在入院时和康复六周后均接受评估。康复每周进行六天,为期六周。IG组的患者使用肌电图康复机器人进行额外训练。使用肌电图康复机器人评估肌肉疲劳;次要结果是握力、疲劳评估量表和功能评估量表(功能独立性测量、巴氏指数)的变化。与干预前和干预后的结果相比,两组在大多数测量参数方面均有所改善,但肌肉疲劳除外。IG组的肌肉疲劳评分改善不显著,CG组则有不显著的恶化。在PVF患者中使用肌电图康复机器人可能是可行且安全的。为了确定此类干预措施的有效性,需要更多的研究,特别是涉及更大样本量的研究,同时还要评估参与者的认知表现。