Rehabilitation Medicine, Changi General Hospital, Singapore.
Rehabilitative Services, Changi General Hospital, Singapore.
BMJ Case Rep. 2023 Jul 21;16(7):e255457. doi: 10.1136/bcr-2023-255457.
Robot-assisted gait training (RAGT) is an effective adjunctive treatment for patients with stroke that helps to regain functional mobility and is applied in many rehabilitation units for poststroke neurorecovery. We discuss our successful attempt to apply RAGT in a patient with blindness that impeded his ability to maintain balance during gait training. He initially required two assistants to walk, but after undergoing conventional therapy with adjunctive RAGT, he improved to standby assistance for ambulation. There were also improvements in balance, activity tolerance and quality of life. Low-or-no vision states can affect the pace of recovery poststroke, but RAGT and conventional physiotherapy can possibly be combined in such patients to improve balance and motor outcomes. The Andago robot's safety features of weight support, harnessed suspension and walking mode selection supported our decision and enabled us to apply it safely for this patient.
机器人辅助步态训练（RAGT）是一种有效的脑卒中辅助治疗方法，有助于恢复功能性移动能力，并在许多康复单位中应用于脑卒中后的神经康复。我们讨论了我们成功地将 RAGT 应用于一位失明患者的尝试，该患者在步态训练期间因失明而难以保持平衡。他最初需要两名助手才能行走，但在接受常规治疗并辅以 RAGT 后，他的行走能力提高到可以独立站立辅助。平衡、活动耐受度和生活质量也有所改善。低视力或无光感状态会影响脑卒中后的恢复速度，但 RAGT 和常规物理疗法可以在这些患者中联合应用，以改善平衡和运动功能。Andago 机器人的体重支撑、悬挂束缚和行走模式选择等安全功能支持了我们的决策，并使我们能够安全地为该患者应用 RAGT。
