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本文引用的文献

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Clinical utility of the over-ground bodyweight-supporting walking system Andago in children and youths with gait impairments.地面式减重步行系统 Andago 在步态障碍患儿和青少年中的临床应用
J Neuroeng Rehabil. 2021 Feb 8;18(1):29. doi: 10.1186/s12984-021-00827-1.
2
The effects and potential mechanisms of locomotor training on improvements of functional recovery after spinal cord injury.运动训练对脊髓损伤后功能恢复的影响及其潜在机制。
Int Rev Neurobiol. 2019;147:199-217. doi: 10.1016/bs.irn.2019.08.003. Epub 2019 Sep 16.
3
Rehabilitation Technology: Assistance from Hospital to Home.康复技术:从医院到家庭的援助。
Comput Intell Neurosci. 2019 Jun 2;2019:1431509. doi: 10.1155/2019/1431509. eCollection 2019.
4
Lower extremity outcome measures: considerations for clinical trials in spinal cord injury.下肢结局指标:脊髓损伤临床试验的考量因素
Spinal Cord. 2018 Jul;56(7):628-642. doi: 10.1038/s41393-018-0097-8. Epub 2018 Apr 27.
5
Cardiorespiratory demand and rate of perceived exertion during overground walking with a robotic exoskeleton in long-term manual wheelchair users with chronic spinal cord injury: A cross-sectional study.长期使用手动轮椅的慢性脊髓损伤患者穿戴外骨骼机器人进行地面行走时的心肺需求和感知用力率:一项横断面研究。
Ann Phys Rehabil Med. 2018 Jul;61(4):215-223. doi: 10.1016/j.rehab.2017.12.008. Epub 2018 Jan 31.
6
Gait training after spinal cord injury: safety, feasibility and gait function following 8 weeks of training with the exoskeletons from Ekso Bionics.脊髓损伤后的步态训练:使用 Ekso Bionics 的外骨骼进行 8 周训练后的安全性、可行性和步态功能。
Spinal Cord. 2018 Feb;56(2):106-116. doi: 10.1038/s41393-017-0013-7. Epub 2017 Nov 6.
7
Acute spinal cord injury: A review of pathophysiology and potential of non-steroidal anti-inflammatory drugs for pharmacological intervention.急性脊髓损伤:病理生理学综述及非甾体抗炎药用于药物干预的潜力
J Chem Neuroanat. 2018 Jan;87:25-31. doi: 10.1016/j.jchemneu.2017.08.001. Epub 2017 Aug 10.
8
Effects of Locomotor Exercise Intensity on Gait Performance in Individuals With Incomplete Spinal Cord Injury.运动锻炼强度对不完全性脊髓损伤个体步态表现的影响。
Phys Ther. 2016 Dec;96(12):1919-1929. doi: 10.2522/ptj.20150646. Epub 2016 Jun 16.
9
Powered exoskeletons for bipedal locomotion after spinal cord injury.脊髓损伤后用于双足行走的动力外骨骼
J Neural Eng. 2016 Jun;13(3):031001. doi: 10.1088/1741-2560/13/3/031001. Epub 2016 Apr 11.
10
Validity and reliability study of the Turkish version of Spinal Cord Independence Measure-III.脊髓独立功能评定量表第三版土耳其语版本的效度和信度研究
Spinal Cord. 2015 Jun;53(6):455-60. doi: 10.1038/sc.2014.249. Epub 2015 Feb 10.

使用地面步行训练器增强不完全性脊髓损伤患者的平衡和移动能力。

Enhancing balance and mobility in incomplete spinal cord injury with an overground gait trainer.

机构信息

Physical Medicine and Rehabilitation Hospital, Ankara Bilkent City Hospital, University of Health Sciences, Ankara, Türkiye.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Medipol University, Ankara, Türkiye.

出版信息

Spinal Cord Ser Cases. 2024 Jul 29;10(1):52. doi: 10.1038/s41394-024-00668-9.

DOI:10.1038/s41394-024-00668-9
PMID:39075059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11286738/
Abstract

STUDY DESIGN

Prospective intervention study.

OBJECTIVES

The study aimed to assess the effect of Andago on balance, overground walking speed, independence levels, fear of falling, and quality of life in patients with acute motor incomplete Spinal Cord Injury.

SETTING

The study was conducted in Ankara/Türkiye.

METHODS

Five participants, classified as AIS D, underwent an eight-week treatment regimen, including three days a week of Andago-assisted walking and balance exercises, supplemented by two days a week of 40-minute sessions of conventional in-bed exercises.

RESULTS

Berg Balance Scale scores increased significantly by 129% (p = 0.043). Overground walking speed calculated from 10MWT improved by 33% (p = 0.042). WISCI II levels improved significantly compared to baseline scores (p = 0.041). In the mobility subscale of SCIM III, the total SCIM III scores increased significantly (p = 0.042, p = 0.043, respectively). However, there was no significant improvement in WHOQOL-BREF scores (p = 0.080).

CONCLUSIONS

The use of Andago facilitated functional progress in patients with acute incomplete SCI, emphasizing the importance of challenging balance and walking activities in triggering motor learning.

摘要

研究设计

前瞻性干预研究。

目的

本研究旨在评估 Andago 对急性运动不完全性脊髓损伤患者平衡、地面行走速度、独立水平、跌倒恐惧和生活质量的影响。

地点

研究在土耳其安卡拉进行。

方法

5 名 AIS D 级患者接受了为期 8 周的治疗方案,包括每周 3 天的 Andago 辅助行走和平衡练习,以及每周 2 天的 40 分钟常规床上运动。

结果

Berg 平衡量表评分显著增加 129%(p=0.043)。10MWT 计算的地面行走速度提高了 33%(p=0.042)。WISCI II 水平与基线评分相比显著改善(p=0.041)。在 SCIM III 的移动子量表中,总 SCIM III 评分显著增加(p=0.042,p=0.043)。然而,WHOQOL-BREF 评分无显著改善(p=0.080)。

结论

使用 Andago 促进了急性不完全性 SCI 患者的功能进展,强调了挑战平衡和行走活动在引发运动学习方面的重要性。