Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei 11031, Taiwan.
Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan.
Medicina (Kaunas). 2024 Jul 26;60(8):1209. doi: 10.3390/medicina60081209.
We present a case of a 75-year-old Asian woman with Guillain-Barré syndrome (GBS) who underwent a 1-month comprehensive rehabilitation training program supplemented by robot-assisted gait training (RAGT). GBS can lead to fatigue and prolonged bed rest, thereby further debilitating older patients. Although exercise intervention is recommended for GBS, a consensus regarding the appropriate intensity has yet to be established. Individualized strategies are required because older patients experience varying levels of fatigue and frailty. We used a technological adjunct to support comprehensive rehabilitation for GBS reconditioning in an older patient. To the best of our knowledge, research involving the use of an exoskeleton robotic device in the geriatric population with GBS is limited. Our case demonstrates the feasibility and safety of RAGT for improving lower limb muscle power and scores on the Barthel Index, Clinical Frailty Scale, and Instrumental Activities of Daily Living Scale at discharge from a geriatric ward.
我们报告了一例 75 岁亚洲女性吉兰-巴雷综合征(GBS)病例,该患者接受了为期 1 个月的综合康复训练计划,并辅以机器人辅助步态训练(RAGT)。GBS 可导致疲劳和长时间卧床,从而使老年患者的身体更加虚弱。尽管推荐对 GBS 进行运动干预,但尚未就适当的运动强度达成共识。由于老年患者的疲劳和虚弱程度不同,需要个体化的策略。我们使用一种技术辅助手段来支持老年 GBS 康复患者的全面康复。据我们所知,使用外骨骼机器人设备对老年 GBS 患者进行研究的相关内容有限。我们的病例证明了 RAGT 在改善下肢肌肉力量和 Barthel 指数、临床虚弱量表和日常生活活动工具量表评分方面的可行性和安全性,该患者从老年病房出院。