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机器人外骨骼辅助步态训练对一名周围性多神经病患儿步态能力的影响:病例报告

Effects of robot exoskeletal-assisted gait training on gait ability in a pediatric patient with peripheral polyneuropathy: a case report.

作者信息

Oh Byeong Hun, Kim Chul-Su, Kim Da-Sol, Kim Gi-Wook, Won Yu-Hui, Ko Myoung-Hwan, Seo Jeong-Hwan, Park Sung-Hee

机构信息

Department of Physical Medicine and Rehabilitation, Jeonbuk National University Medical School: 20 Geonji-ro, Deokjin-gu, Jeonju-si, Jeollabuk-do 54907, Republic of Korea.

Department of Physical Therapy, Jeonbuk National University Hospital, Republic of Korea.

出版信息

J Phys Ther Sci. 2024 Sep;36(9):583-587. doi: 10.1589/jpts.36.583. Epub 2024 Sep 5.

Abstract

[Purpose] This study aims to investigate the effects of robotic exoskeleton-assisted gait training on a pediatric patient with peripheral polyneuropathy. [Participant and Methods] A 10-year-old boy with lower extremity weakness attributed to peripheral polyneuropathy underwent a two-week program comprising 10 rehabilitation sessions of powered robotic exoskeleton-assisted gait training (REGT). He was evaluated before and after treatment using the 10-meter walk test, 6-minute walk test, Berg Balance Scale, the Timed Up and Go Test, the Functional Reach Test, the Modified Functional Reach Test, hip and knee flexion/extension angles, and cardiopulmonary exercise testing. [Results] The patient demonstrated improved gait speed, balance, joint mobility, cadence, the maximum oxygen consumption and metabolic equivalents after the REGT. [Conclusion] Robotic exoskeleton devices could provide additional benefits to pediatric patients with peripheral polyneuropathy, pending larger studies to confirm the significance of treatment.

摘要

[目的] 本研究旨在探讨机器人外骨骼辅助步态训练对一名患有周围性多发性神经病的儿科患者的影响。[参与者与方法] 一名因周围性多发性神经病导致下肢无力的10岁男孩接受了为期两周的项目,其中包括10次动力机器人外骨骼辅助步态训练(REGT)康复课程。在治疗前后,使用10米步行测试、6分钟步行测试、伯格平衡量表、起立行走测试、功能性伸展测试、改良功能性伸展测试、髋膝关节屈伸角度以及心肺运动测试对他进行了评估。[结果] 该患者在接受机器人外骨骼辅助步态训练后,步态速度、平衡能力、关节活动度、步频、最大耗氧量和代谢当量均有所改善。[结论] 机器人外骨骼设备可为患有周围性多发性神经病的儿科患者带来额外益处,有待更大规模的研究来证实该治疗方法的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d49d/11374170/cb18cd0d03a9/jpts-36-583-g001.jpg

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