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机器人辅助步态训练在重症新型冠状病毒肺炎后门诊功能障碍患者肺康复中的应用:一例报告

Utilization of Robot-Assisted Gait Training in Pulmonary Rehabilitation for a Patient with Ambulatory Dysfunction Post-Severe COVID-19 Pneumonia: A Case Report.

作者信息

Lee June Sung, Ahn Jung Hoon, Lee Jang Woo, Baek Chang Yoon

机构信息

Department of Rehabilitation Center, National Health Insurance Ilsan Hospital, 100 Ilsan-ro, Ilsandong-gu, Gyeonggi-do, Goyang-si 10444, Republic of Korea.

R&D Institute, SYM Healthcare Inc., 3F, 39, Seongsuil-ro 8-gil, Seongdong-gu, Seoul 04794, Republic of Korea.

出版信息

J Clin Med. 2024 Oct 18;13(20):6213. doi: 10.3390/jcm13206213.

Abstract

BACKGROUND

Severe COVID-19 can lead to a decline in pulmonary and physical functions simultaneously. Patients experiencing significant ambulatory dysfunction often face restrictions in participating in gait training, resulting in insufficient benefits from cardiopulmonary rehabilitation. This underscores the need for tailored rehabilitation approaches that address their specific conditions.

METHOD

This study presents a case examining the impact of combining pulmonary rehabilitation with robot-assisted gait training (RAGT) on pulmonary and physical functions in a patient with severe COVID-19 pneumonia. A 56-year-old male patient with severe COVID-19 pneumonia exhibited impaired pulmonary function, reduced lower extremity strength, compromised balance, and significant limitations in functional ambulation. He underwent an inpatient pulmonary rehabilitation program combined with RAGT for 5 weeks, participating in 30 min RAGT sessions a total of 22 times. The patient showed improvements in his pulmonary function, lower extremity strength, balance, exercise capacity, and functional mobility, along with a reduction in symptoms such as dyspnea and fatigue.

CONCLUSIONS

The combination of RAGT with pulmonary rehabilitation is a treatment method that can be applied without complications and has the potential to improve pulmonary and physical functions in patients with ambulatory dysfunction due to COVID-19.

摘要

背景

重症新型冠状病毒肺炎(COVID-19)可导致肺功能和身体功能同时下降。出现明显行走功能障碍的患者在参与步态训练时往往面临限制,导致心肺康复的益处不足。这凸显了需要针对其具体情况制定个性化康复方法。

方法

本研究介绍了一个病例,该病例探讨了将肺康复与机器人辅助步态训练(RAGT)相结合对一名重症COVID-19肺炎患者的肺功能和身体功能的影响。一名56岁的重症COVID-19肺炎男性患者表现出肺功能受损、下肢力量下降、平衡能力受损以及功能性行走存在显著限制。他接受了为期5周的住院肺康复计划并结合RAGT,共参加了22次每次30分钟的RAGT训练。该患者的肺功能、下肢力量、平衡能力、运动能力和功能性活动能力均有改善,同时呼吸困难和疲劳等症状有所减轻。

结论

RAGT与肺康复相结合是一种可应用且无并发症的治疗方法,有可能改善因COVID-19导致行走功能障碍患者的肺功能和身体功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7b1/11508536/5a7b1f5246df/jcm-13-06213-g001.jpg

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