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使用自主式脚踝外骨骼辅助脑性瘫痪患者在社区行走的可行性

Feasibility of Using Autonomous Ankle Exoskeletons to Augment Community Walking in Cerebral Palsy.

作者信息

Bowersock Collin D, Lerner Zachary F

机构信息

Department of Mechanical EngineeringNorthern Arizona University Flagstaff AZ 86011 USA.

College of Medicine-PhoenixUniversity of Arizona Phoenix AZ 85721 USA.

出版信息

IEEE Open J Eng Med Biol. 2024 Oct 8;6:75-81. doi: 10.1109/OJEMB.2024.3475911. eCollection 2025.

DOI:10.1109/OJEMB.2024.3475911
PMID:39564555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11573406/
Abstract

This pilot study investigated the feasibility and efficacy of using autonomous ankle exoskeletons in community settings among individuals with cerebral palsy (CP). Five participants completed two structured community walking protocols: a week-long ankle exoskeleton acclimation and training intervention, and a dose-matched Sham intervention of unassisted walking. Results demonstrated significant improvements in acclimatized walking performance with the ankle exoskeleton, including increased speed and stride length. Participants also reported increased enjoyment and perceived benefits of using the exoskeleton. While ankle exoskeleton training did not lead to significant improvements in unassisted walking, this study demonstrates the feasibility of using ankle exoskeletons in the real world by people with CP. This study highlights the potential of wearable exoskeletons to augment community walking performance in CP, laying a foundation for further exploration in real-world environments.

摘要

这项初步研究调查了在社区环境中,为脑瘫(CP)患者使用自主式脚踝外骨骼的可行性和有效性。五名参与者完成了两项结构化的社区行走方案:为期一周的脚踝外骨骼适应和训练干预,以及与无辅助行走剂量匹配的假干预。结果表明,使用脚踝外骨骼后,适应行走能力有显著改善,包括速度和步幅增加。参与者还报告说,使用外骨骼的乐趣和感知益处有所增加。虽然脚踝外骨骼训练并未使无辅助行走能力得到显著改善,但这项研究证明了CP患者在现实世界中使用脚踝外骨骼的可行性。本研究突出了可穿戴外骨骼增强CP患者社区行走能力的潜力,为在现实环境中的进一步探索奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/11573406/a8328444b472/bower3-3475911.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/11573406/04c14005dbf6/bower1-3475911.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/11573406/8d192a3fd459/bower2-3475911.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/11573406/a8328444b472/bower3-3475911.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/11573406/04c14005dbf6/bower1-3475911.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/11573406/8d192a3fd459/bower2-3475911.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/11573406/a8328444b472/bower3-3475911.jpg

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本文引用的文献

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IEEE Trans Med Robot Bionics. 2024 Feb;6(1):202-212. doi: 10.1109/tmrb.2023.3328649. Epub 2023 Oct 31.
2
Ankle Exoskeleton Assistance Increases Six-Minute Walk Test Performance in Cerebral Palsy.踝关节外骨骼辅助可提高脑瘫患者的6分钟步行试验表现。
IEEE Open J Eng Med Biol. 2021 Dec 15;2:320-323. doi: 10.1109/OJEMB.2021.3135826. eCollection 2021.
3
Walking speed and patient-reported outcomes in young adults with cerebral palsy.
年轻人脑性瘫痪患者的步行速度与患者报告的结局。
Dev Med Child Neurol. 2022 Oct;64(10):1281-1288. doi: 10.1111/dmcn.15225. Epub 2022 Apr 2.
4
Improving the Energy Cost of Incline Walking and Stair Ascent With Ankle Exoskeleton Assistance in Cerebral Palsy.踝部外骨骼辅助改善脑瘫患者的斜行和楼梯上升的能量消耗。
IEEE Trans Biomed Eng. 2022 Jul;69(7):2143-2152. doi: 10.1109/TBME.2021.3137447. Epub 2022 Jun 17.
5
Usability and performance validation of an ultra-lightweight and versatile untethered robotic ankle exoskeleton.超轻量、多功能的无绳机器人踝关节外骨骼的可用性和性能验证。
J Neuroeng Rehabil. 2021 Nov 10;18(1):163. doi: 10.1186/s12984-021-00954-9.
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Relationship between ankle function and walking ability for children and young adults with cerebral palsy: A systematic review of deficits and targeted interventions.脑性瘫痪儿童和青少年踝关节功能与步行能力的关系:缺陷及针对性干预的系统评价。
Gait Posture. 2022 Jan;91:165-178. doi: 10.1016/j.gaitpost.2021.10.024. Epub 2021 Oct 25.
7
Effects of Ankle Foot Orthoses on the Gait Patterns in Children with Spastic Bilateral Cerebral Palsy: A Scoping Review.踝足矫形器对痉挛型双侧脑瘫患儿步态模式的影响:一项范围综述
Children (Basel). 2021 Oct 10;8(10):903. doi: 10.3390/children8100903.
8
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