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ATLAS 2030机器人步态装置在脑瘫和脊髓性肌萎缩症儿童中的可用性和安全性

Usability and Safety of the ATLAS 2030 Robotic Gait Device in Children with Cerebral Palsy and Spinal Muscular Atrophy.

作者信息

Cumplido-Trasmonte Carlos, Barquín-Santos Eva, Aneiros-Tarancón Fernando, Plaza-Flores Alberto, Espinosa-García Sandra, Fernández Roemi, García-Armada Elena

机构信息

Marsi Bionics S.L., 28521 Madrid, Spain.

International Doctoral School, Rey Juan Carlos University, 28922 Madrid, Spain.

出版信息

Children (Basel). 2024 Dec 10;11(12):1500. doi: 10.3390/children11121500.

DOI:10.3390/children11121500
PMID:39767930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11674413/
Abstract

PURPOSE

the purpose of this study was to evaluate the safety and usability of the ATLAS 2030 in children with Cerebral Palsy (CP) and Spinal Muscular Atrophy (SMA).

MATERIALS AND METHODS

the sample consisted of six children, three with CP and three with SMA, who received eight sessions of robot-assisted gait therapy. Safety was measured by the presence of adverse events. Usability was measured by spatiotemporal parameters, the Six-Minute Walking Test (6MWT), and the time needed for donning and doffing, as well as satisfaction questionnaires administered to therapists and patients.

RESULTS

no serious adverse events were reported. The average cadence and number of steps per session increased throughout sessions, as well as the distance covered in the 6MWT, both in participants with CP and SMA. The mean donning time at the end of the study was 4.6 ± 1.3 min, and only one therapist was necessary to carry out all of the sessions. Satisfaction was considered high by both children and therapists.

CONCLUSIONS

the ATLAS 2030 was shown to be safe for children with CP and SMA. The usability of the device was good, since a progression in the spatiotemporal parameters was observed throughout the sessions, and patient and therapist satisfaction were high.

摘要

目的

本研究旨在评估ATLAS 2030对脑瘫(CP)和脊髓性肌萎缩症(SMA)患儿的安全性和可用性。

材料与方法

样本包括6名儿童,其中3名患有CP,3名患有SMA,他们接受了8次机器人辅助步态治疗。通过不良事件的发生情况来衡量安全性。通过时空参数、六分钟步行测试(6MWT)、穿戴和脱下所需时间以及向治疗师和患者发放的满意度调查问卷来衡量可用性。

结果

未报告严重不良事件。在CP和SMA参与者中,整个治疗过程中平均步频和每次治疗的步数均增加,6MWT中的行走距离也增加。研究结束时的平均穿戴时间为4.6±1.3分钟,且所有治疗只需一名治疗师即可完成。儿童和治疗师的满意度均较高。

结论

ATLAS 2030对CP和SMA患儿显示出安全性。该设备的可用性良好,因为在整个治疗过程中观察到时空参数有所改善,且患者和治疗师的满意度较高。

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本文引用的文献

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Satisfaction analysis of overground gait exoskeletons in people with neurological pathology. a systematic review.地面行走外骨骼在神经病理患者中的满意度分析。系统评价。
J Neuroeng Rehabil. 2023 Apr 18;20(1):47. doi: 10.1186/s12984-023-01161-4.
2
Effects of ATLAS 2030 gait exoskeleton on strength and range of motion in children with spinal muscular atrophy II: a case series.ATLAS 2030 步态外骨骼对脊髓性肌萎缩症 II 型儿童力量和运动范围的影响:病例系列研究。
J Neuroeng Rehabil. 2022 Jul 19;19(1):75. doi: 10.1186/s12984-022-01055-x.
3
ATLAS2030 Pediatric Gait Exoskeleton: Changes on Range of Motion, Strength and Spasticity in Children With Cerebral Palsy. A Case Series Study.
ATLAS2030儿童步态外骨骼:对脑瘫患儿运动范围、力量和痉挛状态的影响。一项病例系列研究。
Front Pediatr. 2021 Nov 24;9:753226. doi: 10.3389/fped.2021.753226. eCollection 2021.
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An analysis of usability evaluation practices and contexts of use in wearable robotics.对可穿戴机器人的可用性评估实践和使用环境的分析。
J Neuroeng Rehabil. 2021 Dec 9;18(1):170. doi: 10.1186/s12984-021-00963-8.
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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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Wearable Robotic Gait Training in Persons with Multiple Sclerosis: A Satisfaction Study.可穿戴机器人步态训练在多发性硬化症患者中的应用:一项满意度研究。
Sensors (Basel). 2021 Jul 20;21(14):4940. doi: 10.3390/s21144940.
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Gait-assisted exoskeletons for children with cerebral palsy or spinal muscular atrophy: A systematic review.步态辅助式外骨骼机器人在脑瘫或脊髓性肌萎缩症患儿中的应用:系统评价。
NeuroRehabilitation. 2021;49(3):333-348. doi: 10.3233/NRE-210135.
8
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J Neuroeng Rehabil. 2021 Jan 29;18(1):19. doi: 10.1186/s12984-021-00814-6.
9
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Front Robot AI. 2020 Nov 16;7:557606. doi: 10.3389/frobt.2020.557606. eCollection 2020.
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Effect of the Hybrid Assistive Limb on the Gait Pattern for Cerebral Palsy.混合辅助肢体对脑瘫步态模式的影响。
Medicina (Kaunas). 2020 Dec 7;56(12):673. doi: 10.3390/medicina56120673.