Lee Joonhwan, Lee Eunyoung, Hong Seokjoon, Shin Sunyi, Ryu Byungju
Department of Physical Medicine and Rehabilitation, Sahmyook Medical Center, Seoul 02500, Republic of Korea.
Medicine Department Visiting Health Team, Dongdaemun-gu Public Health Center, Seoul 02500, Republic of Korea.
Healthcare (Basel). 2025 Jan 4;13(1):78. doi: 10.3390/healthcare13010078.
With South Korea's growing aging population, the demand for accessible rehabilitation solutions is increasing. Home-based robotic rehabilitation presents a feasible alternative to conventional in-clinic rehabilitation. This study explores the impact of the Rebless robotic rehabilitation device in a home-based setting for people with physical disabilities and their caregivers. We prospectively collected data from individuals with brain disorders or physical disabilities living in Dongdaemun-gu, from August 2023 to March 2024. Participants completed an 8-week rehabilitation program using the Rebless robotic device. Assessments were conducted at baseline and after the eight-week program, measuring motor function, caregiver burden, and quality of life. Exercises were performed three times weekly for at least 90 min total. We conducted an intervention with 26 adults with physical or neurological disabilities, of which 20 completed the program. Significant improvements were observed in upper limb function within the elbow exercise group (Fugl-Meyer assessment for upper extremity, = 0.043) and a reduction in caregiver burden across the total groups (Zarit Burden Interview, = 0.003). However, no statistically significant changes were found in balance and mobility measures (Berg balance scale, timed up-and-go, 10 m walk test). Home-based robotic rehabilitation demonstrates potential for improving upper limb function and reducing caregiver burden and mental health, proving beneficial to both patients and caregivers.
随着韩国老龄化人口的增加，对可及的康复解决方案的需求也在上升。居家机器人康复为传统的门诊康复提供了一种可行的替代方案。本研究探讨了Rebless机器人康复设备在居家环境中对身体残疾者及其照顾者的影响。我们前瞻性地收集了2023年8月至2024年3月居住在东大门区的患有脑部疾病或身体残疾的个体的数据。参与者使用Rebless机器人设备完成了为期8周的康复计划。在基线和为期8周的计划结束后进行评估，测量运动功能、照顾者负担和生活质量。每周进行三次锻炼，每次至少90分钟。我们对26名患有身体或神经残疾的成年人进行了干预，其中20人完成了该计划。在肘部运动组的上肢功能方面观察到显著改善（上肢Fugl-Meyer评估， = 0.043），并且在所有组中照顾者负担有所减轻（Zarit负担访谈， = 0.003）。然而，在平衡和移动性测量（Berg平衡量表、定时起立行走测试、10米步行测试）中未发现统计学上的显著变化。居家机器人康复显示出改善上肢功能、减轻照顾者负担和心理健康的潜力，对患者和照顾者都有益。
