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脊髓损伤患者对地面可穿戴动力外骨骼的接受度:一项多中心定性研究。

Acceptability of Overground Wearable Powered Exoskeletons for People with Spinal Cord Injury: A Multicenter Qualitative Study.

作者信息

Fortin-Bédard Noémie, Pellichero Alice, Leplaideur Stéphanie, Delebecque Marie-Caroline, Charette Caroline, Allègre Willy, Champagne Alyson, Rahn Caroline, Blanchette Andréanne K, Bouyer Laurent, Kerdraon Jacques, Lamontagne Marie-Eve, Routhier François

机构信息

Center for Interdisciplinary Research in Rehabilitation and Social Integration, Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale-Nationale, Quebec, QC G1C 3S2, Canada.

School of Rehabilitation Sciences, Université Laval, Quebec, QC G1V 0A6, Canada.

出版信息

Biomimetics (Basel). 2025 Jan 8;10(1):36. doi: 10.3390/biomimetics10010036.

DOI:10.3390/biomimetics10010036
PMID:39851752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11761949/
Abstract

Exoskeletons are used in rehabilitation centers for people with spinal cord injuries (SCI) due to the potential benefits they offer for locomotor rehabilitation. The acceptability of exoskeletons is crucial to promote rehabilitation and to ensure a successful implementation of this technology. The objective was to explore the acceptability of overground wearable powered exoskeleton used in rehabilitation among people with SCI. : Fourteen individuals with SCI (9 men, mean [SD] age 47 years [14.8], a majority with traumatic and thoracic lesion (T6-T12)) who had utilized an exoskeleton in Canada or in France during their rehabilitation participated in a semi-structured interview. A thematic analysis using the theoretical framework of acceptability was carried out. : Participants were motivated to use an exoskeleton during their rehabilitation. They reported several perceived benefits to its use, including better walking pattern, increased endurance, and greater muscle mass. They also experienced mild pain, notable concentration demands, and fatigue. Most participants reported that using exoskeletons in their rehabilitation process was appropriate and relevant to them. : Exoskeletons are generally well accepted by participants in this study. Adjustments in their use, such as conducting training sessions in obstacle-free environment and technological improvements to address the device's restrictive characteristics, heaviness, and massiveness are however still needed.

摘要

由于外骨骼在运动康复方面具有潜在益处,因此在脊髓损伤(SCI)患者的康复中心中得到应用。外骨骼的可接受性对于促进康复以及确保该技术的成功实施至关重要。目的是探讨SCI患者对康复中使用的地面可穿戴动力外骨骼的可接受性。14名SCI患者(9名男性,平均[标准差]年龄47岁[14.8],大多数为创伤性和胸段损伤(T6 - T12))在加拿大或法国康复期间使用过外骨骼,参与了半结构化访谈。采用可接受性理论框架进行了主题分析。参与者在康复期间有动力使用外骨骼。他们报告了使用外骨骼的一些感知益处,包括更好的行走模式、增加耐力和更大的肌肉量。他们还经历了轻微疼痛、明显的注意力需求和疲劳。大多数参与者报告说,在康复过程中使用外骨骼对他们来说是合适且相关的。在本研究中,外骨骼总体上被参与者很好地接受。然而,仍需要对外骨骼的使用进行调整,例如在无障碍环境中进行培训课程,以及进行技术改进以解决设备的限制性特征、沉重感和庞大体积。

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Acceptability of Overground Wearable Powered Exoskeletons for People with Spinal Cord Injury: A Multicenter Qualitative Study.脊髓损伤患者对地面可穿戴动力外骨骼的接受度:一项多中心定性研究。
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本文引用的文献

1
Spinal cord injury: global burden from 1990 to 2019 and projections up to 2030 using Bayesian age-period-cohort analysis.脊髓损伤:1990年至2019年的全球负担以及使用贝叶斯年龄-时期-队列分析对2030年的预测
Front Neurol. 2023 Dec 5;14:1304153. doi: 10.3389/fneur.2023.1304153. eCollection 2023.
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A systematic review of the determinants of implementation of a locomotor training program using a powered exoskeleton for individuals with a spinal cord injury.使用动力外骨骼对脊髓损伤患者进行运动训练方案的实施决定因素的系统评价。
Clin Rehabil. 2023 Aug;37(8):1119-1138. doi: 10.1177/02692155231164092. Epub 2023 Apr 10.
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Exoskeleton-based training improves walking independence in incomplete spinal cord injury patients: results from a randomized controlled trial.
基于外骨骼的训练可提高不完全性脊髓损伤患者的独立行走能力:一项随机对照试验的结果。
J Neuroeng Rehabil. 2023 Mar 24;20(1):36. doi: 10.1186/s12984-023-01158-z.
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Adaptation, personalization and capacity in mental health treatments: a balancing act?心理健康治疗中的适应、个性化和能力:一种平衡行为?
Curr Opin Psychiatry. 2023 Jan 1;36(1):28-33. doi: 10.1097/YCO.0000000000000834. Epub 2022 Oct 22.
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Walking improvement in chronic incomplete spinal cord injury with exoskeleton robotic training (WISE): a randomized controlled trial.外骨骼机器人训练改善慢性不完全性脊髓损伤患者的步行能力(WISE):一项随机对照试验。
Spinal Cord. 2022 Jun;60(6):522-532. doi: 10.1038/s41393-022-00751-8. Epub 2022 Jan 29.
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Exoskeleton use in acute rehabilitation post spinal cord injury: A qualitative study exploring patients' experiences.外骨骼在脊髓损伤后急性康复中的应用:一项探索患者体验的定性研究。
J Spinal Cord Med. 2022 Nov;45(6):848-856. doi: 10.1080/10790268.2021.1983314. Epub 2021 Dec 2.
7
Design recommendations for exoskeletons: Perspectives of individuals with spinal cord injury.外骨骼设计建议:脊髓损伤个体的观点。
J Spinal Cord Med. 2023 Mar;46(2):256-261. doi: 10.1080/10790268.2021.1926177. Epub 2021 Jun 1.
8
Exoskeleton home and community use in people with complete spinal cord injury.外骨骼在完全性脊髓损伤患者家庭和社区中的使用。
Sci Rep. 2020 Sep 24;10(1):15600. doi: 10.1038/s41598-020-72397-6.
9
Therapists' experience of training and implementing an exoskeleton in a rehabilitation centre.治疗师在康复中心培训和使用外骨骼的经验。
Disabil Rehabil. 2022 Apr;44(7):1060-1066. doi: 10.1080/09638288.2020.1789765. Epub 2020 Jul 10.
10
Experiences with and perspectives on goal setting in spinal cord injury rehabilitation: a systematic review of qualitative studies.脊髓损伤康复中目标设定的经验和观点:定性研究的系统评价。
Spinal Cord. 2020 Sep;58(9):949-958. doi: 10.1038/s41393-020-0485-8. Epub 2020 May 18.