Ali Khan Akhtar, He LingXiao, Zhang Weikai, Xia Chengyan, Huang Hui, Emails Hui Huang
Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
J Orthop Surg Res. 2025 May 2;20(1):438. doi: 10.1186/s13018-025-05833-w.
This study aimed to enhance the rehabilitation process for patients with unstable pelvic Tile C fractures resulting from polytrauma by integrating mechanotherapy using the Hocoma Lokomat robotic device with conventional rehabilitation methods. The goal was to improve functional recovery outcomes and minimize pain levels following surgical intervention.
A total of 74 participants, aged 21 to 65 years, with severe unstable pelvic Tile C fractures were enrolled at Tongji Hospital's Department of Rehabilitation from 2022 to 2024. They were randomly divided into two groups: Group A (34 patients) received comprehensive rehabilitation including mechanotherapy with the Hocoma Lokomat, while Group B (40 patients) underwent only conventional therapeutic exercises. Functional outcomes were assessed using the Majeed pelvic score, and pain were monitored over time.
Group A demonstrated significantly better pelvic function scores compared to Group B throughout the rehabilitation period(91.53 ± 4.10vs. 88.17 ± 5.15). Additionally, at the six-month follow-up, Group A showed superior pain control benefits attributed to mechanotherapy(2.09 ± 1.10vs2.29 ± 1.12).
Integrating the Hocoma Lokomat into rehab for unstable pelvic Tile C fractures improves function and pain control versus conventional care. The study supports robotic-assisted therapy's benefits for polytrauma patients, advocating innovative rehab approaches.
本研究旨在通过将使用Hocoma Lokomat机器人设备的机械疗法与传统康复方法相结合，加强因多发伤导致的不稳定骨盆Tile C型骨折患者的康复进程。目标是改善手术干预后的功能恢复结果并将疼痛程度降至最低。
2022年至2024年期间，共有74名年龄在21至65岁之间、患有严重不稳定骨盆Tile C型骨折的参与者在同济医院康复科登记入组。他们被随机分为两组：A组（34例患者）接受包括使用Hocoma Lokomat进行机械疗法在内的综合康复治疗，而B组（40例患者）仅进行传统治疗性锻炼。使用Majeed骨盆评分评估功能结果，并随时间监测疼痛情况。
在整个康复期间，A组的骨盆功能评分明显优于B组（91.53±4.10对88.17±5.15）。此外，在六个月的随访中，A组在机械疗法的疼痛控制方面表现出更优的效果（2.09±1.10对2.29±1.12）。
与传统护理相比，将Hocoma Lokomat纳入不稳定骨盆Tile C型骨折的康复治疗可改善功能并控制疼痛。该研究支持机器人辅助治疗对多发伤患者的益处，提倡采用创新的康复方法。
