Ferrer-Franquesa Andreu, Torra-Bou Joan Enric, Barranco-I-Reixachs David, Bravo Cristina
Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.
University School of Nursing and Occupational Therapy of Terrassa (EUIT), Autonomous University of Barcelona (UAB), Catalonia, Spain.
MethodsX. 2025 May 1;14:103346. doi: 10.1016/j.mex.2025.103346. eCollection 2025 Jun.
Immobility in bedridden patients-especially those with stroke or traumatic brain injury-leads to multiple complications such as pressure ulcers, muscle atrophy, and circulatory disorders. Emerging automated systems for verticalization and repositioning offer a promising rehabilitation tool.
To systematically evaluate the effectiveness of automated systems for postural changes and early mobilization in improving motor recovery, preventing pressure ulcers, and enhancing quality of life in bedridden patients.
This protocol follows PRISMA-P guidelines. Studies will be identified through systematic searches in PubMed, Embase, Web of Science, Scopus, CINAHL, and the Cochrane Library. Inclusion criteria: clinical studies evaluating automated systems for bedridden patients. Two reviewers will independently extract data using a standardized form. The quality and risk of bias will be assessed using appropriate tools (e.g., ROBINS-I or RoB 2). A narrative synthesis or meta-analysis will be performed based on data availability and homogeneity. The results of this review will inform best practices in the use of rehabilitation technologies for immobile patients.
卧床患者的活动受限——尤其是中风或创伤性脑损伤患者——会导致多种并发症，如压疮、肌肉萎缩和循环系统紊乱。新兴的用于垂直化和重新定位的自动化系统提供了一种有前景的康复工具。
系统评价自动化系统在改善卧床患者运动恢复、预防压疮和提高生活质量方面进行姿势改变和早期活动的有效性。
本方案遵循PRISMA-P指南。将通过在PubMed、Embase、科学网、Scopus、CINAHL和Cochrane图书馆进行系统检索来识别研究。纳入标准：评估卧床患者自动化系统的临床研究。两名评价者将使用标准化表格独立提取数据。将使用适当的工具（如ROBINS-I或RoB 2）评估质量和偏倚风险。将根据数据的可用性和同质性进行叙述性综合分析或荟萃分析。本综述的结果将为不动患者康复技术的最佳实践提供依据。
