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Effectiveness of robot-assisted gait training on patients with burns: a preliminary study
Computer Methods in Biomechanics and Biomedical Engineering ( IF 1.7 ) Pub Date : 2020-05-29
So Young Joo, Seung Yeol Lee, Yoon Soo Cho, Kuem Ju Lee, Sang-Hyun Kim, Cheong Hoon Seo

Gait enables individuals to move forward and is considered a natural skill. However, gait disturbances are very common in patients with burn injury. Recent studies have emphasized the role of robot-assisted gait training (RAGT) in rehabilitation. This study aimed to evaluate the efficacy of RAGT on patients with lower extremity burn for the first time. 12 patients with lower extremity burns were included. SUBAR® (CRETEM, Korea) is a wearable robot with a footplate that assists patients to perform voluntary muscle movements. Patients underwent 30 min of RAGT using SUBAR® for 30 min once a day for 5 days a week for 4 weeks. Functional scores of functional ambulation category (FAC), 6-minute walking test (6MWT) distances, and numeric rating scale (NRS) scores of pain before and after 4 weeks RAGT were measured. NRS scores decreased significantly from 6.92 ± 1.78 points before RAGT to 4.17 ± 1.75 points after 4 weeks of RAGT (p = 0.002). FAC scores increased significantly from 1.58 ± 1.08 points to 3.08 ± 1.31 points (p = 0.002). 6MWT scores increased significantly from 182.17 ± 153.62 points to 279.17 ± 119.27 points (p = 0.001). RAGT may facilitate early recovery from a burn injury. This study is the first study to evaluate the effectiveness of RAGT on patients with burns. Outcomes were meaningful, including patient-subjective outcome measures, and objective gait functions for burn patients. The absence of complications on burn patients provides an opportunity to enlarge the application area of RAGT.



中文翻译:

机器人辅助步态训练对烧伤患者的有效性:初步研究

步态使个人前进,被认为是一种自然技能。但是,步态障碍在烧伤患者中非常普遍。最近的研究强调了机器人辅助步态训练(RAGT)在康复中的作用。这项研究旨在首次评估RAGT对下肢烧伤患者的疗效。包括12例下肢烧伤患者。SUBAR®(韩国CRETEM)是一种带有踏板的可穿戴机器人,可帮助患者进行自愿的肌肉运动。患者使用SUBAR接受RAGT 30分钟®每天一次30分钟,每周5天,共4周。测量了RAGT前后4周疼痛的功能性活动类别(FAC),6分钟步行测试(6MWT)距离以及疼痛的数字评分量表(NRS)得分。NGT分数从RAGT前的6.92±1.78分显着降低到RAGT 4周后的4.17±1.75分(p  = 0.002)。FAC分数从1.58±1.08分显着提高到3.08±1.31分(p  = 0.002)。6MWT分数从182.17±153.62点显着提高到279.17±119.27点(p = 0.001)。RAGT可能有助于烧伤早期恢复。这项研究是评估RAGT对烧伤患者有效性的第一项研究。结果是有意义的,包括患者主观的结果测量以及烧伤患者的客观步态功能。烧伤患者没有并发症,这为扩大RAGT的应用领域提供了机会。

更新日期:2020-05-29
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