Background

In the last decade, the number of people over 60 has increased, leading to various healthcare problems. The aim of this retrospective study is to evaluate the effects of robotic rehabilitation in elderly patients as well as their perception of usability and adaptation to intensive robotic neurorehabilitation.

Methods

This is a retrospective case-control study. Eighty elderly stroke patients were included in the analysis using an electronic data retrieval system. The enrolled patients were divided into two groups: the experimental group (EG) underwent rehabilitation training with Lokomat FreeD, equipped with a VR screen, while the control group (CG) performed traditional rehabilitation training. The two groups matched for age, sex, education, brain injury, stroke interval. The rehabilitation protocol included a total of 40 training sessions.

Results

Both types of rehabilitation led to an improvement in the perceived level of disability (FIM) and in the performance in gait and balance (TT), highlighting a significant improvement especially in the EG. However, only in the EG, Lokomat training had induced an increase in the distance covered in 10 min (10 m walk test), and a significant improvement in mood (HRS-D). Moreover, Lokomat-FreeD was well tolerated by patients with high levels of usability.

Conclusions

Our results suggest that elderly patients may benefit from high-intensity robotic neurorehabilitation using the Lokomat-Pro FreeD.

中文翻译：

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老年步态强化训练可行有效吗？Lokomat Free-D治疗慢性脑卒中患者的回顾性病例对照研究

背景

在过去十年中，60 岁以上的人数有所增加，导致了各种医疗保健问题。这项回顾性研究的目的是评估机器人康复对老年患者的影响，以及他们对可用性和对强化机器人神经康复的适应。

方法

这是一项回顾性病例对照研究。使用电子数据检索系统将 80 名老年中风患者纳入分析。入组患者分为两组：实验组（EG）使用配备VR屏幕的Lokomat FreeD进行康复训练，而对照组（CG）进行传统康复训练。两组在年龄、性别、教育、脑损伤、中风间隔方面匹配。康复方案包括总共 40 次培训课程。

结果

两种类型的康复都导致感知残疾水平 (FIM) 以及步态和平衡 (TT) 表现的改善，突出了显着改善，尤其是在 EG 方面。然而，只有在 EG 中，Lokomat 训练才增加了 10 分钟（10 米步行测试）的距离，并显着改善了情绪 (HRS-D)。此外，具有高可用性的患者对 Lokomat-FreeD 的耐受性良好。

结论

我们的结果表明，老年患者可能会受益于使用 Lokomat-Pro FreeD 的高强度机器人神经康复。