A systematic review of the effects of robotic exoskeleton training on energy expenditure and body composition in adults with spinal cord injury.

IF 1.5 4区 医学 Q3 REHABILITATION International Journal of Rehabilitation Research Pub Date : 2024-06-01 Epub Date: 2024-04-09 DOI:10.1097/MRR.0000000000000626
Alessandra Rigoli, Lucinda Francis, Margaret Nicholson, Gerard Weber, Jason Redhead, Priya Iyer
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Abstract

Metabolic diseases disproportionately affect people with spinal cord injury (SCI). Increasing energy expenditure and remodeling body composition may offset deleterious consequences of SCI to improve cardiometabolic health. Evidence is emerging that robotic exoskeleton use increases physical activity in SCI, but little is known about its effects on energy expenditure and body composition. This study therefore aimed to evaluate the impact of robotic exoskeleton training on body composition and energy expenditure in adults with SCI. A systematic literature review was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. Five databases were searched to retrieve studies meeting pre-set eligibility criteria: adults with SCI, interventions evaluating the effects of robotic exoskeleton devices on body composition or energy expenditure. The PEDro scale guided quality assessments with findings described narratively. Of 2163 records, 10 studies were included. Robotic exoskeleton training does not significantly improve energy expenditure compared to other exercise interventions. Significant changes ( P  < 0.05) in body composition, particularly reduced fat mass, however, were reported. High variability seen with the interventions was coupled with poor quality of the studies. While robotic exoskeleton interventions may propose modest cardiometabolic benefits in adults with SCI, further robust trials in larger samples are needed to strengthen these findings.

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机器人外骨骼训练对脊髓损伤成人能量消耗和身体成分影响的系统性综述。
代谢性疾病对脊髓损伤(SCI)患者的影响尤为严重。增加能量消耗和重塑身体成分可以抵消脊髓损伤的有害后果,从而改善心脏代谢健康。有证据表明,使用机器人外骨骼可增加 SCI 患者的体力活动,但人们对其对能量消耗和身体成分的影响知之甚少。因此,本研究旨在评估机器人外骨骼训练对患有 SCI 的成年人身体成分和能量消耗的影响。根据《系统综述和元分析首选报告项目》指南进行了系统性文献综述。我们搜索了五个数据库,以检索符合预设资格标准的研究:患有 SCI 的成人、评估机器人外骨骼设备对身体成分或能量消耗影响的干预措施。采用 PEDro 量表进行质量评估,并对评估结果进行叙述性描述。在2163条记录中,共纳入了10项研究。与其他运动干预相比,机器人外骨骼训练并不能显著改善能量消耗。显著变化(P
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.
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