Ilse J W van Nes, Rosanne B van Dijsseldonk, Frank H M van Herpen, Hennie Rijken, Alexander C H Geurts, Noël L W Keijsers
{"title":"慢性脊髓损伤患者经过两个月的外骨骼训练后生活质量得到改善。","authors":"Ilse J W van Nes, Rosanne B van Dijsseldonk, Frank H M van Herpen, Hennie Rijken, Alexander C H Geurts, Noël L W Keijsers","doi":"10.1080/10790268.2022.2052502","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To examine changes in quality of life (QoL) after an eight-week period of robotic exoskeleton training in a homogeneous group of patients with chronic complete spinal cord injury (SCI).</p><p><strong>Design: </strong>Prospective single-group pre-post study.</p><p><strong>Setting: </strong>Rehabilitation center.</p><p><strong>Participants: </strong>Patients with a chronic (>6 months) motor complete SCI (T1-L1).</p><p><strong>Intervention: </strong>Twenty-four training sessions with the ReWalk exoskeleton over an eight-week period.</p><p><strong>Main outcome measure: </strong>QoL, assessed with the sum score of the Short Form-36 with Walk Wheel modification (SF-36ww). Secondary outcome measures were the eight SF-36ww subdomains, satisfaction with bladder and bowel management, lower extremity joint passive range of motion (pROM), and lower extremity spasticity.</p><p><strong>Results: </strong>Twenty-one participants completed the training. QoL significantly improved after the training period (average SF-36 sum score 621 ± 90) compared to baseline (571 ± 133) (<i>t</i>(20)=-2.5, <i>P</i>=.02). Improvements were seen on the SF-36ww subdomains for pain (<i>P</i>=.003), social functioning (<i>P</i>=.03), mental health (<i>P</i>=.02), and general health perception (<i>P</i>=.01). Satisfaction with bladder management (range 1-5) improved from median 3 at baseline to 4 after exoskeleton training (<i>P</i>=0.01). No changes in satisfaction with bowel management (<i>P</i>=.11), pROM (hip-extension (<i>P</i>=.49), knee-extension (<i>P</i>=.36), ankle dorsiflexion (<i>P</i>=.69)), or spasticity (<i>P</i>=.94) were found.</p><p><strong>Conclusion: </strong>Even in patients with chronic motor complete SCI and a relatively high level of QoL at baseline, a short-term exoskeleton training improved their QoL, pain and satisfaction with bladder management; findings that warrant further controlled studies in this specific SCI population.</p>","PeriodicalId":55102,"journal":{"name":"Geophysics","volume":"37 1","pages":"354-360"},"PeriodicalIF":3.0000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044750/pdf/","citationCount":"0","resultStr":"{\"title\":\"Improvement of quality of life after 2-month exoskeleton training in patients with chronic spinal cord injury.\",\"authors\":\"Ilse J W van Nes, Rosanne B van Dijsseldonk, Frank H M van Herpen, Hennie Rijken, Alexander C H Geurts, Noël L W Keijsers\",\"doi\":\"10.1080/10790268.2022.2052502\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To examine changes in quality of life (QoL) after an eight-week period of robotic exoskeleton training in a homogeneous group of patients with chronic complete spinal cord injury (SCI).</p><p><strong>Design: </strong>Prospective single-group pre-post study.</p><p><strong>Setting: </strong>Rehabilitation center.</p><p><strong>Participants: </strong>Patients with a chronic (>6 months) motor complete SCI (T1-L1).</p><p><strong>Intervention: </strong>Twenty-four training sessions with the ReWalk exoskeleton over an eight-week period.</p><p><strong>Main outcome measure: </strong>QoL, assessed with the sum score of the Short Form-36 with Walk Wheel modification (SF-36ww). Secondary outcome measures were the eight SF-36ww subdomains, satisfaction with bladder and bowel management, lower extremity joint passive range of motion (pROM), and lower extremity spasticity.</p><p><strong>Results: </strong>Twenty-one participants completed the training. QoL significantly improved after the training period (average SF-36 sum score 621 ± 90) compared to baseline (571 ± 133) (<i>t</i>(20)=-2.5, <i>P</i>=.02). Improvements were seen on the SF-36ww subdomains for pain (<i>P</i>=.003), social functioning (<i>P</i>=.03), mental health (<i>P</i>=.02), and general health perception (<i>P</i>=.01). Satisfaction with bladder management (range 1-5) improved from median 3 at baseline to 4 after exoskeleton training (<i>P</i>=0.01). No changes in satisfaction with bowel management (<i>P</i>=.11), pROM (hip-extension (<i>P</i>=.49), knee-extension (<i>P</i>=.36), ankle dorsiflexion (<i>P</i>=.69)), or spasticity (<i>P</i>=.94) were found.</p><p><strong>Conclusion: </strong>Even in patients with chronic motor complete SCI and a relatively high level of QoL at baseline, a short-term exoskeleton training improved their QoL, pain and satisfaction with bladder management; findings that warrant further controlled studies in this specific SCI population.</p>\",\"PeriodicalId\":55102,\"journal\":{\"name\":\"Geophysics\",\"volume\":\"37 1\",\"pages\":\"354-360\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11044750/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Geophysics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/10790268.2022.2052502\",\"RegionNum\":2,\"RegionCategory\":\"地球科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/4/4 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"GEOCHEMISTRY & GEOPHYSICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Geophysics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10790268.2022.2052502","RegionNum":2,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/4/4 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"GEOCHEMISTRY & GEOPHYSICS","Score":null,"Total":0}
Improvement of quality of life after 2-month exoskeleton training in patients with chronic spinal cord injury.
Objective: To examine changes in quality of life (QoL) after an eight-week period of robotic exoskeleton training in a homogeneous group of patients with chronic complete spinal cord injury (SCI).
Design: Prospective single-group pre-post study.
Setting: Rehabilitation center.
Participants: Patients with a chronic (>6 months) motor complete SCI (T1-L1).
Intervention: Twenty-four training sessions with the ReWalk exoskeleton over an eight-week period.
Main outcome measure: QoL, assessed with the sum score of the Short Form-36 with Walk Wheel modification (SF-36ww). Secondary outcome measures were the eight SF-36ww subdomains, satisfaction with bladder and bowel management, lower extremity joint passive range of motion (pROM), and lower extremity spasticity.
Results: Twenty-one participants completed the training. QoL significantly improved after the training period (average SF-36 sum score 621 ± 90) compared to baseline (571 ± 133) (t(20)=-2.5, P=.02). Improvements were seen on the SF-36ww subdomains for pain (P=.003), social functioning (P=.03), mental health (P=.02), and general health perception (P=.01). Satisfaction with bladder management (range 1-5) improved from median 3 at baseline to 4 after exoskeleton training (P=0.01). No changes in satisfaction with bowel management (P=.11), pROM (hip-extension (P=.49), knee-extension (P=.36), ankle dorsiflexion (P=.69)), or spasticity (P=.94) were found.
Conclusion: Even in patients with chronic motor complete SCI and a relatively high level of QoL at baseline, a short-term exoskeleton training improved their QoL, pain and satisfaction with bladder management; findings that warrant further controlled studies in this specific SCI population.
期刊介绍：
Geophysics, published by the Society of Exploration Geophysicists since 1936, is an archival journal encompassing all aspects of research, exploration, and education in applied geophysics.
Geophysics articles, generally more than 275 per year in six issues, cover the entire spectrum of geophysical methods, including seismology, potential fields, electromagnetics, and borehole measurements. Geophysics, a bimonthly, provides theoretical and mathematical tools needed to reproduce depicted work, encouraging further development and research.
Geophysics papers, drawn from industry and academia, undergo a rigorous peer-review process to validate the described methods and conclusions and ensure the highest editorial and production quality. Geophysics editors strongly encourage the use of real data, including actual case histories, to highlight current technology and tutorials to stimulate ideas. Some issues feature a section of solicited papers on a particular subject of current interest. Recent special sections focused on seismic anisotropy, subsalt exploration and development, and microseismic monitoring.
The PDF format of each Geophysics paper is the official version of record.
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