Robotic assisted gait as a tool for rehabilitation of individuals with spinal cord injury: a systematic review.
Robotic assisted gait as a tool for rehabilitation of individuals with spinal cord injury: a systematic review.
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DOI：
10.1186/s12984-017-0338-7
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发表时间：
2017-12-04
影响因子：
5.1
通讯作者：
Morya E
中科院分区：
文献类型：
--
作者：
Holanda LJ;Silva PMM;Amorim TC;Lacerda MO;Simão CR;Morya E
脊髓损伤（SCI）的特征是感觉和运动通路的全部或部分缺陷。这种损伤损害肌肉募集和运动规划，从而降低功能能力。SCI患者通常表现出心理、肠道、泌尿、骨关节、表皮、心肺和神经的改变，这些改变在慢性期加重。神经康复的目标之一是通过促进生活质量和功能独立性的改善来恢复这些能力。目前的文献强调了机器人步态治疗在SCI患者中的几个好处。本研究的目的是比较机器人步态装置，并将这些装置作为SCI患者康复工具的科学证据系统化。进行了一项系统性综述，通过检索以下数据库确定了相关文章：科克伦图书馆、PubMed、PEDro和Capes Periodic。两名作者选择了使用机器人器械进行脊髓损伤康复的文章。数据库检索发现2941篇文章，39篇文章因符合纳入标准而被纳入。机器人设备呈现出独特的特征，近年来应用越来越多。研究表明，在减少疼痛感和痉挛水平;改变本体感受能力，对温度、振动、压力的敏感性，反射行为，肌肉和皮层水平的电活动，损伤水平的分类;增加行走速度，步长和行走距离;改善坐姿、肠道、心肺、代谢、被盖和心理功能。这篇系统性综述显示了一个重大进展，包括机器人设备作为一种创新和有效的治疗方法，用于SCI患者的康复。本文的在线版本（10.1186/s12984-017-0338-7）包含补充材料，可供授权用户使用。
Spinal cord injury (SCI) is characterized by a total or partial deficit of sensory and motor pathways. Impairments of this injury compromise muscle recruitment and motor planning, thus reducing functional capacity. SCI patients commonly present psychological, intestinal, urinary, osteomioarticular, tegumentary, cardiorespiratory and neural alterations that aggravate in chronic phase. One of the neurorehabilitation goals is the restoration of these abilities by favoring improvement in the quality of life and functional independence. Current literature highlights several benefits of robotic gait therapies in SCI individuals. The purpose of this study was to compare the robotic gait devices, and systematize the scientific evidences of these devices as a tool for rehabilitation of SCI individuals. A systematic review was carried out in which relevant articles were identified by searching the following databases: Cochrane Library, PubMed, PEDro and Capes Periodic. Two authors selected the articles which used a robotic device for rehabilitation of spinal cord injury. Databases search found 2941 articles, 39 articles were included due to meet the inclusion criteria. The robotic devices presented distinct features, with increasing application in the last years. Studies have shown promising results regarding the reduction of pain perception and spasticity level; alteration of the proprioceptive capacity, sensitivity to temperature, vibration, pressure, reflex behavior, electrical activity at muscular and cortical level, classification of the injury level; increase in walking speed, step length and distance traveled; improvements in sitting posture, intestinal, cardiorespiratory, metabolic, tegmental and psychological functions. This systematic review shows a significant progress encompassing robotic devices as an innovative and effective therapy for the rehabilitation of individuals with SCI. The online version of this article (10.1186/s12984-017-0338-7) contains supplementary material, which is available to authorized users.
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影响因子：
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作者：
Fenuta, Alyssa M.;Hicks, Audrey L.
通讯作者：
Hicks, Audrey L.
影响因子：
5.1
作者：
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通讯作者：
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DOI：
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影响因子：
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作者：
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