Exercise training using hybrid assistive limb (HAL) lumbar type for locomotive syndrome: a pilot study.
Exercise training using hybrid assistive limb (HAL) lumbar type for locomotive syndrome: a pilot study.
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DOI：
10.1186/s12891-021-04421-3
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发表时间：
2021-06-12
影响因子：
2.3
通讯作者：
Yamazaki M
中科院分区：
文献类型：
--
作者：
Miura K;Koda M;Tamaki K;Ishida M;Marushima A;Funayama T;Takahashi H;Noguchi H;Mataki K;Yasunaga Y;Kawamoto H;Sankai Y;Matsumura A;Yamazaki M
随着日本人口迅速老龄化，机车综合症正成为一个日益严重的社会问题。使用腰型HAL的运动疗法预计将对机车综合征患者产生一些有益的影响。HAL是一种可穿戴的机器人西装，可以帮助髋关节的自愿运动。这项研究的目的是评估HAL运动疗法后是否会发生下腰痛的恶化和任何其他不良事件。此外，还评估了运动能力变量的变化。在这项研究中，我们招募了33名患有机车综合征的参与者(男性16名，女性17名)。他们接受了HAL的运动训练(坐-立、腰椎屈伸和步态训练)(总共12次)。评估患者腰背痛(腰椎VAS)的变化。与基线相比增加超过50%和25 mm被定义为不良事件。测定单腿站立时间(OLST)、10m步行试验(10MWT)、计时起立试验(TUG)、1min坐立试验(1MSTS)、FIM活动评分和EQ-5D。在33名参与者中，32名(男性16名，女性16名)(97.0%)使用腰型HAL完成了所有12次运动训练。一名82岁的女性在第二次治疗后因右上肢疼痛而退出，而不考虑是否使用 。没有一名参与者下腰痛恶化。与这种运动疗法直接相关的任何其他不良事件，包括外部伤害和/或跌倒、皮肤疾病、无法控制的心血管或呼吸系统疾病以及其他健康障碍都没有发生。运动能力的几项结果指标，包括OLST、TUG和1MSTS，EQ VAS和腰部疼痛在这次HAL训练后显著改善。几乎所有的机车综合征患者都完成了这项运动训练方案，没有任何与HAL相关的不良事件。此外，包括OLST、TUG和1MSTS在内的平衡功能变量在HAL运动治疗后有所改善，尽管包括10MWT和FIM活动评分在内的活动功能变量没有显示出任何显著变化。这些发现表明，使用腰型HAL的运动疗法将是干预机车综合征的选择之一。
With a rapidly aging population in Japan, locomotive syndrome is becoming an increasingly serious social problem. Exercise therapy using the lumbar type HAL, which is a wearable robot suit that can assist voluntary hip joint motion, would be expected to cause some beneficial effects for people with locomotive syndrome. The purpose of this study was to assess whether the deterioration of low back pain and any other adverse events would occur following HAL exercise therapy. Moreover, the changes of motor ability variables were evaluated. We enrolled 33 participants (16 men, 17 women) with locomotive syndrome in this study. They received exercise training (sit-to-stand, lumbar flexion-extension, and gait training) with HAL (in total 12 sessions). We assessed the change of low back pain (lumbar VAS). More than 50% and 25 mm increase compared to baseline was defined as adverse events. One-leg standing time (OLST), 10-m walking test (10MWT), Timed Up and Go test (TUG), 1-min sit-to-stand test (1MSTS), FIM mobility scores and EQ-5D were measured. Of the 33 participants, 32 (16 men, 16 women) (97.0%) completed all 12 exercise training sessions using the lumbar type HAL. One woman aged 82 years withdrew because of right upper limb pain after the second session regardless of the use of HAL. There was no participant who had deterioration of low back pain. Any other adverse events including external injuries and/or falling, skin disorders, uncontrollable cardiovascular or respiratory disorders, and other health disorders directly related to this exercise therapy did not occur. Several outcome measures of motion ability including OLST, TUG and 1MSTS, EQ VAS and lumbar pain improved significantly after this HAL training. Almost all patients with locomotive syndrome completed this exercise training protocol without any adverse events related to HAL. Furthermore, balance function variables including OLST, TUG and 1MSTS improved after this HAL exercise therapy even though mobility function variables including 10MWT and FIM mobility scores did not show any significant change. These findings suggest that the exercise therapy using the lumbar type HAL would be one of the options for the intervention in locomotive syndrome.
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影响因子：
2.8
作者：
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通讯作者：
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