ROBOT-ASSISTED MOBILITY FOR INFANTS WITH SEVERE SPINA SPINA

为患有严重脊柱的婴儿提供机器人辅助活动

• 批准号: 7659853
• 负责人: JAMES C. GALLOWAY
• 金额: $ 22万
• 依托单位: UNIVERSITY OF DELAWARE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-05-08 至 2011-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7659853
• 关键词: Adult; Age; Age-Months; Automobile Driving; Behavioral; Caregivers; Child; Childhood; Clinical Trials; Cognitive; Collaborations; Control Groups; Data; Development; Devices; Diagnosis; Engineering; Environment; Explosion; Foundations; Goals; Impairment; Infant; Infant Development; Joystick; Lead; Learning; Leg; Length; Life; Location; Meningomyelocele; Methods; Motor; Movement; Powered wheelchair; Preparation; Protocols documentation; Quality of life; Randomized Controlled Trials; Rehabilitation therapy; Research; Sample Size; School-Age Population; Social Development; Spinal Dysraphism; Study Section; Subcategory; Technology; Testing; Time; Training; Upper arm; Walking; Work; experience; follow-up; infancy; innovation; programs; public health relevance; rehabilitation engineering; relating to nervous system; robot assistance; skills

DESCRIPTION (provided by applicant): For the typical child, achieving independent mobility by crawling and walking is a hallmark of their infancy and results in an explosion of cognitive, perceptual and motor development. For children with significant mobility impairments, such as those with severe spina bifida, power wheelchairs provide mobility and independence, and potentially also lead to an explosion in their development. Currently, there are no power wheelchairs and no training protocols for special needs infants less than 2 yrs of age; thus the effect of introducing power mobility into their lives is unknown. This study will be the first to quantify the effect of intensive power wheelchair training on special needs infants with any diagnosis. Specifically, we will quantify the effect of training on the driving and development of infants with myelomeningocele, the most common, yet most severe form of spina bifida. We will follow two groups of infants from 7 months to 12 months of age. Training infants will receive a standardized training protocol 3x/week. Control infants will receive time in the device for familiarization 1x/week. Both training and control groups will be tested throughout the study on their directional driving ability; their driving length, duration and path during open exploratory driving; and their motor, perceptual, cognitive and social development. This revised R21 is an innovative, feasible application of ongoing engineering-infant rehabilitation collaboration, and will provide the foundation for the first randomized controlled trial of long term power mobility training of infants with significant mobility impairments. PUBLIC HEALTH RELEVANCE: Crawling and walking are hallmarks of infancy and lead to an explosion in cognitive, perceptual and social development. Providing mobility via power wheelchairs has long been proposed to be important for infants with significant mobility impairments. There are no comprehensive studies of the effect of such early power wheelchair use. In this project, we will quantify, for the first time, the effect of power wheelchair training on the mobility and development of young infants with severe spina bifida.

描述（由申请人提供）：对于典型的孩子来说，通过爬行和行走实现独立移动是他们婴儿期的标志，并导致认知、知觉和运动的爆发式发展。对于有严重行动障碍的儿童，例如患有严重脊柱裂的儿童，电动轮椅可以提供活动能力和独立性，并且还可能导致他们的发育迅速发展。目前，还没有电动轮椅，也没有针对 2 岁以下特殊需要婴儿的训练方案；因此，将权力流动性引入他们的生活的效果尚不清楚。这项研究将是第一个量化强化电动轮椅训练对任何诊断的特殊需要婴儿的影响的研究。具体来说，我们将量化训练对患有脊髓脊膜膨出（最常见但最严重的脊柱裂形式）婴儿的驾驶和发育的影响。我们将跟踪两组 7 个月至 12 个月大的婴儿。训练婴儿将接受每周 3 次的标准化训练方案。对照婴儿将在设备中接受每周 1 次的熟悉时间。在整个研究过程中，将测试训练组和对照组的定向驾驶能力；开放探索驾驶期间的驾驶长度、持续时间和路径；以及他们的运动、知觉、认知和社交发展。修订后的 R21 是正在进行的工程-婴儿康复合作的创新、可行的应用，并将为第一个对有严重行动障碍的婴儿进行长期力量移动训练的随机对照试验奠定基础。公共卫生相关性：爬行和行走是婴儿期的标志，会导致认知、知觉和社会性发展的爆炸式增长。长期以来，人们一直认为通过电动轮椅提供移动能力对于行动能力严重障碍的婴儿非常重要。目前还没有关于早期使用电动轮椅的影响的全面研究。在这个项目中，我们将首次量化电动轮椅训练对患有严重脊柱裂的小婴儿的活动和发育的影响。