在为脊髓损伤患者提供外骨供社区使用时,关于临床决策的建议
Derrick Onate1, Cassandra Hogan2, Kathryn Fitzgerald2
1Lifeward Inc., Marlborough, MA, United States.
Frontiers in rehabilitation sciences
|August 29, 2024
概括
个人动力外骨架 (PPE) 为脊髓损伤 (SCI) 患者提供了行走的机会. 本文为临床医生提供了选择合适候选人的指导,并讨论了带有个人防护设备的辅助行走的好处.
科学领域:
- 康复医学 康复医学 康复医学
- 辅助技术 辅助技术 辅助技术
- 神经科学是一个神经科学.
背景情况:
- 2014年,个人动力外骨架 (PPE) 获得了FDA的批准,用于脊髓损伤 (SCI) 患者.
- 个人防护设备使人们能够在家庭和社区环境中行走,作为轮式移动的辅助.
- 辅助行走的潜在生理和心理社会益处存在于康复之外.
研究的目的:
- 提供临床指导,用于选择合适的个人防护品,用于SCI患者.
- 概述一个专家共识决策算法,用于PPE实施.
- 根据新出现的证据,讨论个人防护设备使用的生理和社会心理益处.
主要方法:
- 为个人防护设备决策算法开发专家共识.
- 审查早期公布的关于个人防护设备在SCI中使用的证据.
- 讨论候选人选择标准和潜在的好处.
主要成果:
- 临床医生之间存在关于个人防护设备候选人选择和益处的知识差距.
- 早期证据表明,PPE辅助行走的潜在生理和社会心理益处.
- 提出了一个决策算法来指导临床医生.
结论:
- 个人防护设备为符合条件的SCI患者提供行走机会.
- 需要临床指导来进行最佳的个人防护设备候选者选择和使用.
- 需要进一步的研究,以充分阐明个人防护品在SCI中的好处.
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