机器人辅助步行治疗对脊髓损伤后亚急性期泌尿动力学变化的影响:一项前性研究
Zbigniew Ziętek1, Justyna Frasuńska2, Bogumił Korczyński3
1Department of Functional and Clinical Anatomy, Pomeranian Medical University, Szczecin, Poland.
概括
机器人辅助步行治疗 (RAGT) 显示出改善脊髓损伤 (SCI) 患者膀功能的潜力. RAGT可以提高尿流速并减少排尿时间,这表明它可以用于神经性膀治疗.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 脊髓损伤 (SCI) 经常导致膀功能障碍,增加上泌尿道并发症的风险.
- 尿动力学是评估SCI后膀功能的黄金标准.
- 机器人辅助步行疗法 (RAGT) 对泌尿功能的影响仍未得到充分研究.
研究的目的:
- 研究RAGT对SCI患者泌尿动力学参数的影响.
- 为了评估 RAGT 后膀容量,排泄参数和关功能的变化.
主要方法:
- 35名SCI患者 (受伤后3个月至2年) 被随机分配到RAGT (使用外骨) 或对照 (动态模板) 组.
- 治疗涉及7周,30分钟的会议.
- 在治疗前和治疗后进行了尿动力学评估,包括囊泡测量膀容量 (CBC),欲排便 (FD,ND,SD),流量,空气后残留体积 (PRV),服从性和管功能.
主要成果:
- 在所有患者中,RAGT与排尿时间的减少有关.
- 接受RAGT的不完整SCI患者显示流量增加和排尿时间减少.
- 在完整的SCI患者中,膀合规性保持稳定或略有下降;在不完整的SCI患者中,L级病变的SCI患者中,CBC和空白参数的变化很小.
结论:
- 膀参数的改善表明RAGT是SCI患者神经性膀管理的可行选择.
- RAGT可能对泌尿功能有好处,特别是在SCI不完整的个体中.
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