Robot-assisted training can improve the bladder and intestinal functions of paraplegic patients
10.3760/cma.j.issn.0254-1424.2019.02.007
- VernacularTitle:下肢康复机器人训练对截瘫患者膀胱和肠道功能的影响
- Author:
Jie ZHANG
1
;
Yiping ZHU
;
Jianhua XIAO
;
Shuwei LI
;
Longwei CHEN
;
Yongyong WANG
;
Yafeng TIAN
;
Yan-Hui YANG
;
Nannan ZHANG
;
Xiaokang FU
;
Jie JIA
Author Information
1. 陕西省康复医院康复科学研究所
- Keywords:
Spinal cord injury;
Paraplegia;
Rehabilitation robots;
Bladder function;
Intestinal func-tion
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2019;41(2):111-115
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of training assisted by a lower limb rehabilitation robot on the bladder and intestinal function of paraplegic spinal cord injury survivors. Methods Thirty-eight paraplegic patients with spinal cord injury were divided according to their admission order into an experimental group ( n=19) and a control group (n=19). Both groups were given conventional rehabilitation training, while the experimental group was additionally provided with robot-assisted lower limb training in three stages:adaptation, training and con-solidation. It lasted 30 minutes daily, 5 days per week for 12 weeks. Before and after the training, an urodynamics examination system was used to evaluate the maximum urine flow, bladder capacity, residual urine volume, bladder pressure and detrusor pressure. Colon transit time, mean rectal pressure and intestinal function were measured using the colon transit test, a mean rectal pressure test, and the Functional Independence Measure ( FIM) scale respective-ly. Results The average bladder volume, maximum urine flow rate, average urine flow rate, detrusor pressure, bladder compliance, average rectal pressure and intestinal FIM score of the robot training group after training were all significantly better than before the training, as were the average residual urine volume and colon transit time. After the training, the average bladder volume, maximum urine flow rate, average urine flow rate, detrusor pressure, bladder compliance and average rectal pressure of the robot training group were all significantly higher than those of the control group, while the average residual urine volume and colon transit time were significantly smaller. Then, 32％ of the patients in the experimental group achieved no less than 6 points for their average FIM score, significantly higher than in the control group. Conclusion Robot-assisted lower limb training combined with comprehensive rehabilitation training can effectively improve the bladder and intestinal function of paraplegic patients after a spinal cord injury.
