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논문 기본 정보

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학술저널
저자정보
Kim Hyeon Seong (Department of Rehabilitation Medicine Hanyang University College of Medicine Seoul Korea.) Park Jae Hyeon (Department of Rehabilitation Medicine Hanyang University Guri Hospital Guri Korea.) Lee Ho Seok (Department of Rehabilitation Medicine Hanyang University College of Medicine Seoul Korea.) Lee Jae Young (Department of Rehabilitation Medicine Hanyang University College of Medicine Seoul Korea.) Jung Ji Won (Department of Rehabilitation Medicine Hanyang University College of Medicine Seoul Korea.) Park Si-Bog (Department of Rehabilitation Medicine Hanyang University College of Medicine Seoul Korea.) Hyun Dong Jin (Robotics Lab. R&D Division of Hyundai Motor Company Uiwang Korea.) Park Sangin (Robotics Lab. R&D Division of Hyundai Motor Company Uiwang Korea.) Yoon JuYoung (Robotics Lab. R&D Division of Hyundai Motor Company Uiwang Korea.) Lim Hyunseop (Robotics Lab. R&D Division of Hyundai Motor Company Uiwang Korea.) Choi Yun Young (Department of Nuclear Medicine Hanyang University College of Medicine Seoul Korea.) Kim Mi Jung (Department of Rehabilitation Medicine Hanyang University College of Medicine Seoul Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.12
발행연도
2021.1
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1 - 15 (15page)

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Background: Spinal cord injury (SCI) is a serious clinical condition that impacts a patient's physical, psychological, and socio-economic status. The aim of this pilot study was to evaluate the effects of training with a newly developed powered wearable exoskeleton (Hyundai Medical Exoskeleton [H-MEX]) on functional mobility, physiological health, and quality of life in non-ambulatory SCI patients. Methods: Participants received 60 minutes of walking training with a powered exoskeleton 3 times per week for 10 weeks (total 30 sessions). The 6-minute walking test (6MWT) and timed-up-and-go test (TUGT) were performed to assess ambulatory function. The physiological outcomes of interest after exoskeleton-assisted walking training were spasticity, pulmonary function, bone mineral density, colon transit time, and serum inflammatory markers. Effects of walking training on subjective outcomes were estimated by the Korean version of the Falls Efficacy Scale—International and the 36-Item Short-Form Health Survey version 2. Results: Ten participants finished 30 sessions of training and could ambulate independently. No severe adverse events were reported during the study. After training, the mean distance walked in the 6MWT (49.13 m) was significantly enhanced compared with baseline (20.65 m). The results of the TUGT also indicated a statistically significant improvement in the times required to stand up, walk 3 m and sit down. Although not statistically significant, clinically meaningful changes in some secondary physiological outcomes and/or quality of life were reported in some participants. Conclusion: In conclusion, this study demonstrated that the newly developed wearable exoskeleton, H-MEX is safe and feasible for non-ambulatory SCI patients, and may have potential to improve quality of life of patients by assisting bipedal ambulation. These results suggest that the H-MEX can be considered a beneficial device for chronic non-ambulatory SCI patients.
#Exoskeleton #Spinal Cord Injury #Assistive Technology

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참고문헌 (47)

참고문헌 신청
Craig A / 2009 / Psychological morbidity and spinal cord injury : a systematic review / Spinal Cord 47(2):108~114 google schola Priebe MM / 2007 / Spinal cord injury medicine. 6. Economic and societal issues in spinal cord injury / Arch Phys Med Rehabil 88(3 Suppl 1):S84~S88 google schola Choi SH / 2020 / Incidence of acute spinal cord injury and associated complications of methylprednisolone therapy : a national population-based study in South Korea / Spinal Cord 58(2):232~237 google schola Singh A / 2014 / Global prevalence and incidence of traumatic spinal cord injury / Clin Epidemiol 6:309~331 google schola Sezer N / 2015 / Chronic complications of spinal cord injury / World J Orthop 6(1):24~33 google schola

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