Resumen
Este estudio evaluó la satisfacción de pacientes y terapeutas con el uso de exoesqueletos terapéuticos para trastornos de la marcha en patologías neurológicas.
Se incluyeron 23 artículos que analizaron 14 modelos diferentes de exoesqueletos en pacientes con accidente cerebrovascular, lesión de la médula espinal y esclerosis múltiple.
En general, los resultados mostraron una satisfacción positiva con la seguridad, eficacia y comodidad del dispositivo.
Sin embargo, se identificaron aspectos que deberían mejorarse, como la facilidad de ajuste, tamaño y peso, y la usabilidad del dispositivo.
Esto puede informar la selección y recomendación de exoesqueletos terapéuticos para fisioterapeutas que trabajan con pacientes con trastornos de la marcha.
Exoesqueletos en fisioterapia: una revolución en la calidad de vida de los pacientes
Los fisioterapeutas tienen una nueva herramienta para mejorar la calidad de vida de sus pacientes: los exoesqueletos. Estos dispositivos ofrecen numerosos beneficios en la clínica de fisioterapia, incluyendo una mayor satisfacción de los pacientes. Al incorporar exoesqueletos en sus tratamientos, los fisioterapeutas pueden proporcionar una experiencia terapéutica más eficiente y efectiva.
Abstract original
Satisfaction analysis of overground gait exoskeletons in people with neurological pathology. a systematic review
Background: People diagnosed with neurological pathology may experience gait disorders that affect their quality of life. In recent years, research has been carried out on a variety of exoskeletons in this population. However, the satisfaction perceived by the users of these devices is not known. Therefore, the objective of the present study is to evaluate the satisfaction perceived by users with neurological pathology (patients and professionals) after the use of overground exoskeletons.
Methods: A systematic search of five electronic databases was conducted. In order to be included in this review for further analysis, the studies had to meet the following criteria: [1] the study population was people diagnosed with neurological pathology; [2] the exoskeletons had to be overground and attachable to the lower limbs; and [3]: the studies were to include measures assessing either patient or therapist satisfaction with the exoskeletons.
Results: Twenty-three articles were selected, of which nineteen were considered clinical trials. Participants diagnosed with stroke (n = 165), spinal cord injury (SCI) (n = 102) and multiple sclerosis (MS) (n = 68). Fourteen different overground exoskeleton models were analysed. Fourteen different methods of assessing patient satisfaction with the devices were found, and three ways to evaluate it in therapists.
Conclusion: Users' satisfaction with gait overground exoskeletons in stroke, SCI and MS seems to show positive results in safety, efficacy and comfort of the devices. However, the worst rated aspects and therefore those that should be optimized from the users' point of view are ease of adjustment, size and weight, and ease of use.
| Autores | C Cumplido-Trasmonte F Molina-Rueda G Puyuelo-Quintana A Plaza-Flores M Hernández-Melero E Barquín-Santos M A Destarac-Eguizabal E García-Armada |
| revista | J Neuroeng Rehabil |
| DOI | 10.1186/s12984-023-01161-4 |