Additional Rehabilitative Robot-Assisted Gait Training for Ambulation in Geriatric Individuals with Guillain-Barré Syndrome: A Case Report

被引:1
作者
Chen, Fred Yi-Shueh [1 ]
Hou, Wen-Hsuan [1 ,2 ,3 ,4 ]
Lee, Hsun-Hua [5 ,6 ,7 ]
Huang, Ying-Chi [1 ]
Siow, Co Yih [1 ,4 ]
机构
[1] Taipei Med Univ Hosp, Dept Phys Med & Rehabil, Taipei 11031, Taiwan
[2] Taipei Med Univ, Coll Med, Sch Med, Dept Phys Med & Rehabil, Taipei 11031, Taiwan
[3] Taipei Med Univ, Cochrane Taiwan, Taipei 11031, Taiwan
[4] Taipei Med Univ Hosp, Dept Geriatr Med, Taipei 11031, Taiwan
[5] Taipei Med Univ, Taipei Med Univ Hosp, Dept Neurol, Taipei 11031, Taiwan
[6] Taipei Med Univ, Coll Med, Sch Med, Dept Neurol, Taipei 11031, Taiwan
[7] Taipei Med Univ, Shuang Ho Hosp, Vertigo & Balance Impairment Ctr, Dept Neurol, New Taipei City 23561, Taiwan
来源
MEDICINA-LITHUANIA | 2024年 / 60卷 / 08期
关键词
Guillain-Barr & eacute; syndrome; geriatric; robot-assisted gait training; case report; EXERCISE; FATIGUE; PATHOGENESIS; FITNESS; PEOPLE; SCALE;
D O I
10.3390/medicina60081209
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present a case of a 75-year-old Asian woman with Guillain-Barr & eacute; syndrome (GBS) who underwent a 1-month comprehensive rehabilitation training program supplemented by robot-assisted gait training (RAGT). GBS can lead to fatigue and prolonged bed rest, thereby further debilitating older patients. Although exercise intervention is recommended for GBS, a consensus regarding the appropriate intensity has yet to be established. Individualized strategies are required because older patients experience varying levels of fatigue and frailty. We used a technological adjunct to support comprehensive rehabilitation for GBS reconditioning in an older patient. To the best of our knowledge, research involving the use of an exoskeleton robotic device in the geriatric population with GBS is limited. Our case demonstrates the feasibility and safety of RAGT for improving lower limb muscle power and scores on the Barthel Index, Clinical Frailty Scale, and Instrumental Activities of Daily Living Scale at discharge from a geriatric ward.
引用
收藏
页数:8
相关论文
共 34 条
[1]   Influence of Exercise on Patients with Guillain-Barre Syndrome: A Systematic Review [J].
Arsenault, Nicholas Simatos ;
Vincent, Pierre-Olivier ;
Shen, Yu Bai He ;
Bastien, Robin ;
Sweeney, Aaron ;
Zhu, Sylvia .
PHYSIOTHERAPY CANADA, 2016, 68 (04) :367-376
[2]   THE BRADEN SCALE FOR PREDICTING PRESSURE SORE RISK [J].
BERGSTROM, N ;
BRADEN, BJ ;
LAGUZZA, A ;
HOLMAN, V .
NURSING RESEARCH, 1987, 36 (04) :205-210
[3]   Analysing the favourable effects of physical exercise: Relationships between physical fitness, fatigue and functioning in Guillain-Barre syndrome and chronic inflammatory demyelinating polyneuropathy [J].
Bussmann, Johannes B. ;
Garssen, Marcel P. ;
van Doorn, Pieter A. ;
Stam, Henk J. .
JOURNAL OF REHABILITATION MEDICINE, 2007, 39 (02) :121-125
[4]   Comprehensive geriatric assessment for older adults admitted to hospital [J].
Ellis, Graham ;
Gardner, Mike ;
Tsiachristas, Apostolos ;
Langhorne, Peter ;
Burke, Orlaith ;
Harwood, Rowan H. ;
Conroy, Simon P. ;
Kircher, Tilo ;
Somme, Dominique ;
Saltvedt, Ingvild ;
Wald, Heidi ;
O'Neill, Desmond ;
Robinson, David ;
Shepperd, Sasha .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2017, (09)
[5]  
FOLSTEIN MF, 1983, ARCH GEN PSYCHIAT, V40, P812
[6]  
Gagnier JJ, 2013, DTSCH ARZTEBL INT, V110, P603, DOI [10.1111/head.12246, 10.7453/gahmj.2013.008, 10.1186/1752-1947-7-223, 10.3238/arztebl.2013.0603, 10.1136/bcr-2013-201554]
[7]   Residual fatigue is independent of antecedent events and disease severity in Guillain-Barre syndrome [J].
Garssen, M. P. J. ;
Van Koningsveld, R. ;
Van Doorn, P. A. .
JOURNAL OF NEUROLOGY, 2006, 253 (09) :1143-1146
[8]   A SHORT PHYSICAL PERFORMANCE BATTERY ASSESSING LOWER-EXTREMITY FUNCTION - ASSOCIATION WITH SELF-REPORTED DISABILITY AND PREDICTION OF MORTALITY AND NURSING-HOME ADMISSION [J].
GURALNIK, JM ;
SIMONSICK, EM ;
FERRUCCI, L ;
GLYNN, RJ ;
BERKMAN, LF ;
BLAZER, DG ;
SCHERR, PA ;
WALLACE, RB .
JOURNALS OF GERONTOLOGY, 1994, 49 (02) :M85-M94
[9]  
HERBISON GJ, 1983, ARCH PHYS MED REHAB, V64, P201
[10]   CLARIFYING CONFUSION - THE CONFUSION ASSESSMENT METHOD - A NEW METHOD FOR DETECTION OF DELIRIUM [J].
INOUYE, SK ;
VANDYCK, CH ;
ALESSI, CA ;
BALKIN, S ;
SIEGAL, AP ;
HORWITZ, RI .
ANNALS OF INTERNAL MEDICINE, 1990, 113 (12) :941-948