| Author/Editor | Krizmanič, Tatjana; Vidmar, Gaj; Grabljevec, Klemen | |
| Title | Učinki vadbe z različnimi fizioterapevtskimi postopki, vključno z vadbo hoje na sistemu Lokomat, pri bolnikih z multiplo sklerozo | |
| Translated title | Effects of gait training with conventional physiotherapy including robot-assisted gait training (Lokomat) in patients with multiple sclerosis | |
| Type | članek | |
| Vol. and No. | Letnik 14, št. 1 | |
| Publication year | 2015 | |
| Volume | str. 26-31 | |
| ISSN | 1580-9315 - Rehabilitacija | |
| Language | slv | |
| Abstract | Uvod: Eden od ciljev fizioterapije pri bolnikih z multiplo sklerozo je izboljšati funkcijo hoje. V prispevku je predstavljen vpliv vadbe hoje z različnimi fizioterapevtskimi postopki, vključno z vadbo hoje na robotizirani napravi Lokomat, na funkcijo hoje pri bolnikih z multiplo sklerozo. Metode: Vključenih je bilo 20 bolnikov, 11 moških in 9 žensk. Bolniki so bili stari od 34 do 69 let, v povprečju 47 let. Devet ambulantnih bolnikov je vadilo hojo na robotizirani napravi Lokomat; enajst hospitaliziranih bolnikov je vadilo z različnimi fizioterapevtskimi postopki, vključno z vadbo hoje na robotizirani napravi Lokomat. Pred začetkom in po obravnavah smo bolnike ocenili s testom Vstani in pojdi, testom hoje na 10 metrov in 6-minutnim testom hoje. Za vse tri teste smo izračunali opisne statistike. Rezultate testiranja pred vadbo smo primerjali z rezultati testiranj po zaključenem programu vadbe. Primerjali smo rezultate skupin, ki sta bili vključeni v ambulantno in bolnišnično obravnavo. Analizirali smo absolutno in relativno fizioterapevizboljšanje. Uporabili smo eksaktne neparametrične statistične teste. Rezultati: Pri bolnikih je po vadbi prišlo do statistično značilnega izboljšanja rezultatov pri vseh treh testih (test vstani in pojdi: p=0,001; hitrost hoje na 10 m: p=0,012; prehojena razdalja na 6-minutnem testu hoje: p=0,019). Pri vseh treh testih so bolniki, ki so bili vključeni v bolnišnično obravnavo, dosegli večje povprečno in mediansko absolutno in relativno izboljšanje. Razlika med skupinama je bila statistično značilna na ravni tveganja 5% le glede relativnega izboljšanja dosežka pri 6-minutnem testu hoje (p=0,046) in blizu temu glede absolutnega izboljšanja dosežka pri testu hoje na 10 m (p=0,080). Zaključek: Pri bolnikih z multiplo sklerozo je priporočljiva kombinacija vadbe z različnimi fizioterapevtskimi postopki, vključno z vadbo hoje na sistemu Lokomat. Verjetno bi dokazali statistično značilno večje izboljšanje v skupini bolnikov, ki so bili vključeni v bolnišnično obravnavo pri vseh treh časovnih testih hoje, če bi bili skupini vključenih bolnikov večji in če bi vključili bolnike z enako stopnjo bolezni.Introduction: One of the main goals of physiotherapy in patients with multiple sclerosis is improving functional walking. The article addresses the effect of conventional physiotherapy and robotic-assisted gait training (using the Lokomat system) on gait function in patients with multiple sclerosis. Methods: Twenty patients were included, 11 men and 9 women. Their mean age was 47 years (range 34-69 years). Nine outpatients received Lokomat-assisted gait training; eleven inpatients received conventional physiotherapy including Lokomat-assisted gait training. The patients were assessed before and after the treatment program using the timed up-and-go test, the 10-meter walk test, and the 6-minute walk test. Descriptive statistics was calculated for all three tests. The baseline measures were compared with those after the treatment program. Absolute and relative improvement was compared between outpatients and inpatients. Exact nonparametric statistical tests were used. Results: A statistically significant improvement after the treatment program was observed in the whole sample regarding all the three tests (timed up-and-go: p=0.001, walking speed in the 10m walk test: p=0.012, distance walked in 6 minutes: p=0.019). Inpatients achieved higher average and median absolute and relative improvement on all the three walking tests. The difference between the two groups was statistically significant at the 5% alpha-level only regarding relative improvement in the 6-minute walk test (p=0.046), and came close to that regarding absolute improvement in the 10 m walk test (p=0.080). Conclusions: A combination of conventional physiotherapy and robotic- assisted gait training is recommended in patients with multiple sclerosis. We would have probably proven a statistically significantly larger improvement in the inpatient group regarding all the three walking tests had the number of patients been larger and had the two groups been more comparable in terms of disease stage. | |
| Descriptors | Multiple Sclerosis | |
| Keywords | neurophysiotherapy gait training Lokomat multipla skleroza nevrofizioterapija vadba hoje |