md-medicaldata

Authors

 

Jelena Lazić^1,2, Branislava Brestovački Svitlica^1,2 , Mirjana Stojšić<sup>1,2

1</sup>Instititut za zdravstvenu zaštitu dece i omladine Vojvodine;
²Univerzitet u Novom Sadu, Medicinski fakultet

 

UDK: 007.52:615.8-053.2

The paper was received / Rad primljen: 01.06.2021.

Accepted / Rad prihvaćen: 16.06.2021.

 

Correspondence to:

Jelena Lazić
University of Novi Sad, Faculty of Medicine
Hajduk Veljkova 3, 21000 Novi Sad, Serbia
telefon: 063/8247-088
e-mail: jelalazic69@gmail.com

 

 

Sažetak

 

 

Lokomat Pro sistem je uređaj koji uz pomoć egzoskeletnog robota za hodanje na pokretnoj traci, kao i ortoza koje su prilagodljive za svakog pacijenta, uz video igre i na interaktivan način podstiče pacijenta da uradi određenu vrstu pokreta uz aktivaciju ciljanih mišićnih grupa, čime se ubrzava i pospešuje oporavak. Koristi se u rehabilitaciji pacijenata koji imaju poteškoće u hodu, prouzrokovane oboljenjima ili povredama centralnog i perifernog nervnog sistema. Istraživanja su pokazala da primena robot asistitrane terapije hoda pomoću Lokomata dovodi do poboljšanja lokomotornih funkcija, povećava se broj ponovljenih pokreta, poboljšava se simetrija i ravnoteža, povećava se izdržljivost kardiovaskularnog sistema, kao i samostalnost pacijenata (naročito u ranoj fazi rehabilitacije), smanjuje se spastičnost donjih ekstremiteta, poboljšava funkcionisanje pri aktivnostima svakodnevnog života, dovodi do smanjenja inaktivitetne atrofije, straha pacijenata (npr. od pada), uvežbava se balans, pokretljivost zglobova i izvodi istezanje muskulature u cilju podsticanja neuroplastičnog mozga. Ideja o uvođenju robot asistirane tehnologije u rehabilitacioni tretman kod dece, ima nameru da doprinese unapređenju kvaliteta dečje zdravstvene zaštite u Republici Srbiji.

 

 

 

Ključne reči:

Lokomat Pro, rehabilitacija, terapija, nove tehnologije

 

 

 

Abstract

The Locomat Pro System is a device that interactively encourages the patient to make a certain type of movement by activating target muscle groups, with the help of an exosceleton robot for walking on a threadmill. Thus it accelerates recovery. It is used in the rehabilitation of patients who have difficulty walking, caused by diseases or injuries of the central and peripheral nervous system. Studies have shown that the use of robot-assisted gait therapy using Lokomat improves locomotor functions, increases the number of repeated movements, improves symmetry and balance, increases endurance of the cardiovascular system, as well as patient independence (especially in early rehabilitation), reduces lower extremity spasticity, improves functioning in everyday life activities, leads to a reduction in physical inactivity-induced atrophy, patients' fear (eg of falling), improves balance, joint mobility and performs stretching of muscles to stimulate the brain neuroplasticity. The idea of introducing robot-assisted technology in rehabilitation treatment for children, intends to contribute to improving the quality of children's health care in the Republic of Serbia.

 

 

 

Keywords:

Lokomat Pro, rehabilitation, therapy, new technologies

 

 

 

 

References:

1. Riener R, Lunenburger L, Maier G, Colombo D. Locomotor Training in Subjects with Sesori-Motor Deficits: An Overview of the Robotic Gait Orthosis Lokomat. Journal of Healthcare Engineering. 2010; 1(2): 197-216.
2. Francesco Gilardi , Federica De Falco, Daniela Casasanta , Martina Andellini, Simone Gazzellini, Maurizio Petrarca  et al. Robotic Technology in Pediatric Neurorehabilitation. A Pilot Study of Human Factors in an Italian Pediatric Hospital. International Journal of Environmental Research and Public Health 2020; 17: 3503.
3. Druzbicki M, Rusek W, Szczepanik M, Dudek J, Snela S. Assessment of the impact of orthotic gait training on balance in children with cerebral palsy. Acta of Bioengineering and Biomechanics. 2010; 12(2): 54-58.
4. Eicher C, Haesner M, Spranger M, Kuzmicheva O, Gräser A, Steinhagen-Thiessen E. Usability and acceptability by a younger and older user group regarding a mobile robot-supported gait rehabilitation system. Assist. Technol. 2019; 31: 25–33.
5. Bobera D. Projektni menadžment. Ekonomski fakultet u Subotici. 2017.
6. Brankov J, Đokić N. Inovacije u savremenom poslovnom ambijentu. Anali Ekonomskog fakulteta u Subotici. 2009.
7. Maylor H. Strategic quality management. CABI Publishing. 2000.
8. Ristić L. Strategic management of sustainable rural development in the Republic of Serbia. Ekonomski horizonti. 2013.
9. Panić S, Andrejić M, Milenkov M, Andrejić S, Mirčevski M. Inovacija menadžmenta u funkciji razvoja. Vojno delo. 2018.
10. Đorđević V, Pecić L. Integracija sistema menadžmenta na nivou proizvodnog procesa. Bizinfo (Blace). 2018.
11. Gačević M, Petrović D. Menadžment kompetencije u profesiji medicinskih sestara. Zdravstvena zaštita. 2018; 47(1):48-56.
12. Aurich-Schuler T, Grob F, Hedel H, Labruyere R. Lokomat therapy with children and adolescents be improved? An adaptive clinical pilot trial comparing Guidance force, Path control, and FreeD. Journal of NeuroEngineering and Rehabilitation. 2017, 14:76.
13. Živaljević A, Bevanda V, Trifunović D. Life cycle of quality management system in organizations. Management: Journal of Sustainable Business and Management Solutions in Emerging Economies. 2017; 22(3):49-60.      
14. Riener R, Lunenburger L, Maier G, Colombo D. Locomotor Training in Subjects with Sesori-Motor Deficits: An Overview of the Robotic Gait Orthosis Lokomat. Journal of Healthcare Engineering. 2010; 1(2): 197-216.
15. Hedel H, Meyer_Heim A, Bohtz Rusch C. Robot-assisted gait training might be beneficial for more severely affected children with cerebral palsy. Developmental Neurorehabilitation 2016;19(6):410-15.
16. Riener R, Lunenburger L, Colombo G. Human-centered robotic applied to gait training and assessment. Journal of Rehabilitation Research&Development. 2006; 43(5): 679-694.
17. Stanonik I, Goljar N. Gait training with thw Lokomat in patients after cerebral stroke. Rehabilitacija-letn XII. 2013; 1: 59-67.
18. Aurich T, Warken B, Graser J, Urlich T, Borggraefe I, Heinen F, et al. Practical Recommendataions for Robot_Assissted Treadmill Therapy (Lokomat) in Children with Cerebral Palsy: Indications, Goal Settings and Clinical Implementations within thw WHO_ICF Framenwork. Neuropediatrics. 2015
19. Dundar U, Toktas H, Solak O, Ulasli AM, Eroglu S. A comparative study of conventional physiotherapy versus robotic training combined with physioteraphy in patients with stoke. Topic in stroke rehabilitation 2014; 21(6): 453-61.
20. Druzbicki M, Rusek W, Szczepanik M, Dudek J, Snela S. Assessment of the impact of orthotic gait training on balance in children with cerebral palsy. Acta of Bioengineering and Biomechanics. 2010; 12(2): 54-58.
21. Meyer-Heim A, Borggraefe I, Ammann-Reiffer C, Berweck St, Sennhauser FH, Colombo G, et al. Feasibility of robotic-assissted locomotor training in children with central gait impairment. Developmental Medicine&Child Neurology. 2007; 49: 900-906.
22. Hung C.S, Hsieh Y.W, Wu C.Y, Chen Y.J, Lin K.C, Chen C.L, et al. Rehabilitation Therapies on Upper-Limb Function and Goal Attainment in Chronic Stroke. OTJR Thorofare. N. J. 2019; 39: 116–123.
    

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