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Effect of assisted ...
Effect of assisted walking-movement in patients with genetic and acquired neuromuscular disorders with the motorised Innowalk device : an international case study meta-analysis
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- Schmidt-Lucke, C (författare)
- MEDIACC GmbH,Charité - University Medicine Berlin
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- Käferle, J (författare)
- Danube University Krems
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- Rydh Berner, BM (författare)
- Danderyd Hospital
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- Ahlborg, L (författare)
- Danderyd Hospital
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- Hansen, HM (författare)
- University of Bergen
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- Skjellvik Tollefsen, U (författare)
- Asker kommune
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- Thon, T (författare)
- Porsgrunn kommune
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- Damkjaer Moen, R (författare)
- Made for Movement
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- Pekanovic, A (författare)
- MEDIACC GmbH
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- Tornberg, Åsa (författare)
- Lund University,Lunds universitet,Barns och familjers hälsa,Forskargrupper vid Lunds universitet,Child and Family Health,Lund University Research Groups
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- Lauruschkus, Katarina (författare)
- Lund University,Lunds universitet,Barns och familjers hälsa,Forskargrupper vid Lunds universitet,Child and Family Health,Lund University Research Groups
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(creator_code:org_t)
- 2019-06-18
- 2019
- Engelska.
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Ingår i: PeerJ. - : PeerJ. - 2167-8359. ; 7, s. 7098-7098
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://doi.org/10.7...
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https://lup.lub.lu.s...
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https://doi.org/10.7...
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Abstract
Ämnesord
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- People with physical disabilities (PD) suffer from consequences due to lack of physical activity and consequently, are at increased risk of chronic diseases. We aimed to evaluate the ability of a motorised assistive device for dynamic standing with weight-bearing in addition to standard state-of-the-art therapy to improve clinical outcome in a meta-analysis of available studies. A total of 11 studies were identified from different European countries analysing the effect of the dynamic device Innowalk. Raw data of nine studies were pooled including a total of 31 patients observed between 2009 and 2017. Standardised questionnaires and physical outcomes were examined in this exploratory meta-analysis. We recorded patients' characteristics, duration, intensity, and location of usage as well as general clinical outcomes and improvement of passive range of motion (PROM). The analysed population consisted in 90% cases of patients younger than 18 years of age. Patients were severely disabled individuals (aged 8 (6-10) years; 58% male; 67% non-ambulatory, 86% cerebral palsy). A total of 94% used the Innowalk in a home-based or day-care setting. For nearly all individuals (94%), improvements were recorded for: walking or weight-bearing transfer (n = 13), control/strength of the trunk or head (n = 6), joint mobility (n = 14), sleep (n = 4 out of 6/67%), or muscle strength (n = 17), vital functions (n = 16), bowel function (n = 10), attention/orientation (n = 2). PROM of the hip (flexion, abduction, and adduction) significantly (p < 0.001 for multiple comparisons) increased after 1 month (p < 0.05 flexion, adduction) and further after 5 months (p < 0.05 each) in contrast (p < 0.05 each) to a control group with state-of-the-art therapy. Similarly, PROM showed a trend towards improvement in dorsal extension of the ankle (p = 0.07). In summary, this is the first report of a novel device with additional benefit to standard therapy for severe PD. These intriguing results warrant the planned prospective randomised controlled trial to prove the concept and mechanism of action of this device.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
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PeerJ
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- Av författaren/redakt...
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Schmidt-Lucke, C
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Käferle, J
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Rydh Berner, BM
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Ahlborg, L
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Hansen, HM
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Skjellvik Tollef ...
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Thon, T
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Damkjaer Moen, R
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Pekanovic, A
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Tornberg, Åsa
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Lauruschkus, Kat ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Ortopedi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Neurologi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Sjukgymnastik
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PeerJ
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Lunds universitet