Rediseño basado en la experiencia clínica de un andador robótico para la rehabilitación de fractura de cadera

• Costa, Vanina ^[2] ; Sánchez, Cristina ^[2] ; Perea, Luis ^[3] ; Rocon, Eduardo ^[1] ; Otero, Abraham ^[2] ; Raya, Rafael ^[2]
  1. [1] Centro de Automática y Robótica

     Centro de Automática y Robótica

     Madrid, España

     
  2. [2] Universidad San Pablo-CEU
  3. [3] Albertia Servicios Sociosanitarios S.A.

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• Localización: Revista iberoamericana de automática e informática industrial ( RIAI ), ISSN-e 1697-7920, Vol. 20, Nº. 3, 2023, págs. 247-258
• Idioma: español
• DOI: 10.4995/riai.2023.17839
• Títulos paralelos:
  • Redesign based on clinical experience of a robotic walker for hip fracture rehabilitation
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• Resumen
  • español

    La fractura de cadera es una lesión frecuente en personas mayores de 65 años,estando asociada a una reducción en la esperanza de vida. Su rehabilitación se basa en la movilización gradual mediante terapia manual. Sin embargo, estos tratamientos no suelen ser integrales, constan de ejercicios repetitivos, resultan monótonos para el pacientey su seguimientoes principalmente cualitativo.  SWalker es un andador robótico basado en un sistema de tracción y de soporte de peso, que integra sensores de marcha. Con una primera versión de este andador se llevó a cabo un estudio clínico que involucró 34 pacientes. A partir de esta experiencia se han extraído los requisitos de diseño que se consideran claves para el desarrollo de este tipo de dispositivos. Sobre la base de estos requisitos se ha construido una segunda versión del andador en la que se ha validado su usabilidad con 5 pacientes. Empleando la escala QUEST 2.0 se han comparado ambas versiones del andador, mostrando mejoras en la segunda versión en seguridad, adaptabilidad y usabilidad

  • English

    Hip fracture is a common injury in people over 65 years old, linked to a reduction in life expectancy. Rehabilitation is based on gradual mobilization through manual therapy. However, these treatments are not usually integrative, they consist of repetitive exercises that are not motivating for the patient and their follow-up is mainly qualitative. SWalker is a robotic platform based on a traction and weight-bearing system that integrates gait sensors. A clinical study involving 34 patients was conducted with a first version of this walker. From this experience, the key design requirements for the development of this type of device were gathered. Based on these requirements, a second version of the walker was built and its usability was validated with 5 patients. Using the QUEST 2.0 scale, both versions of the walker were compared, showing improvements in safety, adaptability, and usability in the second version.

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