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Master Thesis

Effet de l’assistance robotisée par exosquelette sur la spasticité du membre inférieur chez les patients atteints de lésions médullaires

Abstract : Background: Spinal cord injuries affect 250,000 to 500,000 new people per year and represent a significant cost in the health field. Spasticity, a symptom of pyramidal syndrome frequently found in these lesions, negatively affects the quality of life of patients and restricts them in their daily activities. Many effective treatments, mainly pharmaceutical and surgical, have been proposed to reduce this symptom, but few physical, non-invasive treatments implemented by physiotherapists have, to date, proved their worth. Objectives: To assess the effects of a new therapy, robotic exoskeleton assistance, on lower limb spasticity in patients with spinal cord injuries. Participants: Patients with spinal cord injuries have spasticity in the lower limbs. Methods: Different databases (PubMed, PEDro, Cochrane Library) were used to select the articles eligible for this review. Precise inclusion and exclusion criteria have been defined beforehand. The results of the studies had to include a measurement of spasticity before and after the operation. Results: Of the studies, 3 randomized clinical trials and 3 case series were selected for the qualitative synthesis of this review. The exoskeleton intervention was compared to conventional therapies or drug treatments. The results show immediate improvement in spasticity according to the Ashworth scale and instrumental measurements, but it is not found in the short and long term. Conclusion: Although robotic assistance by exoskeleton has shown efficacy for other parameters (walking) in spinal cord injuries, the evidence provided by this review does not allow us to conclude on the efficacy of this therapy in the management of spasticity. Studies are still largely necessary to answer the question posed and determine its general applicability.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03353968
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Submitted on : Friday, September 24, 2021 - 2:58:58 PM
Last modification on : Tuesday, October 19, 2021 - 10:35:24 PM

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Lucas Bisror. Effet de l’assistance robotisée par exosquelette sur la spasticité du membre inférieur chez les patients atteints de lésions médullaires. Médecine humaine et pathologie. 2021. ⟨dumas-03353968⟩

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