ROBOT-ASSISTED MOBILITY FOR INFANTS WITH SEVERE SPINA SPINA

为患有严重脊柱的婴儿提供机器人辅助活动

• 批准号: 7835614
• 负责人: JAMES C. GALLOWAY
• 金额: $ 18.83万
• 依托单位: UNIVERSITY OF DELAWARE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-05-08 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7835614
• 关键词: Adult; Age; Age-Months; Automobile Driving; Behavioral; Caregivers; Child; Childhood; Clinical Trials; Cognitive; Collaborations; Control Groups; Data; Development; Devices; Diagnosis; Engineering; Environment; Explosion; Foundations; Goals; Impairment; Infant; Infant Development; Joystick; Lead; Learning; Leg; Length; Life; Location; Meningomyelocele; Methods; Motor; Movement; Powered wheelchair; Preparation; Protocols documentation; Quality of life; Randomized Controlled Trials; Rehabilitation therapy; Research; Sample Size; School-Age Population; Social Development; Spinal Dysraphism; Study Section; Subcategory; Technology; Testing; Time; Training; Walking; Work; arm; experience; follow-up; infancy; innovation; programs; public health relevance; rehabilitation engineering; relating to nervous system; robot assistance; skills

DESCRIPTION (provided by applicant): For the typical child, achieving independent mobility by crawling and walking is a hallmark of their infancy and results in an explosion of cognitive, perceptual and motor development. For children with significant mobility impairments, such as those with severe spina bifida, power wheelchairs provide mobility and independence, and potentially also lead to an explosion in their development. Currently, there are no power wheelchairs and no training protocols for special needs infants less than 2 yrs of age; thus the effect of introducing power mobility into their lives is unknown. This study will be the first to quantify the effect of intensive power wheelchair training on special needs infants with any diagnosis. Specifically, we will quantify the effect of training on the driving and development of infants with myelomeningocele, the most common, yet most severe form of spina bifida. We will follow two groups of infants from 7 months to 12 months of age. Training infants will receive a standardized training protocol 3x/week. Control infants will receive time in the device for familiarization 1x/week. Both training and control groups will be tested throughout the study on their directional driving ability; their driving length, duration and path during open exploratory driving; and their motor, perceptual, cognitive and social development. This revised R21 is an innovative, feasible application of ongoing engineering-infant rehabilitation collaboration, and will provide the foundation for the first randomized controlled trial of long term power mobility training of infants with significant mobility impairments. PUBLIC HEALTH RELEVANCE: Crawling and walking are hallmarks of infancy and lead to an explosion in cognitive, perceptual and social development. Providing mobility via power wheelchairs has long been proposed to be important for infants with significant mobility impairments. There are no comprehensive studies of the effect of such early power wheelchair use. In this project, we will quantify, for the first time, the effect of power wheelchair training on the mobility and development of young infants with severe spina bifida.

描述（由申请人提供）：对于典型的孩子，通过爬行和步行来实现独立的流动性是其起步阶段的标志，并导致认知，感知和运动发展的爆炸。对于具有重大流动性障碍的儿童，例如脊柱裂度严重的儿童，动力轮椅可提供活动性和独立性，并有可能导致其发育爆炸。目前，没有电力轮椅，也没有针对年龄不到2岁的特殊需求的培训方案；因此，将权力流动性引入他们的生活的效果尚不清楚。这项研究将是第一个量化强化轮椅训练对具有任何诊断的特殊需要婴儿的影响的研究。具体而言，我们将量化训练对脊髓脑纤维膨出婴儿的驾驶和发育的影响，脊髓脑膜纤维是脊柱裂的最常见，但最严重的形式。我们将跟随两组7个月至12个月大的婴儿。培训婴儿将获得标准化的培训方案3x/周。控制婴儿将在设备中获得熟悉1倍/周的时间。培训组和对照组将在整个研究中都针对其定向驾驶能力进行测试；在开放式探索驾驶过程中，它们的驾驶长度，持续时间和路径；以及他们的运动，感知，认知和社会发展。这项修订后的R21是对正在进行的工程康复合作的创新，可行的应用，并将为对具有重大移动性障碍的婴儿长期电力移动培训的首次随机对照试验奠定基础。公共卫生相关性：爬行和步行是婴儿期的标志，并导致认知，感知和社会发展的爆炸。长期以来，通过电动轮椅提供流动性对于具有重大活动障碍的婴儿很重要。没有关于这种早期电动轮椅使用的影响的全面研究。在这个项目中，我们将首次量化动力轮椅训练对严重脊柱裂的年轻婴儿的活动性和发育的影响。