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  4. Cardiopulmonary Response to Robot-Assisted Tilt Table With Regard to Its Components

Cardiopulmonary Response to Robot-Assisted Tilt Table With Regard to Its Components

Brain Neurorehabil, 2023 · DOI: https://doi.org/10.12786/bn.2023.16.e9 · Published: March 31, 2023

Assistive TechnologyPulmonologyRehabilitation

Simple Explanation

This study investigates how robot-assisted exercises and tilt table exercises impact cardiopulmonary function in healthy young adults. The study involved participants performing various combinations of robot-assisted mode, tilt table angle, and functional electrical stimulation (FES). The study measured and compared cardiopulmonary effects like oxygen uptake, heart rate, and minute ventilation under each condition to understand the influence of each element of the robot-assisted tilt table (RATT). The research found that the angle of the tilt table significantly affects cardiopulmonary function, with higher angles generally leading to increased oxygen uptake and heart rate. Additionally, the use of robot-assisted mode, even in a passive form, can enhance cardiopulmonary response. These findings suggest that RATT can be an effective method for improving cardiopulmonary function, especially when considering the angle of tilt and the use of robotic assistance. These results imply that even passive movements using the RATT can result in a higher cardiopulmonary response and that the tilting angle significantly influences this response due to gravity and the sympathetic nervous system. The study suggests that RATT, with its adjustable elements, offers a tailored approach to rehabilitation that can be optimized to promote cardiopulmonary function effectively.

Study Duration
June 2018 and August 2018
Participants
Ten healthy young adults (seven males and three females; 25.2 ± 0.6 years old; weight, 71.5 ± 10.5 kg; height, 175.7 ± 7.7 cm)
Evidence Level
Not specified

Key Findings

  • 1
    The angle of the tilt table had a significant effect on cardiopulmonary function, with higher angles resulting in increased values for RPP, HR, and %HRmax when FES was switched off.
  • 2
    When FES was off, the robot-assisted mode had a marked main effect on VO2, VE, and METs, suggesting that even passive movements contribute to a higher cardiopulmonary response.
  • 3
    With the robot-assisted mode on, the angle of the tilt table had main effects on all outcome variables, indicating that a higher angle generally leads to better cardiopulmonary responses regardless of FES.

Research Summary

This study investigated the effects of robot-assisted tilt table (RATT) exercise on cardiopulmonary function in healthy young adults. By manipulating the robot-assisted mode, tilt angle, and functional electrical stimulation (FES), the researchers aimed to determine how each component contributes to cardiopulmonary response. The results showed that the tilt angle significantly affected cardiopulmonary responses, with higher angles generally leading to increased oxygen uptake, heart rate, and metabolic energy cost. The robot-assisted mode also played a crucial role, as even passive movements resulted in a higher cardiopulmonary response. The study concludes that RATT can be an effective tool for enhancing cardiopulmonary function, especially when considering the combination of robot-assisted mode and tilting angle. These findings suggest that rehabilitation programs can be tailored to optimize cardiopulmonary benefits by adjusting these parameters based on individual patient needs.

Practical Implications

Optimized Rehabilitation Programs

Rehabilitation programs can be tailored to optimize cardiopulmonary benefits by adjusting the RATT's robot-assisted mode and tilting angle.

Early Intervention Strategies

The benefits of RATT as a passive range of motion exercise, the prevention of orthostatic hypotension, and the maintenance of muscle mass are especially valuable in the early stages of rehabilitation.

Personalized Treatment

Considering individual patient needs and cardiopulmonary function, healthcare providers can design personalized treatment plans using RATT to achieve the best possible outcomes.

Study Limitations

  • 1
    The results cannot be directly applied to patients with impaired cardiopulmonary function because the study was performed with healthy young participants.
  • 2
    The study did not measure other outcomes of motor function, such as range of motion, muscle strength, or mobility.
  • 3
    The study explored only immediate physiological changes rather than long-term changes.

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