Name: JÉSSICA COSTA BUARQUE
Publication date: 18/03/2025
Examining board:
Name |
Role |
|---|---|
| LUCAS RODRIGUES NASCIMENTO | Examinador Interno |
| RENATO CAMPOS FREIRE JÚNIOR | Examinador Externo |
Summary: Traumatic brain injury (TBI) is defined as a traumatic head injury that leads to gait-related impairments in these individuals. Gait training with an exoskeleton is poorly trained for post- TBI patients, but may bring benefits to the recovery of gait function. The aim of this study is to investigate the predictions for a clinical trial, through recruitment rates, adherence, efficacy, acceptability and safety, and the evaluation of gait training with Lokomat in patients after severe TBI, promoting the improvement of gait speed and their social participation linked to their quality of life. It is a prospective prediction study, which included a single group of patients after severe TBI, with a score between 3 and 8 on the Glasgow Coma Scale (GCS), age between 18 and 50 years and gait speed between 0.2 m/s and 0.6 m/s assessed by the 10-meter walk test (10MWT). The intervention was carried out 3 times a week for 5 weeks, with gait training on the Lokomat equipment for 30 minutes in each session. The expected outcome assessed the recruitment rate, adherence, efficacy, acceptability, evaluation and safety of the protocol for the participants, and the data instruments were the TC10, Timed up and Go test and the SF-36 scale being collected in weeks 0, 5 and 9. The recruitment was of 385 patients in total, admitted from the trauma referral hospital, from social media and contact with other professionals, of these only 1% (4) actually carried out the training as planned, with the most efficient means of recruitment being social media. The patient provision measures are that there is good adherence with patients completing almost all the planned sessions, moderate efficiency with the need for modification in the protocol, ideal safety and resource management that was moderately adequate, but in general these interruptions are detrimental. Thus, the current structure of the project is unfeasible given the results of the recruitment rate, adherence, efficiency, which stated that the protocol needs modifications to adapt to the participants, and resource management. Finally, the study of options has barriers that selected solutions can contribute to the realization of a Clinical Trial with a larger sample that can in fact reveal the results of the proposed intervention.
