Flinn Nancy A, Smith Jennifer L, Tripp Christopher J, White Matthew W
Sister Kenny Institute, and The College of St. Catherine, St. Paul, Minneapolis, MN 55407, USA.
Occup Ther Int. 2009;16(3-4):232-43. doi: 10.1002/oti.280.
The objective of the study was to examine the results of robotic therapy in a single client. A 48-year-old female client 15 months post-stroke, with right hemiparesis, received robotic therapy as an outpatient in a large Midwestern rehabilitation hospital. Robotic therapy was provided three times a week for 6 weeks. Robotic therapy consisted of goal-directed, robotic-aided reaching tasks to exercise the hemiparetic shoulder and elbow. No other therapeutic intervention for the affected upper extremity was provided during the study or 3 months follow-up period. The outcome measures included the Fugl-Meyer, graded Wolf motor function test (GWMFT), motor activity log, active range of motion and Canadian occupational performance measure. The participant made gains in active movement; performance; and satisfaction of functional tasks, GWMFT and functional use. Limitations involved in this study relate to the generalizability of the sample size, effect of medications, expense of robotic technologies and the impact of aphasia. Future research should incorporate functional use training along with robotic therapy.
该研究的目的是考察针对一名患者的机器人疗法的效果。一名48岁女性患者，中风后15个月，伴有右侧偏瘫，在中西部一家大型康复医院作为门诊病人接受了机器人疗法。机器人疗法每周进行三次，共6周。机器人疗法包括目标导向的、机器人辅助的伸展任务，以锻炼偏瘫的肩部和肘部。在研究期间及3个月的随访期内，未对受影响的上肢进行其他治疗干预。结果测量包括Fugl-Meyer评估、Wolf运动功能分级测试（GWMFT）、运动活动日志、主动活动范围和加拿大职业表现测量。参与者在主动运动、表现以及功能任务、GWMFT和功能使用的满意度方面都有改善。本研究的局限性涉及样本量的普遍性、药物的影响、机器人技术的费用以及失语症的影响。未来的研究应将功能使用训练与机器人疗法相结合。
