Duret C
Unité de rééducation neurologique, médecine physique et réadaptation, CRF <<Les Trois Soleils >>, rue du Château, 77310 Boissise-Le-Roi, France.
Rev Neurol (Paris). 2010 May;166(5):486-93. doi: 10.1016/j.neurol.2009.10.004. Epub 2009 Nov 25.
Poststroke rehabilitation care has evolved considerably over the last decade. The emergence of the concepts of brain plasticity and motor learning has led to the development of new therapeutic approaches. Most of the new strategies are based on movement therapy, which can have a real impact on neurological recovery, sometimes with significant functional benefit for the patient.
In this context of evolving practices, the hemiplegic arm is the subject of special attention. Considering the often unfavorable "natural" prognosis and the relatively limited impact of conventional therapies; researchers have focused work on new alternatives. Cooperation between developers of technological advances and the medical community has led to the development of innovative therapeutic options often based on the use of specific technological tools (functional electric stimulation, virtual reality, transcranial magnetic stimulation...) to solicit or facilitate movement.
PERSPECTIVES/CONCLUSION: Robot-assisted rehabilitation lies within this scope. The positive results reported in the most recent publications and the growing interest for this type of therapy in the fields of medical and engineering research should open the way for extremely promising prospects. The technological performance of new robots has nevertheless raised a large number of unanswered questions, implying a significant amount of further research.
在过去十年中，中风后康复护理有了很大发展。大脑可塑性和运动学习概念的出现促使了新治疗方法的发展。大多数新策略都基于运动疗法，这对神经恢复可能产生实际影响，有时能给患者带来显著的功能益处。
在这种不断发展的实践背景下，偏瘫手臂受到特别关注。鉴于其通常不利的“自然”预后以及传统疗法相对有限的影响，研究人员将工作重点放在了新的替代方法上。技术进步开发者与医学界之间的合作促成了创新治疗方案的发展，这些方案通常基于使用特定技术工具（功能性电刺激、虚拟现实、经颅磁刺激等）来引发或促进运动。
前景/结论：机器人辅助康复属于这一范畴。最新出版物中报道的积极成果以及医学和工程研究领域对这类疗法日益增长的兴趣应为极具前景的未来开辟道路。然而，新型机器人的技术性能引发了大量未解决的问题，这意味着需要进行大量进一步研究。
