CHU Brest, Service de Médecine Physique et de Réadaptation, Brest, France.
Curr Opin Neurol. 2010 Dec;23(6):683-7. doi: 10.1097/WCO.0b013e32833f61ce.
The field of new technologies for upper-limb rehabilitation is exploding. The review presents new trends and studies of effectiveness from recent literature regarding robots, virtual reality and telerehabilitation for neurorehabilitation of the upper limb.
There appears to be a greater focus on technological developments than on clinical trials or studies to evaluate the mechanisms behind the effectiveness of these systems. Developments are most abundant in the field of robotics. However, the first well designed and powered randomized-controlled trial on robot rehabilitation has appeared, confirming that the effectiveness of robot therapy lies in the number of repetitions provided. There is a move towards studies in populations other than stroke, particularly cerebral palsy with a few studies on multiple sclerosis and traumatic brain injury. There is also an increasing trend for the use of robotic devices as evaluation tools.
Despite the fact that new technologies are based on knowledge from motor control and learning literature and that they provide an exciting potential for varied rehabilitation, recent evidence suggests that the only contribution to clinical practice currently is the provision of intensive, repetitive movements.
上肢康复新技术领域正在迅速发展。本文综述了最近关于机器人、虚拟现实和远程康复在上肢神经康复中应用的有效性的新趋势和研究。
似乎更多地关注技术的发展，而不是临床试验或研究来评估这些系统有效性背后的机制。在机器人领域的发展最为丰富。然而，第一项针对机器人康复的精心设计和有力的随机对照试验已经出现，证实了机器人治疗的有效性在于提供的重复次数。现在正朝着除中风以外的人群进行研究，特别是脑瘫，同时也有一些多发性硬化症和创伤性脑损伤的研究。使用机器人设备作为评估工具的趋势也在增加。
尽管新技术基于运动控制和学习文献的知识，并且为多样化的康复提供了令人兴奋的潜力，但最近的证据表明，目前对临床实践的唯一贡献是提供强化、重复的运动。
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