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一种新型的缆索驱动机器人训练可改善中风后个体的运动功能。

A novel cable-driven robotic training improves locomotor function in individuals post-stroke.

作者信息

Wu Ming, Landry Jill M, Yen Sheng-Che, Schmit Brian D, Hornby T George, Rafferty Miriam

机构信息

Sensor Motor Performance Program, Rehabilitation Institute of Chicago, Department of Physical Medicine and Rehabilitation, Northwestern University Medical School, Chicago, IL 60611, USA.

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2011;2011:8539-42. doi: 10.1109/IEMBS.2011.6092107.

DOI:10.1109/IEMBS.2011.6092107
PMID:22256331
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4006736/
Abstract

A novel cable-driven robotic gait training system has been tested to improve the locomotor function in individuals post stroke. Seven subjects with chronic stroke were recruited to participate in this 6 weeks robot-assisted treadmill training paradigm. A controlled assistance force was applied to the paretic leg at the ankle through a cable-driven robotic system. The force was applied from late stance to mid-swing during treadmill training. Body weight support was provided as necessary to prevent knee buckling or toe drag. Subjects were trained 3 times a week for 6 weeks. Overground gait speed, 6 minute walking distance, and balance were evaluated at pre, post 6 weeks robotic training, and at 8 weeks follow up. Significant improvements in gait speed and 6 minute walking distance were obtained following robotic treadmill training through a cable-driven robotic system. Results from this study indicate that it is feasible to improve the locomotor function in individuals post stroke through a flexible cable-driven robot.

摘要

一种新型的缆索驱动机器人步态训练系统已进行测试,以改善中风后个体的运动功能。招募了7名慢性中风患者参与这一为期6周的机器人辅助跑步机训练模式。通过缆索驱动机器人系统在脚踝处向患侧腿施加可控的辅助力。在跑步机训练期间,从站立后期到摆动中期施加该力。必要时提供体重支持以防止膝盖屈曲或足趾拖地。受试者每周训练3次,共6周。在机器人训练前、训练6周后以及随访8周时评估地面步行速度、6分钟步行距离和平衡能力。通过缆索驱动机器人系统进行机器人跑步机训练后,步态速度和6分钟步行距离有显著改善。这项研究结果表明,通过灵活的缆索驱动机器人改善中风后个体的运动功能是可行的。

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本文引用的文献

1
A cable-driven locomotor training system for restoration of gait in human SCI.用于恢复人类 SCI 步态的缆索驱动式运动训练系统。
Gait Posture. 2011 Feb;33(2):256-60. doi: 10.1016/j.gaitpost.2010.11.016. Epub 2011 Jan 12.
2
Allowing intralimb kinematic variability during locomotor training poststroke improves kinematic consistency: a subgroup analysis from a randomized clinical trial.中风后运动训练期间允许肢体内部运动学变异性可改善运动学一致性:一项随机临床试验的亚组分析
Phys Ther. 2009 Aug;89(8):829-39. doi: 10.2522/ptj.20080180. Epub 2009 Jun 11.
3
Enhanced gait-related improvements after therapist- versus robotic-assisted locomotor training in subjects with chronic stroke: a randomized controlled study.慢性中风患者接受治疗师辅助与机器人辅助运动训练后步态相关改善情况增强:一项随机对照研究。
Stroke. 2008 Jun;39(6):1786-92. doi: 10.1161/STROKEAHA.107.504779. Epub 2008 May 8.
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Return to work in stroke patients.中风患者重返工作岗位。
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Effects of locomotion training with assistance of a robot-driven gait orthosis in hemiparetic patients after stroke: a randomized controlled pilot study.机器人驱动步态矫形器辅助下的运动训练对脑卒中后偏瘫患者的影响:一项随机对照试验性研究
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