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膝关节矫形器械:机器人技术如何改善膝关节康复效果

Knee orthopaedic device how robotic technology can improve outcome in knee rehabilitation.

作者信息

Koller-Hodac Agathe, Leonardo Domenico, Walpen Silvio, Felder Daniel

机构信息

Institute for Laboratory Technology, University of Applied Sciences Rapperswil, Oberseestrasse 10, 8640 Rapperswil, Switzerland.

出版信息

IEEE Int Conf Rehabil Robot. 2011;2011:5975347. doi: 10.1109/ICORR.2011.5975347.

Abstract

Following knee injury or surgery, knee rehabilitation therapy is an essential step to recover normal joint function for daily activities. Physical rehabilitation can take several weeks or even months until full range of motion and joint flexibility are regained. Knee rehabilitation will lead to satisfactory results only at the condition that exercises are performed regularly. An important part in knee rehabilitation is the patellar mobilization which is nowadays performed manually by the physical therapist. This paper presents a new approach for assisting patellar mobilization during knee rehabilitation programs. The use of a robotic device for physiotherapy allows to perform exercises on a regular basis during the whole recovery period and to quantify therapy progress. The physical therapist creates a personalized training protocol depending on the patient's pathology and supervises the training program at the clinic. After several days at the clinics, the patient usually returns back home. Using the robotic device, she or he repeats predefined training sequences over several weeks. The device provides immediate feedback to the patient and the therapist. This feedback also helps the therapist to assess training progress when the patient comes to the therapy center for control sessions. Functional tests in clinics have shown that the use of an automated device for knee therapy increases the patient's motivation and supports the physical therapist in adjusting training programs for optimal joint recovery.

摘要

在膝关节受伤或手术后,膝关节康复治疗是恢复日常活动中正常关节功能的关键步骤。物理康复可能需要数周甚至数月,直到恢复全范围活动和关节灵活性。只有在定期进行锻炼的情况下,膝关节康复才能取得令人满意的效果。膝关节康复的一个重要部分是髌骨松动术,目前由物理治疗师手动进行。本文提出了一种在膝关节康复计划中辅助髌骨松动术的新方法。使用机器人设备进行物理治疗可以在整个康复期间定期进行锻炼,并量化治疗进展。物理治疗师根据患者的病情制定个性化的训练方案,并在诊所监督训练计划。在诊所治疗几天后,患者通常会回家。使用机器人设备,患者可以在几周内重复预定义的训练序列。该设备会立即向患者和治疗师提供反馈。当患者到治疗中心进行复查时,这种反馈也有助于治疗师评估训练进展。诊所的功能测试表明,使用自动化设备进行膝关节治疗可以提高患者的积极性,并帮助物理治疗师调整训练方案,以实现最佳的关节恢复。

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