Yozbatiran N, Berliner J, Boake C, O'Malley M K, Kadivar Z, Francisco G E
University of Texas Health Science Center at Houston, Department of PM&R and UTHealth Motor Recovery Lab at TIRR Memorial Hermann, Houston, TX 77030, USA.
IEEE Int Conf Rehabil Robot. 2011;2011:5975425. doi: 10.1109/ICORR.2011.5975425.
The effectiveness of a robotic training device was evaluated in a 24-year-old male, cervical level four, ASIA Impairment Scale D injury. Robotic training of both upper extremities was provided for three hr/day for ten consecutive sessions using the RiceWrist, an electrically-actuated forearm and wrist haptic exoskeleton device that has been designed for rehabilitation applications. Training involved wrist flexion/extension, radial/ulnar deviation and forearm supination/pronation. Therapy sessions were tailored, based on the patient's movement capabilities for the wrist and forearm, progressed gradually by increasing number of repetitions and resistance. Outcome measures included the ASIA upper-extremity motor score, grip and pinch strength, the Jebsen-Taylor Hand Function test and the Functional Independence Measure. After the training, improvements were observed in pinch strength, and functional tasks. The data from one subject provides valuable information on the feasibility and effectiveness of robotic-assisted training of forearm and hand functions after incomplete spinal cord injury.
在一名24岁、颈椎4级、ASIA损伤分级为D级的男性患者身上评估了一种机器人训练设备的有效性。使用RiceWrist（一种为康复应用设计的电动前臂和手腕触觉外骨骼设备）对双侧上肢进行机器人训练，每天训练3小时，连续进行10次训练。训练包括手腕屈伸、桡尺偏斜以及前臂旋前/旋后。治疗课程根据患者手腕和前臂的运动能力进行调整，通过增加重复次数和阻力逐渐推进。结果测量包括ASIA上肢运动评分、握力和捏力、Jebsen-Taylor手功能测试以及功能独立性测量。训练后，捏力和功能任务方面有改善。来自一名受试者的数据为不完全脊髓损伤后机器人辅助训练前臂和手部功能的可行性和有效性提供了有价值的信息。
