University of Texas Health Science Center at Houston, Department of PM&R and UTHealth Motor Recovery Laboratory at TIRR Memorial Hermann, Houston, USA.
J Rehabil Med. 2012 Feb;44(2):186-8. doi: 10.2340/16501977-0924.
A 28-year-old woman, with incomplete spinal cord injury at the C2 level, classified as American Spinal Injury Impairment Scale C (AIS), participated in a robotic rehabilitation program 29 months after injury. Robotic training was provided to both upper extremities using the MAHI Exo-II, an exoskeleton device designed for rehabilitation of the upper limb, for 12 × 3-h sessions over 4 weeks. Training involved elbow flexion/extension, forearm supination/pronation, wrist flexion/extension, and radial/ulnar deviation.
Outcome measures were Action Research Arm Test, Jebsen-Taylor Hand Function Test, and AIS-upper extremity motor score. Safety measures included fatigue, pain and discomfort level using a 5-point rating scale. Following training, improvements were observed in the left arm and hand function, whereas the right arm and hand function showed no improvement in any of the functional outcome measures. No excessive pain, discomfort or fatigue was reported.
Data from one subject demonstrate valuable information on the feasibility, safety and effectiveness of robotic-assisted training of upper-extremity motor functions after incomplete spinal cord injury.
一名 28 岁女性，颈 2 不完全性脊髓损伤，美国脊髓损伤协会损伤分级 C 级（AIS），在损伤后 29 个月参加了机器人康复计划。使用 MAHI Exo-II 对上肢进行机器人训练，这是一种用于上肢康复的外骨骼设备，共进行了 4 周、12 次、每次 3 小时的训练。训练包括肘部屈伸、前臂旋前/旋后、腕关节屈伸和桡/尺侧偏。
使用动作研究上肢测试、Jebsen-Taylor 手功能测试和 AIS 上肢运动评分作为评估指标。安全性评估包括使用 5 分制评估疲劳、疼痛和不适程度。训练后，左侧手臂和手部功能得到改善，而右侧手臂和手部功能在任何功能评估指标上均无改善。无过度疼痛、不适或疲劳报告。
来自一个案例的数据提供了有价值的信息，证明了机器人辅助上肢运动功能训练在不完全性脊髓损伤后的可行性、安全性和有效性。
