Servicio de NeuroRehabilitación, Hospitales NISA Valencia al Mar y Sevilla-Aljarafe, Fundación Hospitales NISA, Spain. .
Neurologia. 2013 Jun;28(5):261-7. doi: 10.1016/j.nrl.2012.04.017. Epub 2012 Jun 23.
To evaluate the efficacy of a gravity-supported, computer-enhanced device (Armeo® Spring) for upper limb rehabilitation in chronic stroke patients.
We included 23 chronic hemiparetic patients (chronicity: 328 ± 90.8 days; distribution: 17 men and 6 women) aged 54.6 ± 9.5 years, who had sustained ischaemic stroke (n=12) or haemorrhagic stroke (n=11). All patients completed 36 one-hour sessions using the Armeo® Spring system. Arm movement was assessed at the beginning and end of the treatment programme and once more 4 months later. Main outcome measurements covered structure, activity, and function, as per the International Classification of Functioning, Disability and Health: Modified Ashworth Scale, Motricity Index (MI), Fugl-Meyer Assessment Scale (FM), Motor Assessment Scale (MAS), Manual Function Test (MFT), and Wolf Motor Function Test (WMFT).
Repeated measures ANOVA showed significant improvement (time effect) for all function scales (P<.01 for FM and MI) and activity scales (P<.01 for MAS, MFT and WMFT-ability, and P<.05 WMFT-time) without significant changes in muscle tone. The post-hoc analysis (Bonferroni) showed different evolutionary patterns for function and activity measurements, and clear benefits related to Armeo® Spring training, especially on activity scales.
Armeo® Spring is an effective tool for rehabilitating the affected arm in patients with hemiparesis secondary to ictus, even in the chronic stage.
评估一种重力支撑、计算机增强的设备（Armeo® Spring）在上肢康复治疗慢性脑卒中患者中的疗效。
我们纳入了 23 名慢性偏瘫患者（病程：328±90.8 天；分布：17 名男性和 6 名女性），年龄 54.6±9.5 岁，均为缺血性脑卒中（n=12）或出血性脑卒中（n=11）患者。所有患者均使用 Armeo® Spring 系统完成了 36 次 1 小时的治疗。在治疗计划开始和结束时以及 4 个月后，对上肢运动进行评估。主要结局测量指标包括国际功能、残疾和健康分类（ICF）中结构、活动和功能，具体包括改良 Ashworth 量表、运动指数（MI）、Fugl-Meyer 评估量表（FM）、运动评估量表（MAS）、手动功能测试（MFT）和 Wolf 运动功能测试（WMFT）。
重复测量方差分析显示，所有功能量表（FM 和 MI，P<.01）和活动量表（MAS、MFT 和 WMFT-能力，P<.01；WMFT-时间，P<.05）均有显著改善（时间效应），而肌肉张力无显著变化。事后分析（Bonferroni）显示，功能和活动测量的演变模式不同，Armeo® Spring 训练有明显获益，特别是在活动量表上。
Armeo® Spring 是一种有效的工具，可用于治疗脑卒中后偏瘫患者的患侧上肢，即使在慢性阶段也有效。
