Fan Yuanjie, Yin Yuehong
IEEE Trans Biomed Eng. 2013 Dec;60(12):3314-21. doi: 10.1109/TBME.2013.2267741. Epub 2013 Jun 11.
Although exoskeletons have received enormous attention and have been widely used in gait training and walking assistance in recent years, few reports addressed their application during early poststroke rehabilitation. This paper presents a healthcare technology for active and progressive early rehabilitation using multisource information fusion from surface electromyography and force-position extended physiological proprioception. The active-compliance control based on interaction force between patient and exoskeleton is applied to accelerate the recovery of the neuromuscular function, whereby progressive treatment through timely evaluation contributes to an effective and appropriate physical rehabilitation. Moreover, a clinic-oriented rehabilitation system, wherein a lower extremity exoskeleton with active compliance is mounted on a standing bed, is designed to ensure comfortable and secure rehabilitation according to the structure and control requirements. Preliminary experiments and clinical trial demonstrate valuable information on the feasibility, safety, and effectiveness of the progressive exoskeleton-assisted training.
尽管近年来外骨骼受到了极大关注并广泛应用于步态训练和步行辅助,但关于其在脑卒中后早期康复中的应用报道却很少。本文提出了一种利用表面肌电图和力-位置扩展生理本体感觉的多源信息融合进行主动和渐进性早期康复的医疗技术。基于患者与外骨骼之间相互作用力的主动柔顺控制被应用于加速神经肌肉功能的恢复,通过及时评估进行渐进性治疗有助于实现有效且适当的身体康复。此外,设计了一种面向临床的康复系统,其中带有主动柔顺功能的下肢外骨骼安装在站立床上,以根据结构和控制要求确保舒适且安全的康复。初步实验和临床试验证明了渐进性外骨骼辅助训练在可行性、安全性和有效性方面的宝贵信息。