Department of Rehabilitation & Regenerative Medicine, Columbia University Medical Center, New York, NY 10032, USA.
NeuroRehabilitation. 2013;33(1):3-11. doi: 10.3233/NRE-130922.
Stroke is a leading cause of disability worldwide. Many survivors of stroke remain with residual disabilities, even years later. Advances in technology have led to the development of a variety of robotic devices for use in rehabilitation. The integration of robotics in the delivery of neurorehabilitation is promising, but still not widely used in clinical settings.
The aim of this review is to discuss the general design of three typical upper limb robotic devices, and examine the practical considerations for their use in a clinical environment.
Each device is described, the available clinical literature is reviewed and a clinical perspective is given on the usefulness of these robotic devices in rehabilitation of this population.
Current literature supports the use of robotics in the clinical environment. However, claims that robotic therapy is more effective than traditional treatment is not substantially supported. The majority of clinical trials reported are small, and lack the use of a control group for comparison treatment.
The use of robotics in stroke rehabilitation is still a relatively new treatment platform, and still evolving. As technological advances are made, there is much potential for growth in this field.
中风是全球范围内导致残疾的主要原因。许多中风幸存者即使在几年后仍留有残障。技术的进步导致了各种机器人设备的发展，用于康复。将机器人技术融入神经康复中具有广阔的前景，但在临床环境中尚未得到广泛应用。
本综述旨在讨论三种典型上肢机器人设备的总体设计，并探讨其在临床环境中使用的实际考虑因素。
对每种设备进行描述，综述现有临床文献，并从临床角度探讨这些机器人设备在该人群康复中的应用价值。
现有文献支持机器人在临床环境中的应用。然而，机器人治疗比传统治疗更有效的说法并没有得到充分支持。大多数报告的临床试验规模较小，且缺乏对照组进行比较治疗。
机器人在中风康复中的应用仍然是一个相对较新的治疗平台，并且仍在不断发展。随着技术的进步，该领域具有很大的发展潜力。
