机器人疗法对脑瘫儿童上肢功能的影响：一项系统综述。
Effects of robotic therapy on upper-extremity function in children with cerebral palsy: A systematic review.
作者信息
Chen Yu-Ping, Howard Ayanna M
机构信息
a Department of Physical Therapy , Georgia State University , Atlanta , GA , USA and.
b School of Electrical and Computer Engineering, Georgia Institute of Technology , Atlanta , GA , USA.
出版信息
Dev Neurorehabil. 2016;19(1):64-71. doi: 10.3109/17518423.2014.899648. Epub 2014 Apr 11.
OBJECTIVE
To systematically examine the effects of robotic therapy on upper extremity (UE) function in children with cerebral palsy (CP).
METHODS
A systematic literature search was conducted in Pubmed, CINAHL, Cochrane, PsychInfo, TRIP, and Web of Science up to July 2013. Studies of children with CP, using robotic therapy and measures of UE were included.
RESULTS
Nine articles using three different robotic systems were included. Of these, seven were case studies. Overall, robotic therapy showed the potential effects as all studies reported at least one positive outcome: a moderate effect in improving reaching duration, smoothness, or decreased muscle tone, and a small to large effect in standardized clinical assessment (e.g. Fugl-Meyer).
CONCLUSION
This review confirms the potential for robotic therapy to improve UE function in children with CP. However, the paucity of group design studies summons the need for more rigorous research before conclusive recommendations can be made.
目的
系统研究机器人疗法对脑瘫（CP）患儿上肢（UE）功能的影响。
方法
截至2013年7月，在PubMed、CINAHL、Cochrane、PsychInfo、TRIP和科学网进行了系统的文献检索。纳入了使用机器人疗法和UE测量方法的CP患儿研究。
结果
纳入了9篇使用三种不同机器人系统的文章。其中，7篇为病例研究。总体而言，机器人疗法显示出潜在效果，因为所有研究均报告了至少一项积极结果：对改善伸展持续时间、平滑度或降低肌张力有中等效果，在标准化临床评估（如Fugl-Meyer评估）中有小到中等效果。
结论
本综述证实了机器人疗法改善CP患儿UE功能的潜力。然而，由于组设计研究较少，在做出确定性建议之前，需要进行更严格的研究。
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