[上肢机器人辅助康复是否有助于改善中风后偏瘫的预后？]

[Does upper limb robot-assisted rehabilitation contribute to improve the prognosis of post-stroke hemiparesis?].

作者信息

Duret C, Gracies J-M

机构信息

Médecine physique et de réadaptation, unité de rééducation neurologique, CRF « Les Trois Soleils », 19, rue du Château, 77310 Boissise-Le-Roi, France.

Laboratoire analyse et restauration du mouvement, rééducation neurolocomotrice, université Paris-Est Créteil, Créteil (94), hôpitaux universitaires Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.

出版信息

Rev Neurol (Paris). 2014 Nov;170(11):671-9. doi: 10.1016/j.neurol.2014.07.012. Epub 2014 Oct 7.

DOI:10.1016/j.neurol.2014.07.012

PMID:25304657

Abstract

INTRODUCTION

Upper limb robot-assisted rehabilitation is a novel physical treatment for neurological motor impairments. During the last decade, this rehabilitation option utilizing technological tools has been evaluated in hemiparetic patients, mostly after stroke.

STATE OF ART

Studies at acute and chronic stages suggested good tolerance and a significant and persistent reduction of motor impairment; a real impact on disability has been shown in acute/sub acute patients.

PERSPECTIVES

Improved access to rehabilitation robots and an optimal use will probably be associated with higher efficiency of rehabilitative work in the paretic upper limb.

CONCLUSIONS

Even if this treatment is still confined to a narrow circle of users, the device's biomechanical properties and clinical suggestions from the literature may show promise for the future of rehabilitation.

摘要