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中风后上肢机器人辅助康复的技术与临床方面综述

A review of technological and clinical aspects of robot-aided rehabilitation of upper-extremity after stroke.

作者信息

Babaiasl Mahdieh, Mahdioun Seyyed Hamed, Jaryani Poorya, Yazdani Mojtaba

机构信息

a School of Engineering Emerging Technologies , University of Tabriz , Tabriz , Iran .

b Department of Mechanical Engineering, Islamshahr Branch , Islamic Azad University , Islamshahr , Iran , and.

出版信息

Disabil Rehabil Assist Technol. 2016;11(4):263-80. doi: 10.3109/17483107.2014.1002539. Epub 2015 Jan 20.

Abstract

Cerebrovascular accident (CVA) or stroke is one of the leading causes of disability and loss of motor function. Millions of people around the world are effected by it each year. Stroke results in disabled arm function. Restoration of arm function is essential to regaining activities of daily living (ADL). Along with traditional rehabilitation methods, robot-aided therapy has emerged in recent years. Robot-aided rehabilitation is more intensive, of longer duration and more repetitive. Using robots, repetitive dull exercises can turn into a more challenging and motivating tasks such as games. Besides, robots can provide a quantitative measure of the rehabilitation progress. This article overviews the terms used in robot-aided upper-limb rehabilitation. It continues by investigating the requirements for rehabilitation robots. Then the most outstanding works in robot-aided upper-limb rehabilitation and their control schemes have been investigated. The clinical outcomes of the built robots are also given that demonstrates the usability of these robots in real-life applications and their acceptance. This article summarizes a review done along with a research on the design, simulation and control of a robot for use in upper-limb rehabilitation after stroke. Implications for Rehabilitation Reviewing common terms in rehabilitation of upper limb using robots Reviewing rehabilitation robots built up to date Reviewing clinical outcomes of the mentioned rehabilitation robots.

摘要

脑血管意外(CVA)或中风是导致残疾和运动功能丧失的主要原因之一。每年全球数百万人受其影响。中风会导致手臂功能残疾。恢复手臂功能对于重新获得日常生活活动(ADL)至关重要。近年来,除了传统的康复方法外,机器人辅助治疗应运而生。机器人辅助康复更密集、持续时间更长且更具重复性。使用机器人,重复性的枯燥练习可以变成更具挑战性和激励性的任务,如游戏。此外,机器人可以提供康复进展的定量测量。本文概述了机器人辅助上肢康复中使用的术语。接着研究了康复机器人的要求。然后研究了机器人辅助上肢康复中最杰出的作品及其控制方案。还给出了所制造机器人的临床结果,证明了这些机器人在实际应用中的可用性及其可接受性。本文总结了一项综述以及关于用于中风后上肢康复的机器人的设计、仿真和控制的研究。康复启示 回顾使用机器人进行上肢康复的常用术语 回顾迄今为止制造的康复机器人 回顾上述康复机器人的临床结果

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