• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

机器人疗法与自由度数量减少的悖论

Robotic Therapy and the Paradox of the Diminishing Number of Degrees of Freedom.

作者信息

Krebs Hermano Igo, Saitoh Eiichi, Hogan Neville

机构信息

Department of Mechanical Engineering, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Cambridge, MA 02139, USA; Department of Neurology, University of Maryland, School of Medicine, 620 W Lexington St, Baltimore, MD 21201, USA; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan; Institute of Neuroscience, Newcastle University, Framlington Place, Newcastle upon Tyne, NE2 4HH, UK; Department of Mechanical Engineering, Osaka University, 2-1 Yamadaoka, Suita, Osaka 565-0871, Japan.

Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan.

出版信息

Phys Med Rehabil Clin N Am. 2015 Nov;26(4):691-702. doi: 10.1016/j.pmr.2015.06.003. Epub 2015 Aug 21.

DOI:10.1016/j.pmr.2015.06.003
PMID:26522906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4630788/
Abstract

There has been remarkable growth in the development and application of robotics to ameliorate or remediate impairment. This growth is associated with a) the understanding that plasticity is a fundamental property of the adult human brain and might be harnessed to remap or create new neural pathways and b) that robots that can safely interact with humans and assist human performance. This article discusses whether robotic therapy has achieved a level of maturity to justify its broad adoption as a rehabilitative tool. How to improve outcomes further and how to select degrees of freedom to optimize care to particular patients is also discussed.

摘要

机器人技术在改善或修复功能障碍方面的开发和应用取得了显著进展。这种进展与以下两点相关:a)认识到可塑性是成人大脑的基本属性,或许可以利用它来重新映射或创建新的神经通路;b)认识到机器人能够与人类安全互动并协助人类活动。本文探讨了机器人疗法是否已达到足够成熟的水平,从而有理由将其作为一种康复工具广泛采用。还讨论了如何进一步提高治疗效果,以及如何选择自由度以优化针对特定患者的护理。

相似文献

1
Robotic Therapy and the Paradox of the Diminishing Number of Degrees of Freedom.机器人疗法与自由度数量减少的悖论
Phys Med Rehabil Clin N Am. 2015 Nov;26(4):691-702. doi: 10.1016/j.pmr.2015.06.003. Epub 2015 Aug 21.
2
Physically interactive robotic technology for neuromotor rehabilitation.用于神经运动康复的物理交互机器人技术。
Prog Brain Res. 2011;192:59-68. doi: 10.1016/B978-0-444-53355-5.00004-X.
3
Robotic-assisted rehabilitation of the upper limb after acute stroke.急性卒中后上肢的机器人辅助康复
Arch Phys Med Rehabil. 2007 Feb;88(2):142-9. doi: 10.1016/j.apmr.2006.10.032.
4
Upper limb rehabilitation robotics after stroke: a perspective from the University of Padua, Italy.中风后上肢康复机器人技术:来自意大利帕多瓦大学的观点
J Rehabil Med. 2009 Nov;41(12):981-5. doi: 10.2340/16501977-0404.
5
Robotic therapy: the tipping point.机器人疗法:转折点。
Am J Phys Med Rehabil. 2012 Nov;91(11 Suppl 3):S290-7. doi: 10.1097/PHM.0b013e31826bcd80.
6
Randomized trial of a robotic assistive device for the upper extremity during early inpatient stroke rehabilitation.随机对照试验研究早期住院脑卒中康复治疗中上肢使用机器人辅助设备的效果。
Neurorehabil Neural Repair. 2014 May;28(4):377-86. doi: 10.1177/1545968313513073. Epub 2013 Dec 6.
7
Inter-hemispheric coupling changes associate with motor improvements after robotic stroke rehabilitation.半球间耦合变化与机器人 stroke 康复后的运动改善有关。
Restor Neurol Neurosci. 2012;30(6):497-510. doi: 10.3233/RNN-2012-120227.
8
Robotic technologies and rehabilitation: new tools for upper-limb therapy and assessment in chronic stroke.机器人技术与康复:慢性脑卒中上肢治疗与评估的新工具。
Eur J Phys Rehabil Med. 2011 Jun;47(2):223-36. Epub 2011 Mar 29.
9
Robotic therapy provides a stimulus for upper limb motor recovery after stroke that is complementary to and distinct from conventional therapy.机器人疗法为中风后上肢运动功能的恢复提供了一种刺激,它与传统疗法相辅相成且有所不同。
Neurorehabil Neural Repair. 2014 May;28(4):367-76. doi: 10.1177/1545968313510974. Epub 2013 Dec 2.
10
Assessing and inducing neuroplasticity with transcranial magnetic stimulation and robotics for motor function.通过经颅磁刺激和机器人技术评估及诱导神经可塑性以改善运动功能。
Arch Phys Med Rehabil. 2006 Dec;87(12 Suppl 2):S59-66. doi: 10.1016/j.apmr.2006.08.332.

引用本文的文献

1
Enhancing stroke rehabilitation with whole-hand haptic rendering: development and clinical usability evaluation of a novel upper-limb rehabilitation device.增强手部触觉反馈的脑卒中康复治疗:新型上肢康复设备的研发与临床实用性评估。
J Neuroeng Rehabil. 2024 Sep 27;21(1):172. doi: 10.1186/s12984-024-01439-1.
2
Is the Combination of Robot-Assisted Therapy and Transcranial Direct Current Stimulation Useful for Upper Limb Motor Recovery? A Systematic Review with Meta-Analysis.机器人辅助治疗与经颅直流电刺激相结合对上肢运动恢复是否有用?一项荟萃分析的系统评价。
Healthcare (Basel). 2024 Jan 29;12(3):337. doi: 10.3390/healthcare12030337.
3
Overview of the role of robots in upper limb disabilities rehabilitation: a scoping review.机器人在上肢残疾康复中的作用概述:一项范围综述
Arch Public Health. 2023 May 8;81(1):84. doi: 10.1186/s13690-023-01100-8.
4
SITAR: a system for independent task-oriented assessment and rehabilitation.SITAR:一个用于独立的面向任务的评估与康复的系统。
J Rehabil Assist Technol Eng. 2017 Sep 18;4:2055668317729637. doi: 10.1177/2055668317729637. eCollection 2017 Jan-Dec.
5
A survey of human shoulder functional kinematic representations.人体肩部功能运动学表现的调查。
Med Biol Eng Comput. 2019 Feb;57(2):339-367. doi: 10.1007/s11517-018-1903-3. Epub 2018 Oct 26.

本文引用的文献

1
Three-dimensional, task-specific robot therapy of the arm after stroke: a multicentre, parallel-group randomised trial.三维、针对特定任务的手臂机器人治疗脑卒中后患者:一项多中心、平行组随机试验。
Lancet Neurol. 2014 Feb;13(2):159-66. doi: 10.1016/S1474-4422(13)70305-3. Epub 2013 Dec 30.
2
A crossover pilot study evaluating the functional outcomes of two different types of robotic movement training in chronic stroke survivors using the arm exoskeleton BONES.一项交叉先导研究,使用手臂外骨骼 BONES 评估两种不同类型的机器人运动训练对慢性中风幸存者的功能结果。
J Neuroeng Rehabil. 2013 Dec 19;10:112. doi: 10.1186/1743-0003-10-112.
3
Robotic therapy: the tipping point.机器人疗法:转折点。
Am J Phys Med Rehabil. 2012 Nov;91(11 Suppl 3):S290-7. doi: 10.1097/PHM.0b013e31826bcd80.
4
Effects of robot-assisted therapy on stroke rehabilitation in upper limbs: systematic review and meta-analysis of the literature.机器人辅助治疗对上肢中风康复的影响:文献的系统评价与荟萃分析
J Rehabil Res Dev. 2012;49(4):479-96. doi: 10.1682/jrrd.2010.10.0210.
5
Electromechanical and robot-assisted arm training for improving generic activities of daily living, arm function, and arm muscle strength after stroke.机电和机器人辅助手臂训练对改善中风后日常生活中的一般活动、手臂功能及手臂肌肉力量的作用
Cochrane Database Syst Rev. 2012 Jun 13(6):CD006876. doi: 10.1002/14651858.CD006876.pub3.
6
Breaking it down is better: haptic decomposition of complex movements aids in robot-assisted motor learning.分而治之效果更佳:触觉对复杂动作的分解有助于机器人辅助运动学习。
IEEE Trans Neural Syst Rehabil Eng. 2012 May;20(3):268-75. doi: 10.1109/TNSRE.2012.2195202. Epub 2012 Apr 18.
7
Should body weight-supported treadmill training and robotic-assistive steppers for locomotor training trot back to the starting gate?用于运动训练的减重跑台训练和机器人辅助踏步机是否应该回到起跑门?
Neurorehabil Neural Repair. 2012 May;26(4):308-17. doi: 10.1177/1545968312439687. Epub 2012 Mar 12.
8
Clinically important differences for the upper-extremity Fugl-Meyer Scale in people with minimal to moderate impairment due to chronic stroke.上肢 Fugl-Meyer 量表在慢性中风导致轻度至中度功能障碍人群中的临床重要差异。
Phys Ther. 2012 Jun;92(6):791-8. doi: 10.2522/ptj.20110009. Epub 2012 Jan 26.
9
An economic analysis of robot-assisted therapy for long-term upper-limb impairment after stroke.机器人辅助治疗对中风后长期上肢功能障碍的经济学分析。
Stroke. 2011 Sep;42(9):2630-2. doi: 10.1161/STROKEAHA.110.606442. Epub 2011 Jul 14.
10
Body-weight-supported treadmill rehabilitation after stroke.脑卒中后体重量身支持跑台康复。
N Engl J Med. 2011 May 26;364(21):2026-36. doi: 10.1056/NEJMoa1010790.