Jayaraman Arun, Burt Sheila, Rymer William Zev
Max Nader Center for Rehabilitation Technologies & Outcomes, Center for Bionic Medicine, Rehabilitation Institute of Chicago, and Departments of Physical Medicine & Rehabilitation, Physiology, and Biomedical Engineering, Northwestern University, Chicago, Illinois (Dr Jayaraman); Center for Bionic Medicine (Ms Burt), Rehabilitation Institute of Chicago, Illinois; and Sensory Motor Performance Program, Rehabilitation Institute of Chicago, and Departments of Physical Medicine & Rehabilitation, Physiology, and Biomedical Engineering (Dr Rymer), Northwestern University, Chicago, Illinois.
Pediatr Phys Ther. 2017 Jul;29 Suppl 3:S48-S56. doi: 10.1097/PEP.0000000000000379.
To review lower-limb technology currently available for people with neurological disorders, such as spinal cord injury, stroke, or other conditions. We focus on 3 emerging technologies: treadmill-based training devices, exoskeletons, and other wearable robots.
Efficacy for these devices remains unclear, although preliminary data indicate that specific patient populations may benefit from robotic training used with more traditional physical therapy. Potential benefits include improved lower-limb function and a more typical gait trajectory.
Use of these devices is limited by insufficient data, cost, and in some cases size of the machine. However, robotic technology is likely to become more prevalent as these machines are enhanced and able to produce targeted physical rehabilitation.
Therapists should be aware of these technologies as they continue to advance but understand the limitations and challenges posed with therapeutic/mobility robots.
回顾目前可供患有神经系统疾病（如脊髓损伤、中风或其他病症）的人群使用的下肢技术。我们重点关注三种新兴技术：基于跑步机的训练设备、外骨骼和其他可穿戴机器人。
尽管初步数据表明特定患者群体可能从与更传统物理治疗相结合的机器人训练中获益，但这些设备的疗效仍不明确。潜在益处包括改善下肢功能和更接近正常的步态轨迹。
这些设备的使用受到数据不足、成本以及某些情况下机器尺寸的限制。然而，随着这些机器得到改进并能够进行有针对性的物理康复，机器人技术可能会变得更加普及。
治疗师在这些技术不断发展的过程中应了解它们，但要明白治疗/移动机器人带来的局限性和挑战。
