Picelli Alessandro, La Marchina Elisabetta, Vangelista Antonella, Chemello Elena, Modenese Angela, Gandolfi Marialuisa, Ciceri Elisa Francesca Maria, Bucci Alessandra, Zoccatelli Giada, Saltuari Leopold, Waldner Andreas, Baricich Alessio, Santamato Andrea, Smania Nicola
Neuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Polyfunctional Center "Don Calabria", Verona, Italy.
Behav Neurol. 2017;2017:8349242. doi: 10.1155/2017/8349242. Epub 2017 Jul 6.
On a voluntary basis, 10 adolescents with hemiparesis due to cerebral palsy and 11 neurologically healthy control subjects participated in this proof-of-concept pilot study. The aim was to examine the effects of robot-assisted training for the unaffected arm in patients with hemiparetic cerebral palsy. Baseline comparison between the unaffected arm of the hemiparetic patients with cerebral palsy and the dominant arm of healthy control subjects showed significant differences on the Jebsen-Taylor Hand Function test and action planning ability tests. Within-group comparison after ten 30-minute sessions (five days a week for two consecutive weeks) of robot-assisted training for the unaffected arm showed significant improvements in patients with cerebral palsy on the Jebsen-Taylor Hand Function test (performed at both hands) and action planning ability test (evaluated at the unaffected arm). Our findings are in line with previous evidences of action planning deficits at the unaffected arm in patients with hemiparetic cerebral palsy and support the hypothesis that robot-assisted training for the unaffected arm may be useful to improve manual dexterity and action planning in patients with hemiparesis due to cerebral palsy.
在自愿的基础上，10名因脑瘫导致偏瘫的青少年和11名神经系统健康的对照受试者参与了这项概念验证性初步研究。目的是研究机器人辅助训练对偏瘫型脑瘫患者未受影响手臂的效果。脑瘫偏瘫患者未受影响手臂与健康对照受试者优势手臂的基线比较显示，在杰布森 - 泰勒手部功能测试和动作规划能力测试中存在显著差异。对未受影响手臂进行十次30分钟的机器人辅助训练（连续两周每周五天）后，组内比较显示，脑瘫患者在杰布森 - 泰勒手部功能测试（双手进行）和动作规划能力测试（在未受影响手臂评估）中均有显著改善。我们的研究结果与先前关于偏瘫型脑瘫患者未受影响手臂动作规划缺陷的证据一致，并支持这样的假设，即机器人辅助训练未受影响的手臂可能有助于改善脑瘫偏瘫患者的手部灵活性和动作规划能力。
