不动的运动疗法——手臂功能中风后康复等长运动训练的初步结果
Movement therapy without moving - First results on isometric movement training for post-stroke rehabilitation of arm function.
作者信息
Melendez-Calderon A, Rodrigues E, Thielbar K, Patton J L
出版信息
IEEE Int Conf Rehabil Robot. 2017 Jul;2017:106-110. doi: 10.1109/ICORR.2017.8009230.
Abstract
This study explores the use of isometric movement training for arm rehabilitation after stroke. The aim of this approach is to enhance movement skill even when the person training is not moving. This is accomplished by deceptively displaying virtual motions, exploiting known cross-modal sensory interactions between vision and proprioception. This approach can be advantageous in situations where actual movement is prohibitive due to weakness, spasticity, instability, or unsafe conditions. We present early insights on usability of and tolerance to this training approach and quantitative results that can power future clinical trials.
摘要
本研究探讨等长运动训练在中风后手臂康复中的应用。这种方法的目的是即使在训练者没有移动时也能提高运动技能。这是通过欺骗性地显示虚拟动作来实现的，利用视觉和本体感觉之间已知的跨模态感觉交互。在因虚弱、痉挛、不稳定或不安全状况而无法进行实际运动的情况下，这种方法可能具有优势。我们展示了关于这种训练方法的可用性和耐受性的早期见解以及可为未来临床试验提供依据的定量结果。
相似文献
1
Movement therapy without moving - First results on isometric movement training for post-stroke rehabilitation of arm function.
IEEE Int Conf Rehabil Robot. 2017 Jul;2017:106-110. doi: 10.1109/ICORR.2017.8009230.
2
Transfer of dynamic motor skills acquired during isometric training to free motion.
J Neurophysiol. 2017 Jul 1;118(1):219-233. doi: 10.1152/jn.00614.2016. Epub 2017 Mar 29.
3
Myoelectric Computer Interface Training for Reducing Co-Activation and Enhancing Arm Movement in Chronic Stroke Survivors: A Randomized Trial.
Neurorehabil Neural Repair. 2019 Apr;33(4):284-295. doi: 10.1177/1545968319834903. Epub 2019 Mar 19.
4
The effect of repetitive arm cycling on post stroke spasticity and motor control: repetitive arm cycling and spasticity.
J Neurol Sci. 2007 Feb 15;253(1-2):18-24. doi: 10.1016/j.jns.2006.10.021. Epub 2007 Jan 22.
5
Movement kinematics and proprioception in post-stroke spasticity: assessment using the Kinarm robotic exoskeleton.
J Neuroeng Rehabil. 2019 Nov 21;16(1):146. doi: 10.1186/s12984-019-0618-5.
6
Rhythmic arm cycling training improves walking and neurophysiological integrity in chronic stroke: the arms can give legs a helping hand in rehabilitation.
J Neurophysiol. 2018 Mar 1;119(3):1095-1112. doi: 10.1152/jn.00570.2017. Epub 2017 Dec 6.
7
Bimanual coordination between isometric contractions and rhythmic movements: an asymmetric coupling.
Exp Brain Res. 1999 Dec;129(3):417-32. doi: 10.1007/s002210050909.
8
The timing of control signals underlying fast point-to-point arm movements.
Exp Brain Res. 2001 Apr;137(3-4):411-23. doi: 10.1007/s002210000643.
9
Rhythmic arm cycling suppresses hyperactive soleus H-reflex amplitude after stroke.
Clin Neurophysiol. 2008 Jun;119(6):1443-52. doi: 10.1016/j.clinph.2008.02.016. Epub 2008 Apr 14.
10
Position sense at the human elbow joint measured by arm matching or pointing.
Exp Brain Res. 2016 Oct;234(10):2787-98. doi: 10.1007/s00221-016-4680-y. Epub 2016 May 21.
引用本文的文献
1
Analysis of influencing factors of rehabilitation treatment effect in patients with first-episode stroke.
Am J Transl Res. 2021 Dec 15;13(12):14046-14056. eCollection 2021.
2
Transient changes in paretic and non-paretic isometric force control during bimanual submaximal and maximal contractions.
J Neuroeng Rehabil. 2020 May 14;17(1):64. doi: 10.1186/s12984-020-00693-3.
本文引用的文献
1
Transfer of dynamic motor skills acquired during isometric training to free motion.
J Neurophysiol. 2017 Jul 1;118(1):219-233. doi: 10.1152/jn.00614.2016. Epub 2017 Mar 29.
2
On the analysis of movement smoothness.
J Neuroeng Rehabil. 2015 Dec 9;12:112. doi: 10.1186/s12984-015-0090-9.
3
Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke.
Cochrane Database Syst Rev. 2015 Nov 7;2015(11):CD006876. doi: 10.1002/14651858.CD006876.pub4.
4
A Mirror Therapy-Based Action Observation Protocol to Improve Motor Learning After Stroke.
Neurorehabil Neural Repair. 2015 Jul;29(6):509-16. doi: 10.1177/1545968314558598. Epub 2014 Nov 21.
5
Watching novice action degrades expert motor performance: causation between action production and outcome prediction of observed actions by humans.
Sci Rep. 2014 Nov 11;4:6989. doi: 10.1038/srep06989.
6
A robust and sensitive metric for quantifying movement smoothness.
IEEE Trans Biomed Eng. 2012 Aug;59(8):2126-36. doi: 10.1109/TBME.2011.2179545. Epub 2011 Dec 13.
7
Force field adaptation can be learned using vision in the absence of proprioceptive error.
IEEE Trans Neural Syst Rehabil Eng. 2011 Jun;19(3):298-306. doi: 10.1109/TNSRE.2011.2125990.
8
Sensitivity of smoothness measures to movement duration, amplitude, and arrests.
J Mot Behav. 2009 Nov;41(6):529-34. doi: 10.3200/35-09-004-RC.
9
Action observation has a positive impact on rehabilitation of motor deficits after stroke.
Neuroimage. 2007;36 Suppl 2:T164-73. doi: 10.1016/j.neuroimage.2007.03.043. Epub 2007 Mar 31.
10
Impact of gravity loading on post-stroke reaching and its relationship to weakness.
Muscle Nerve. 2007 Aug;36(2):242-50. doi: 10.1002/mus.20817.
Zotero 插件