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针对患有痉挛的中风患者设计一款具有临床相关性的上肢外骨骼机器人。

Design of a clinically relevant upper-limb exoskeleton robot for stroke patients with spasticity.

作者信息

Lee Dong Jin, Bae Sung Jin, Jang Sung Ho, Chang Pyung Hun

出版信息

IEEE Int Conf Rehabil Robot. 2017 Jul;2017:622-627. doi: 10.1109/ICORR.2017.8009317.

Abstract

The purpose of this research is to propose a design of a clinically relevant upper-limb (hand, wrist, and elbow) exoskeleton that meets the clinical requirements. At first, the proposed robot was designed to have sufficient torque for passive exercise therapy and spasticity measurement of post-stroke patients with spasticity (grade 3 or lower in Modified Ashworth Scale). Because the therapy of patients with high level spasticity could be laborious for therapists by increased muscle tone, and the patients tend not to get enough rehabilitation treatment. Secondly, this robot was designed to have user friendly features like as modularity, so that users have easy approach to assemble and disassemble for practical use. Thirdly, this robot system was designed to guarantee the safety for robot-aided passive training of patients with spasticity. As a result, we were able to see the usability of the robot system, even though it was a pilot test. This shows the possibility of measuring and classifying the spasticity.

摘要

本研究的目的是提出一种符合临床需求的上肢(手、腕和肘)外骨骼设计。首先,所提出的机器人被设计为具有足够的扭矩,用于对患有痉挛(改良Ashworth量表3级或更低)的中风后患者进行被动运动治疗和痉挛测量。由于治疗高痉挛水平的患者会因肌张力增加而给治疗师带来繁重的工作,并且这些患者往往得不到足够的康复治疗。其次,该机器人被设计为具有诸如模块化等用户友好的特性,以便用户能够轻松地进行组装和拆卸以实际使用。第三,该机器人系统被设计为保证对痉挛患者进行机器人辅助被动训练的安全性。结果,尽管这是一次试点测试,我们仍能够看到该机器人系统的可用性。这表明了测量和分类痉挛的可能性。

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