Logan Lindsey M, Semrau Jennifer A, Debert Chantel T, Kenzie Jeffrey M, Scott Stephen H, Dukelow Sean P
Faculty of Kinesiology (Ms Logan and Dr Dukelow), Hotchkiss Brain Institute (Drs Semrau, Debert, and Dukelow and Mr Kenzie), and Clinical Neurosciences, Cumming School of Medicine (Drs Debert and Dukelow), University of Calgary, Alberta, Canada; and Department of Biomedical and Molecular Sciences, Queen's University, Kingston, Ontario, Canada (Dr Scott).
J Head Trauma Rehabil. 2018 Jul/Aug;33(4):E61-E73. doi: 10.1097/HTR.0000000000000349.
To investigate the use of a robotic assessment tool to quantify sensorimotor, visuospatial attention, and executive function impairments in individuals with traumatic brain injury (TBI).
Foothills Hospital (Calgary, Canada).
Twenty-three subjects with first-time TBI in the subacute to chronic phase participated in this study. Normative data were collected from 275 to 494 neurologically intact control subjects for each robotic task.
A prospective observational case series. Subjects with TBI completed brief clinical cognitive and motor assessments followed by robotic assessments of upper limb reaching, position sense, bimanual motor ability, attention, and visuospatial skills. Scores of subjects with TBI were compared with normative data.
Robotic task performance was computed for each subject on each task, as well as performance on specific task parameters. Clinical assessments included the Montreal Cognitive Assessment, Fugl-Meyer upper extremity assessment, and Purdue Peg Board.
Subjects with TBI demonstrated a variety of deficits on robotic tasks. The proportion of TBI subjects who were significantly different from controls ranged from 36% (dominant arm reaching) to 60% (bimanual object hitting task).
Robotic measures allowed us to quantify a range of impairments specific to each subject, and offer an objective tool with which to examine these abilities after TBI.
研究使用机器人评估工具来量化创伤性脑损伤（TBI）患者的感觉运动、视觉空间注意力和执行功能障碍。
山麓医院（加拿大卡尔加里）。
23名处于亚急性期至慢性期的首次发生TBI的受试者参与了本研究。针对每项机器人任务，从275至494名神经功能正常的对照受试者收集了标准化数据。
一项前瞻性观察性病例系列研究。TBI受试者完成简短的临床认知和运动评估，随后进行上肢伸展、位置觉、双手运动能力、注意力和视觉空间技能的机器人评估。将TBI受试者的得分与标准化数据进行比较。
计算每个受试者在每项任务上的机器人任务表现以及特定任务参数的表现。临床评估包括蒙特利尔认知评估、Fugl-Meyer上肢评估和普渡钉板测试。
TBI受试者在机器人任务上表现出多种缺陷。与对照组有显著差异的TBI受试者比例从36%（优势臂伸展）到60%（双手击打物体任务）不等。
机器人测量方法使我们能够量化每个受试者特有的一系列损伤，并提供一种客观工具来检查TBI后的这些能力。
