IEEE Trans Neural Syst Rehabil Eng. 2018 Dec;26(12):2376-2386. doi: 10.1109/TNSRE.2018.2878778. Epub 2018 Oct 30.
Improvement in hand function to promote functional recovery is one of the major goals of stroke rehabilitation. This paper introduces a newly developed exoskeleton for hand rehabilitation with a user-centered design concept, which integrates the requirements of practical use, mechanical structure, and control system. The paper also evaluated the function with two prototypes in a local hospital. Results of functional evaluation showed that significant improvements were found in ARAT (P = 0.014), WMFT (P = 0.020), and FMA_WH (P = 0.021). Increase in the mean values of FMA_SE was observed but without significant difference (P = 0.071). The improvement in ARAT score reflects the motor recovery in hand and finger functions. The increased FMA scores suggest there is a motor improvement in the whole upper limb, and especially in the hand after the training. The product met patients' requirements and has practical significance. It is portable, cost-effective, easy to use and supports multiple control modes to adapt to different rehabilitation phases.
改善手部功能以促进功能恢复是中风康复的主要目标之一。本文介绍了一种新开发的手部康复外骨骼，它采用以用户为中心的设计理念，集成了实际使用、机械结构和控制系统的要求。本文还在当地医院的两个原型机上评估了该设备的功能。功能评估的结果表明，在 ARAT（P=0.014）、WMFT（P=0.020）和 FMA_WH（P=0.021）方面都有显著的改善。FMA_SE 的平均值也有所增加，但没有显著差异（P=0.071）。ARAT 评分的提高反映了手部和手指功能的运动恢复。FMA 评分的增加表明上肢整体运动能力得到提高，特别是在训练后手部运动能力得到提高。该产品满足了患者的需求，具有实际意义。它便携、经济高效、易于使用，并支持多种控制模式，以适应不同的康复阶段。
