Clark William E, Sivan Manoj, O'Connor Rory J
Academic Department of Rehabilitation Medicine, Leeds Institute of Rheumatic and Musculoskeletal Medicine, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
National Demonstration Centre for Rehabilitation Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
J Rehabil Assist Technol Eng. 2019 Nov 13;6:2055668319863557. doi: 10.1177/2055668319863557. eCollection 2019 Jan-Dec.
This review evaluates the effectiveness of robotic and virtual reality technologies used for neurological rehabilitation in stroke survivors. It examines each rehabilitation technology in turn before considering combinations of these technologies and the complexities of rehabilitation outcome assessment. There is high-quality evidence that upper-limb robotic rehabilitation technologies improve movement, strength and activities of daily living, whilst the evidence for robotic lower-limb rehabilitation is currently not as convincing. Virtual reality technologies also improve activities of daily living. Whilst the benefit of these technologies over dose-controlled conventional rehabilitation is likely to be small, there is a role for both technologies as part of a broader rehabilitation programme, where they may help to increase the intensity and amount of therapy delivered. Combining robotic and virtual reality technologies in a rehabilitation programme may further improve rehabilitation outcomes and we would advocate randomised controlled trials of these technologies in combination.
本综述评估了用于中风幸存者神经康复的机器人技术和虚拟现实技术的有效性。在考虑这些技术的组合以及康复结果评估的复杂性之前，依次审视了每种康复技术。有高质量证据表明，上肢机器人康复技术可改善运动、力量和日常生活活动能力，而机器人下肢康复的证据目前尚不那么令人信服。虚拟现实技术也能改善日常生活活动能力。虽然这些技术相对于剂量控制的传统康复的益处可能较小，但作为更广泛康复计划的一部分，这两种技术都有其作用，它们可能有助于提高所提供治疗的强度和量。在康复计划中结合机器人技术和虚拟现实技术可能会进一步改善康复效果，我们主张对这些技术的联合应用进行随机对照试验。
