Anatomy Facility, Thomson Building, School of Life Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, G12 8QQ, UK.
Adv Exp Med Biol. 2019;1205:117-147. doi: 10.1007/978-3-030-31904-5_9.
Hemiparesis is a symptom of residual weakness in half of the body, including the upper extremity, which affects the majority of post stroke survivors. Upper limb function is essential for daily life and reduction in movements can lead to tremendous decline in quality of life and independence. Current treatments, such as physiotherapy, aim to improve motor functions, however due to increasing NHS pressure, growing recognition on mental health, and close scrutiny on disease spending there is an urgent need for new approaches to be developed rapidly and sufficient resources devoted to stroke disease. Fortunately, a range of digital technologies has led to revived rehabilitation techniques in captivating and stimulating environments. To gain further insight, a meta-analysis literature search was carried out using the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) method. Articles were categorized and pooled into the following groups; pro/anti/neutral for the use of digital technology. Additionally, most literature is rationalised by quantitative and qualitative findings. Findings displayed, the majority of the inclusive literature is supportive of the use of digital technologies in the rehabilitation of upper extremity following stroke. Overall, the review highlights a wide understanding and promise directed into introducing devices into a clinical setting. Analysis of all four categories; (1) Digital Technology, (2) Virtual Reality, (3) Robotics and (4) Leap Motion displayed varying qualities both-pro and negative across each device. Prevailing developments on use of these technologies highlights an evolutionary and revolutionary step into utilizing digital technologies for rehabilitation purposes due to the vast functional gains and engagement levels experienced by patients. The influx of more commercialised and accessible devices could alter stroke recovery further with initial recommendations for combination therapy utilizing conventional and digital resources.
偏瘫是身体半边无力的症状，包括上肢，这影响了大多数中风后的幸存者。上肢功能对于日常生活至关重要，运动能力的下降会导致生活质量和独立性的巨大下降。目前的治疗方法，如物理疗法，旨在改善运动功能，然而，由于国民保健制度压力的增加、对心理健康的认识的提高，以及对疾病支出的密切关注，迫切需要迅速开发新的方法，并为中风疾病投入足够的资源。幸运的是，一系列数字技术为引人入胜和刺激的环境中的康复技术带来了复兴。为了进一步深入了解，我们使用系统评价和荟萃分析的首选报告项目（PRISMA）方法进行了文献检索。文章被归类并汇集到以下组中：支持/反对/中立使用数字技术。此外，大多数文献都是基于定量和定性的发现进行合理化的。研究结果显示，大多数纳入的文献都支持在中风后上肢康复中使用数字技术。总的来说，该综述广泛了解并承诺将设备引入临床环境。对所有四个类别（1）数字技术、（2）虚拟现实、（3）机器人和（4）Leap Motion 的分析显示，每个设备都有不同的优缺点。这些技术的使用的发展突显了利用数字技术进行康复目的的进化和革命性步骤，因为患者经历了广泛的功能增益和参与水平。更多商业化和可访问的设备的涌入可能会进一步改变中风的恢复，最初的建议是利用传统和数字资源进行联合治疗。
