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机器人辅助任务导向训练结合人机协作交互力控制技术对脑卒中患者上肢功能的影响:初步研究结果。

The Effect of Applying Robot-Assisted Task-Oriented Training Using Human-Robot Collaborative Interaction Force Control Technology on Upper Limb Function in Stroke Patients: Preliminary Findings.

机构信息

Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, China.

Shanghai Electric GeniKIT Medical Science and Technology Co. Ltd., Shanghai, China.

出版信息

Biomed Res Int. 2021 Jul 28;2021:9916492. doi: 10.1155/2021/9916492. eCollection 2021.

DOI:10.1155/2021/9916492
PMID:34368358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8342143/
Abstract

Stroke is one of the leading causes of death and the primary cause of acquired disability worldwide. Many stroke survivors have difficulty using their upper limbs, which have important functional roles in the performance of daily life activities. Consequently, the independence and quality of life of most stroke patients are reduced. Robot-assisted therapy is an effective intervention for improving the upper limb function of individuals with stroke. Human-robot collaborative interaction force control technology is critical for improving the flexibility and followability of the robot's motion, thereby improving rehabilitation training outcomes. However, there are few reports on the effect of robot-assisted rehabilitative training on upper limb function. We applied this technology using a robot to assist patients with task-oriented training. Posttreatment changes in Fugl-Meyer and modified Barthel index (MBI) scores were assessed to determine whether this technology could improve the upper limb function of stroke patients. One healthy adult and five stroke patients, respectively, participated in functional and clinical experiments. The MBI and Fugl-Meyer scores of the five patients in the clinical experiments showed significant improvements after the intervention. The experimental results indicate that human-robot collaborative interaction force control technology is valuable for improving robots' properties and patients' recovery. This trial was registered in the Chinese clinical trial registry (ChiCTR2000038676).

摘要

中风是全球范围内导致死亡的主要原因之一,也是导致后天残疾的主要原因。许多中风幸存者难以使用上肢,而上肢在日常生活活动中具有重要的功能作用。因此,大多数中风患者的独立性和生活质量都降低了。机器人辅助疗法是改善中风患者上肢功能的有效干预手段。人机协作交互力控制技术对于提高机器人运动的灵活性和跟随性至关重要,从而改善康复训练效果。然而,关于机器人辅助康复训练对上肢功能影响的报道很少。我们应用这项技术使用机器人辅助患者进行任务导向训练。通过评估 Fugl-Meyer 和改良 Barthel 指数(MBI)评分的治疗后变化,来确定该技术是否可以改善中风患者的上肢功能。一名健康成年人和五名中风患者分别参加了功能和临床实验。临床实验中五名患者的 MBI 和 Fugl-Meyer 评分在干预后均有显著改善。实验结果表明,人机协作交互力控制技术对于提高机器人性能和患者康复具有重要价值。本试验在中国临床试验注册中心(ChiCTR2000038676)注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e177/8342143/efb0d09b222e/BMRI2021-9916492.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e177/8342143/4a23a250a009/BMRI2021-9916492.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e177/8342143/1dfae3834559/BMRI2021-9916492.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e177/8342143/720373a9ee45/BMRI2021-9916492.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e177/8342143/e436737f539a/BMRI2021-9916492.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e177/8342143/3878fa5bd52b/BMRI2021-9916492.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e177/8342143/efb0d09b222e/BMRI2021-9916492.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e177/8342143/4a23a250a009/BMRI2021-9916492.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e177/8342143/1dfae3834559/BMRI2021-9916492.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e177/8342143/720373a9ee45/BMRI2021-9916492.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e177/8342143/e436737f539a/BMRI2021-9916492.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e177/8342143/3878fa5bd52b/BMRI2021-9916492.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e177/8342143/efb0d09b222e/BMRI2021-9916492.006.jpg

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