Sheng Bo, Zhao Jianyu, Zhang Yanxin, Xie Shengquan, Tao Jing
School of Mechatronic Engineering and Automation, Shanghai University, 99 Shangda Road, Baoshan, Shanghai, China.
Department of Exercise Sciences, The University of Auckland, 4703906, Newmarket, Auckland, New Zealand.
Heliyon. 2023 Feb 10;9(3):e13588. doi: 10.1016/j.heliyon.2023.e13588. eCollection 2023 Mar.
Various hand rehabilitation systems have recently been developed for stroke patients, particularly commercial devices. Articles from 10 electronic databases from 2010 to 2022 were extracted to conduct a systematic review to explore the existing commercial training systems (hardware and software) and evaluate their clinical effectiveness. This review divided the rehabilitation equipment into contact and non-contact types. Game-based training protocols were further classified into two types: immersion and non-immersion. The results of the review indicated that the majority of the devices included were effective in improving hand function. Users who underwent rehabilitation training with these devices reported improvements in their hand function. Game-based training protocols were particularly appealing as they helped reduce boredom during rehabilitation training sessions. However, the review also identified some common technical drawbacks in the devices, particularly in non-contact devices, such as their vulnerability to the effects of light. Additionally, it was found that currently, there is no commercially available game-based training protocol that specifically targets hand rehabilitation. Given the ongoing COVID-19 pandemic, there is a need to develop safer non-contact rehabilitation equipment and more engaging training protocols for community and home-based rehabilitation. Additionally, the review suggests the need for revisions or the development of new clinical scales for hand rehabilitation evaluation that consider the current scenario, where in-person interactions might be limited.
最近，针对中风患者开发了各种手部康复系统，尤其是商业设备。从2010年到2022年的10个电子数据库中提取文章，进行系统评价，以探索现有的商业训练系统（硬件和软件）并评估其临床效果。本评价将康复设备分为接触式和非接触式。基于游戏的训练方案进一步分为两种类型：沉浸式和非沉浸式。评价结果表明，所纳入的大多数设备在改善手部功能方面是有效的。使用这些设备进行康复训练的用户报告说他们的手部功能有所改善。基于游戏的训练方案特别有吸引力，因为它们有助于减少康复训练期间的无聊感。然而，评价还发现了这些设备中一些常见的技术缺陷，特别是在非接触式设备中，例如它们容易受到光线影响。此外，研究发现，目前没有专门针对手部康复的商业化基于游戏的训练方案。鉴于当前的新冠疫情，需要开发更安全的非接触式康复设备以及更具吸引力的训练方案，用于社区和家庭康复。此外，评价表明需要修订或制定新的手部康复评估临床量表，以考虑到当前面对面互动可能受限的情况。
