IRCCS Fondazione Don Carlo Gnocchi ONLUS, 50143 Florence, Italy.
Sensors (Basel). 2023 Mar 13;23(6):3089. doi: 10.3390/s23063089.
Robotic rehabilitation of the upper limb has demonstrated promising results in terms of the improvement of arm function in post-stroke patients. The current literature suggests that robot-assisted therapy (RAT) is comparable to traditional approaches when clinical scales are used as outcome measures. Instead, the effects of RAT on the capacity to execute a daily life task with the affected upper limb are unknown, as measured using kinematic indices. Through kinematic analysis of a drinking task, we examined the improvement in upper limb performance between patients following a robotic or conventional 30-session rehabilitation intervention. In particular, we analyzed data from nineteen patients with subacute stroke (less than six months following stroke), nine of whom treated with a set of four robotic and sensor-based devices and ten with a traditional approach. According to our findings, the patients increased their movement efficiency and smoothness regardless of the rehabilitative approach. After the treatment (either robotic or conventional), no differences were found in terms of movement accuracy, planning, speed, or spatial posture. This research seems to demonstrate that the two investigated approaches have a comparable impact and may give insight into the design of rehabilitation therapy.
上肢机器人康复在改善脑卒中患者手臂功能方面显示出了良好的效果。目前的文献表明，当使用临床量表作为结果测量时，机器人辅助治疗（RAT）与传统方法相当。然而，使用运动学指标衡量的情况下，RAT 对受影响上肢完成日常生活任务的能力的影响尚不清楚。通过对饮水任务的运动学分析，我们研究了 19 名亚急性期脑卒中患者（脑卒中后不到 6 个月）在接受机器人或传统 30 次康复干预后的上肢表现的改善情况。具体来说，我们分析了 9 名使用一组基于机器人和传感器的设备和 10 名使用传统方法治疗的患者的数据。根据我们的发现，无论采用何种康复方法，患者的运动效率和流畅度都有所提高。治疗后（无论是机器人还是传统方法），在运动准确性、规划、速度或空间姿势方面均未发现差异。这项研究似乎表明，两种研究方法具有相当的效果，可能为康复治疗的设计提供一些见解。
