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用于脑卒中康复的机器人外骨骼手设备的初步测试。

Initial Testing of Robotic Exoskeleton Hand Device for Stroke Rehabilitation.

机构信息

School of Engineering, University of Guelph, Guelph, ON N1G 2W1, Canada.

出版信息

Sensors (Basel). 2023 Jul 12;23(14):6339. doi: 10.3390/s23146339.

DOI:10.3390/s23146339
PMID:37514633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10385738/
Abstract

The preliminary test results of a novel robotic hand rehabilitation device aimed at treatment for the loss of motor abilities in the fingers and thumb due to stroke are presented. This device has been developed in collaboration with physiotherapists who regularly treat individuals who have suffered from a stroke. The device was tested on healthy adults to ensure comfort, user accessibility, and repeatability for various hand sizes in preparation for obtaining permission from regulatory bodies and implementing the design in a full clinical trial. Trials were conducted with 52 healthy individuals ranging in age from 19 to 93 with an average age of 58. A comfort survey and force data ANOVA were performed to measure hand motions and ensure the repeatability and accessibility of the system. Readings from the force sensor ( < 0.05) showed no significant difference between repetitions for each participant. All subjects considered the device comfortable. The device scored a mean comfort value of 8.5/10 on all comfort surveys and received the approval of all physiotherapists involved. The device has satisfied all design specifications, and the positive results of the participants suggest that it can be considered safe and reliable. It can therefore be moved forward for clinical trials with post-stroke users.

摘要

本文呈现了一种新型机器人手部康复设备的初步测试结果,该设备旨在治疗因中风导致的手指和拇指运动能力丧失。该设备是与经常治疗中风患者的物理治疗师合作开发的。为了确保舒适性、用户可及性和各种手型的可重复性,该设备已在健康成年人身上进行了测试,为获得监管机构的批准并在全面临床试验中实施该设计做准备。试验共招募了 52 名年龄在 19 至 93 岁之间、平均年龄为 58 岁的健康成年人。进行了舒适度调查和力数据方差分析,以测量手部运动并确保系统的可重复性和可及性。力传感器的读数(<0.05)显示,每个参与者的重复动作之间没有显著差异。所有受试者都认为该设备舒适。所有舒适度调查的平均舒适度评分为 8.5/10,所有参与的物理治疗师都对此表示认可。该设备满足了所有设计规格,参与者的积极反馈表明它可以被认为是安全可靠的。因此,可以将其推进到针对中风后患者的临床试验中。

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引用本文的文献

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Development and Testing of a Soft Exoskeleton Robotic Hand Training Device.软外骨骼机器人手训练装置的研制与测试
Sensors (Basel). 2023 Oct 11;23(20):8395. doi: 10.3390/s23208395.

本文引用的文献

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A fabric-based soft hand exoskeleton for assistance: the ExHand Exoskeleton.一种用于辅助的基于织物的柔软手部外骨骼:ExHand外骨骼。
Front Neurorobot. 2023 Jun 15;17:1091827. doi: 10.3389/fnbot.2023.1091827. eCollection 2023.
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Association of Younger vs Older Ages With Changes in Incidence of Stroke and Other Vascular Events, 2002-2018.2002-2018 年年龄较轻与较老年龄与卒中及其他血管事件发生率变化的相关性。
JAMA. 2022 Aug 9;328(6):563-574. doi: 10.1001/jama.2022.12759.
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Hand Rehabilitation Devices: A Comprehensive Systematic Review.
手部康复器械:一项全面的系统评价。
Micromachines (Basel). 2022 Jun 29;13(7):1033. doi: 10.3390/mi13071033.
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Pre-stroke Disability and Long-Term Functional Limitations in Stroke Survivors: Findings From More of 12 Years of Follow-Up Across Three International Surveys of Aging.中风幸存者的中风前残疾与长期功能受限:来自三项国际老龄化调查超过12年随访的结果
Front Neurol. 2022 Jun 14;13:888119. doi: 10.3389/fneur.2022.888119. eCollection 2022.
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Effectiveness of Platform-Based Robot-Assisted Rehabilitation for Musculoskeletal or Neurologic Injuries: A Systematic Review.基于平台的机器人辅助康复对肌肉骨骼或神经损伤的有效性:一项系统综述。
Bioengineering (Basel). 2022 Mar 22;9(4):129. doi: 10.3390/bioengineering9040129.
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Exoskeleton end-effector robot-assisted therapy for finger-hand motor recovery in stroke survivors: systematic review and meta-analysis.外骨骼末端执行器机器人辅助治疗脑卒中幸存者手指-手运动功能恢复:系统评价和荟萃分析。
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Sci Rep. 2020 Feb 4;10(1):1806. doi: 10.1038/s41598-020-58630-2.
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IEEE ASME Trans Mechatron. 2014 Feb;19(1):131-140. doi: 10.1109/TMECH.2012.2224359. Epub 2012 Nov 16.
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