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机器人辅助手部物理治疗在中风患者中的可行性

Feasibility of Robot-Assistance Hand Physiotherapy in Post-Stroke Patients.

作者信息

Mohandesi Fatemeh, Mirbagheri Alireza, Mirbagheri Mohammad Mehdi, Nakhostin Ansari Noureddin, Kazemi Rouzbeh

机构信息

Department of Medical Physics and Biomedical Engineering, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Research Centre for Biomedical Technologies and Robotics (RCBTR), Advanced Medical Technologies and Equipment Institute (AMTEI), Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Biomed Phys Eng. 2024 Oct 1;14(5):493-502. doi: 10.31661/jbpe.v0i0.2206-1507. eCollection 2024 Oct.

Abstract

BACKGROUND

Patients with experienced stroke have suffered from long-term disability, especially in their distal upper extremities. Physiotherapy programs are considered a proper treatment to overcome the complications caused by stroke. The use of robots in physiotherapy is also considered a newfound procedure as an alternative to conventional methods.

OBJECTIVE

This study aimed to describe a feasibility test on a physiotherapy robot and evaluate the efficacy of the proposed device.

MATERIAL AND METHODS

In this experimental study, a 4-degrees-of-freedom robot was designed and fabricated for hand physiotherapy, which was tested on 17 and 4 post-strokes in the passive and active modes for the best efficiency. Additionally, the patient's hand spasticity was measured according to the Modified Ashworth Scale pre- and post-usage of the device.

RESULTS

A total of 12 of 17 individuals could do the exercises and follow the instructions without any problem, and 8 of 12 individuals had a decrease in their spasticity. All 4 patients in active-assisted mode could fulfill the activity.

CONCLUSION

Physiotherapy based on a robot-assisted is considered a promising method with effective treatments for post-stroke patients, which can be a good alternative to routine methods of physiotherapy. However, more tests are needed to determine the rate of functions' restoration.

摘要

背景

有中风病史的患者长期存在残疾问题,尤其是上肢远端。物理治疗方案被认为是克服中风所致并发症的恰当治疗方法。在物理治疗中使用机器人也被视为一种替代传统方法的新手段。

目的

本研究旨在描述对一种物理治疗机器人的可行性测试,并评估该设备的疗效。

材料与方法

在这项实验研究中,设计并制造了一种用于手部物理治疗的四自由度机器人,在17名中风患者和4名中风患者身上分别以被动和主动模式进行测试以获取最佳效率。此外,在使用该设备前后,根据改良Ashworth量表测量患者手部痉挛情况。

结果

17名个体中有12人能够毫无问题地进行练习并遵循指令,12人中有8人痉挛程度减轻。主动辅助模式下的所有4名患者都能完成活动。

结论

基于机器人辅助的物理治疗被认为是一种对中风后患者有有效治疗方法的有前景的方法,它可以成为常规物理治疗方法的良好替代方案。然而,需要更多测试来确定功能恢复的比率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6e2/11462275/7c9da38a5b9b/JBPE-14-493-g001.jpg

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