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中风患者的机器人辅助步态训练

Robot-assisted gait training in stroke.

作者信息

Koldaş Doğan Şebnem

机构信息

Department of Physical Medicine and Rehabilitation, University of Health Sciences, Hamidiye Faculty of Medicine, Antalya Training and Research Hospital, Antalya, Türkiye.

出版信息

Turk J Phys Med Rehabil. 2024 Aug 26;70(3):293-299. doi: 10.5606/tftrd.2024.15681. eCollection 2024 Sep.

DOI:10.5606/tftrd.2024.15681
PMID:39679124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11639496/
Abstract

Stroke is the second most common cause of mortality and disability worldwide. Most of the patients cannot regain their walking ability after a stroke. Impaired gait and mobility negatively affect the activities of daily living and quality of life of stroke survivors. Restoring gait and mobility are the most important targets of the rehabilitation approaches. Advances in computers and engineering have enabled robotics to be used in many areas of rehabilitation medicine. One of them is gait training. High-intensity, repetitive task training is crucial for neural plasticity and motor learning. Robot-assisted gait training may be a promising method leading to functional recovery in patients with stroke. In this review, the efficacy of robot-assisted gait training in stroke rehabilitation is discussed in light of current literature.

摘要

中风是全球第二大常见的死亡和致残原因。大多数中风患者在中风后无法恢复行走能力。步态和行动能力受损会对中风幸存者的日常生活活动和生活质量产生负面影响。恢复步态和行动能力是康复方法的最重要目标。计算机和工程技术的进步使机器人技术能够应用于康复医学的许多领域。其中之一就是步态训练。高强度、重复性的任务训练对神经可塑性和运动学习至关重要。机器人辅助步态训练可能是一种有望使中风患者实现功能恢复的方法。在这篇综述中,我们根据当前文献讨论了机器人辅助步态训练在中风康复中的疗效。

相似文献

1
Robot-assisted gait training in stroke.中风患者的机器人辅助步态训练
Turk J Phys Med Rehabil. 2024 Aug 26;70(3):293-299. doi: 10.5606/tftrd.2024.15681. eCollection 2024 Sep.
2
Robot-assisted training compared with an enhanced upper limb therapy programme and with usual care for upper limb functional limitation after stroke: the RATULS three-group RCT.机器人辅助训练与强化上肢治疗方案以及常规护理相比,对脑卒中后上肢功能受限的影响:RATULS 三臂 RCT 研究。
Health Technol Assess. 2020 Oct;24(54):1-232. doi: 10.3310/hta24540.
3
Construction of efficacious gait and upper limb functional interventions based on brain plasticity evidence and model-based measures for stroke patients.基于脑可塑性证据和基于模型的测量方法,为中风患者构建有效的步态和上肢功能干预措施。
ScientificWorldJournal. 2007 Dec 20;7:2031-45. doi: 10.1100/tsw.2007.299.
4
Early robot-assisted gait retraining in non-ambulatory patients with stroke: a single blind randomized controlled trial.早期机器人辅助步态再训练对非卧床脑卒中患者的影响:一项单盲随机对照试验。
Eur J Phys Rehabil Med. 2018 Dec;54(6):819-826. doi: 10.23736/S1973-9087.18.04832-3. Epub 2018 Mar 29.
5
Effects of Stroke Rehabilitation Using Gait Robot-Assisted Training and Person-Centered Goal Setting: A Single Blinded Pilot Study.使用步态机器人辅助训练和以人为本的目标设定进行中风康复的效果:一项单盲试点研究。
Healthcare (Basel). 2023 Feb 16;11(4):588. doi: 10.3390/healthcare11040588.
6
The Effects of Combined Virtual Reality Exercises and Robot Assisted Gait Training on Cognitive Functions, Daily Living Activities, and Quality of Life in High Functioning Individuals With Subacute Stroke.虚拟现实联合机器人辅助步态训练对亚急性期高功能脑卒中患者认知功能、日常生活活动及生活质量的影响。
Percept Mot Skills. 2024 Jun;131(3):756-769. doi: 10.1177/00315125241235420. Epub 2024 Feb 28.
7
Effects of high-intensity interval robot-assisted gait training on cardiopulmonary function and walking ability in chronic stroke survivors: A multicenter single-blind randomized controlled trial.高强度间歇机器人辅助步态训练对慢性脑卒中幸存者心肺功能和步行能力的影响:一项多中心单盲随机对照试验。
J Back Musculoskelet Rehabil. 2024;37(5):1309-1319. doi: 10.3233/BMR-230385.
8
Effectiveness of robotic assisted rehabilitation for mobility and functional ability in adult stroke patients: a systematic review.机器人辅助康复对成年中风患者运动能力和功能的有效性:一项系统评价。
JBI Database System Rev Implement Rep. 2017 Dec;15(12):3049-3091. doi: 10.11124/JBISRIR-2017-003456.
9
Effects of wearable ankle robotics for stair and over-ground training on sub-acute stroke: a randomized controlled trial.可穿戴式脚踝机器人用于亚急性中风患者上下楼梯及地面行走训练的效果:一项随机对照试验
J Neuroeng Rehabil. 2021 Jan 29;18(1):19. doi: 10.1186/s12984-021-00814-6.
10
Combining Robot-Assisted Gait Training and Non-Invasive Brain Stimulation in Chronic Stroke Patients: A Systematic Review.慢性中风患者中机器人辅助步态训练与无创脑刺激相结合:一项系统综述。
Front Neurol. 2022 May 2;13:795788. doi: 10.3389/fneur.2022.795788. eCollection 2022.

本文引用的文献

1
A Comprehensive Review: Robot-Assisted Treatments for Gait Rehabilitation in Stroke Patients.全面综述:中风患者步态康复的机器人辅助治疗
Medicina (Kaunas). 2024 Apr 10;60(4):620. doi: 10.3390/medicina60040620.
2
2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.2024 年心脏病与中风统计数据:美国心脏协会发布的美国和全球数据报告。
Circulation. 2024 Feb 20;149(8):e347-e913. doi: 10.1161/CIR.0000000000001209. Epub 2024 Jan 24.
3
Effects of robotic-assisted gait training on physical capacity, and quality of life among chronic stroke patients: A randomized controlled study.机器人辅助步态训练对慢性卒中患者身体能力和生活质量的影响:一项随机对照研究。
J Clin Neurosci. 2024 Feb;120:129-137. doi: 10.1016/j.jocn.2024.01.010. Epub 2024 Jan 18.
4
Gait pattern after electromechanically-assisted gait training with the Hybrid Assistive Limb and conventional gait training in sub-acute stroke rehabilitation-A subsample from a randomized controlled trial.使用混合辅助肢体进行机电辅助步态训练与传统步态训练在亚急性脑卒中康复中的步态模式——一项随机对照试验的子样本
Front Neurol. 2023 Oct 11;14:1244287. doi: 10.3389/fneur.2023.1244287. eCollection 2023.
5
Feasibility and outcomes of supplemental gait training by robotic and conventional means in acute stroke rehabilitation.辅助机器人和常规方法进行急性脑卒中康复中的步态训练的可行性和结果。
J Neuroeng Rehabil. 2023 Oct 4;20(1):134. doi: 10.1186/s12984-023-01243-3.
6
Effect of exoskeleton robot-assisted training on gait function in chronic stroke survivors: a systematic review of randomised controlled trials.外骨骼机器人辅助训练对慢性脑卒中幸存者步态功能的影响:随机对照试验的系统评价。
BMJ Open. 2023 Sep 14;13(9):e074481. doi: 10.1136/bmjopen-2023-074481.
7
Efficacy of Robot-Assisted and Virtual Reality Interventions on Balance, Gait, and Daily Function in Patients With Stroke: A Systematic Review and Network Meta-analysis.机器人辅助和虚拟现实干预对脑卒中患者平衡、步态和日常功能的疗效:系统评价和网络荟萃分析。
Arch Phys Med Rehabil. 2023 Oct;104(10):1711-1719. doi: 10.1016/j.apmr.2023.04.005. Epub 2023 Apr 28.
8
Clinical efficacy of overground powered exoskeleton for gait training in patients with subacute stroke: A randomized controlled pilot trial.地面式动力外骨骼在亚急性脑卒中患者步态训练中的临床疗效:一项随机对照初步试验。
Medicine (Baltimore). 2023 Jan 27;102(4):e32761. doi: 10.1097/MD.0000000000032761.
9
Robotic versus Conventional Overground Gait Training in Subacute Stroke Survivors: A Multicenter Controlled Clinical Trial.机器人辅助与传统地面步态训练对亚急性卒中幸存者的影响:一项多中心对照临床试验
J Clin Med. 2023 Jan 5;12(2):439. doi: 10.3390/jcm12020439.
10
Effect of exoskeleton-assisted Body Weight-Supported Treadmill Training on gait function for patients with chronic stroke: a scoping review.外骨骼辅助减重步行训练对慢性脑卒中患者步态功能的影响:系统评价。
J Neuroeng Rehabil. 2022 Dec 21;19(1):143. doi: 10.1186/s12984-022-01111-6.