Robot-Assisted Training of Arm and Hand Movement Shows Functional Improvements for Incomplete Cervical Spinal Cord Injury
Robot-Assisted Training of Arm and Hand Movement Shows Functional Improvements for Incomplete Cervical Spinal Cord Injury
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DOI：
10.1097/phm.0000000000000815
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发表时间：
2017-10-01
影响因子：
3
通讯作者：
Boake, Corwin
中科院分区：
文献类型：
--
作者：
Francisco, Gerard E.;Yozbatiran, Nuray;Boake, Corwin
目的：本研究的目的是证明机器人辅助手臂训练的可行性，耐受性和有效性在不完全慢性tetraple.Design：前测/后测/后续进行。入选了10名慢性颈脊髓损伤患者。参与者进行上肢单自由度运动，强度为3小时，每周3次，持续4周。在基线、训练结束时和6 mos后进行手臂和手功能测试（Jebsen-Taylor手功能测试、Action Research手臂测试）、上肢力量（上肢运动评分、握力和捏力）和日常生活活动独立性（脊髓独立性测量II）。杰-泰二氏手功能测验（0.14 [0.04]-0.21 <$0.07]条/秒，P = 0.04），行动研究手臂测试（30.7[3.8]-34.3 4]，P = 0.02），美国脊髓损伤协会上肢运动评分（31.5[2.3]-34 2. 3]，P = 0.04）握力（9.7[3.8]-12 4. 3] lb，P = 0.02）和捏力（4.5[1.1]-5.7 1. 2] lb，P = 0.01）显著增加。在6个月时保持了一些增益。脊髓独立性测量II评分没有变化，也没有不良事件observed.Conclusions：从这个试点研究的结果表明，重复训练的手臂运动与MAHI Exo-II外骨骼是安全的，并有可能成为一个辅助治疗模式，在康复的人脊髓损伤与轻度至中度受损的手臂功能。
Objective: The aim of the study was to demonstrate the feasibility, tolerability, and effectiveness of robotic-assisted arm training in incomplete chronic tetraplegia.Design: Pretest/posttest/follow-up was conducted. Ten individuals with chronic cervical spinal cord injury were enrolled. Participants performed single degree-of-freedom exercise of upper limbs at an intensity of 3-hr per session for 3 times a week for 4 wks withMAHI Exo-II. Arm and hand function tests (Jebsen-Taylor Hand Function Test, Action Research Arm Test), strength of upper limb (upper limb motor score, grip, and pinch strength), and independence in daily living activities (Spinal Cord IndependenceMeasure II) were performed at baseline, end of training, and 6 mos later.Results: After 12 sessions of training, improvements in arm and hand functions were observed. Jebsen-Taylor Hand Function Test (0.14 [0.04]-0.21[0.07] items/sec, P = 0.04), Action Research Arm Test (30.7[3.8]-34.3[4], P = 0.02), American Spinal Injury Association upper limb motor score (31.5[2.3]-34[2.3], P = 0.04) grip (9.7[3.8]-12[4.3] lb, P = 0.02), and pinch strength (4.5[1.1]-5.7[1.2] lb, P = 0.01) resulted in significant increases. Some gains were maintained at 6 mos. No change in Spinal Cord Independence Measure II scores and no adverse events were observed.Conclusions: Results from this pilot study suggest that repetitive training of arm movements with MAHI Exo-II exoskeleton is safe and has potential to be an adjunct treatment modality in rehabilitation of persons with spinal cord injury with mild to moderate impaired arm functions.