Robotic Rehabilitation: An Opportunity to Improve Cognitive Functions in Subjects With Stroke. An Explorative Study.
Robotic Rehabilitation: An Opportunity to Improve Cognitive Functions in Subjects With Stroke. An Explorative Study.
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机器人康复：改善中风患者认知功能的机会。探索性研究。
DOI：
10.3389/fneur.2020.588285
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发表时间：
2020
影响因子：
3.4
通讯作者：
Germanotta M
中科院分区：
文献类型：
--
作者：
Aprile I;Guardati G;Cipollini V;Papadopoulou D;Mastrorosa A;Castelli L;Monteleone S;Redolfi A;Galeri S;Germanotta M
背景：中风后，多达四分之三的急性和亚急性中风幸存者表现出认知障碍，对功能恢复、生活质量和社会参与有重大影响。机器人治疗在运动恢复方面显示出其有效性，但其在认知恢复方面的有效性尚未得到充分研究。目的：本研究旨在评估技术康复干预对脑卒中患者认知功能的影响，采用一组三个机器人和一个基于传感器的上肢康复装置。方法：这是一项试点研究，纳入了51例患者。使用三个机器人和一个基于传感器的设备进行上肢康复计划。干预包括运动/认知练习，特别是在可用的训练中选择认知功能。患者接受30次康复治疗，每次45分钟，每周5天。在治疗前后对患者进行多项认知测试（牛津认知量表、符号数字模态测试、数字广度、Rey-Osterrieth复杂图形、伦敦塔和Stroop测试）。此外，采用运动（Fugl-Meyer评估和运动指数）和残疾（改进的Barthel指数）量表。结果：根据牛津认知量表域，显著比例的患者表现出认知缺陷。排除感知（只有一名患者受损），表现出病理评分的患者比例最低的领域是实践（约25%），而受损患者比例最高的领域是计算（约70%）。通过选择的认知评估量表，治疗后患者在所有被调查的认知领域都有所改善。此外，运动和残疾量表证实了机器人对中风患者上肢康复的疗效。结论：这项探索性研究表明，机器人技术可以在一个独特的治疗过程中结合运动和认知锻炼。临床试验注册：www.ClinicalTrials.gov，标识符：NCT04164381。
Background: After a stroke, up to three-quarters of acute and subacute stroke survivors exhibit cognitive impairment, with a significant impact on functional recovery, quality of life, and social engagement. Robotic therapy has shown its effectiveness on motor recovery, but its effectiveness on cognitive recovery has not fully investigated. Objective: This study aims to assess the impact of a technological rehabilitation intervention on cognitive functions in patients with stroke, using a set of three robots and one sensor-based device for upper limb rehabilitation. Methods: This is a pilot study in which 51 patients were enrolled. An upper limb rehabilitation program was performed using three robots and one sensor-based device. The intervention comprised motor/cognitive exercises, especially selected among the available ones to train also cognitive functions. Patients underwent 30 rehabilitation sessions, each session lasting 45 minutes, 5 days a week. Patients were assessed before and after the treatment with several cognitive tests (Oxford Cognitive Scale, Symbol Digit Modalities Test, Digit Span, Rey–Osterrieth Complex Figure, Tower of London, and Stroop test). In addition, motor (Fugl–Meyer Assessment and Motricity Index) and disability (modified Barthel Index) scales were used. Results: According to the Oxford Cognitive Scale domains, a significant percentage of patients exhibited cognitive deficits. Excluding perception (with only one patient impaired), the domain with the lowest percentage of patients showing a pathological score was praxis (about 25%), while the highest percentage of impaired patients was found in calculation (about 70%). After the treatment, patients improved in all the investigated cognitive domains, as measured by the selected cognitive assessment scales. Moreover, motor and disability scales confirmed the efficacy of robotics on upper limb rehabilitation in patients with stroke. Conclusions: This explorative study suggests that robotic technology can be used to combine motor and cognitive exercises in a unique treatment session. Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT04164381.
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影响因子：
48
作者：
Gottesman, Rebecca F.;Hillis, Argye E.
通讯作者：
Hillis, Argye E.
影响因子：
2.7
作者：
Aprile, Irene;Cruciani, Arianna;Gramatica, Furio
通讯作者：
Gramatica, Furio
影响因子：
5.1
作者：
Calabro, Rocco Salvatore;Naro, Antonino;Bramanti, Alessia
通讯作者：
Bramanti, Alessia
DOI：
10.1076/jcen.24.5.586.1006
发表时间：
2002-01-01
影响因子：
2.2
作者：
Berg, WK;Byrd, DL
通讯作者：
Byrd, DL
影响因子：
4.3
作者：
Hochstenbach, JB;Anderson, PG;Mulder, TT
通讯作者：
Mulder, TT