Robot-Assisted Exercise for Hand Weakness After Stroke A Pilot Study

Robot-Assisted Exercise for Hand Weakness After Stroke A Pilot Study
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DOI:
10.1097/phm.0b013e3182328623
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发表时间:
2011-11-01
影响因子:
3
通讯作者:
Helbok, Raimund
Helbok, Raimund
中科院分区:
医学3区
文献类型:
--
作者:
Stein, Joel;Bishop, Lauri;Helbok, Raimund

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Stein J,Bishop L,Gillen G,Helbok R:中风后手部无力的机器人辅助运动:一项试点研究。目的:上肢轻瘫是中风幸存者残疾的主要原因,机器人辅助运动疗法是提高运动能力的一种有前景的方法。很少有机器人设备可用于为手指和手提供治疗。这项研究的目的是测试一种新的机器人设备手康复中风survivor.Design:这是一个开放标签的试点研究12个人慢性中度偏瘫中风后。参与者进行了为期6周的培训计划,使用手机器人设备。参与者共收到了18小时的机器人therapy.Results:改善被发现在多个措施的运动性能,包括上肢Fugl-Meyer测试,运动活动日志,手动能力测量-36,和Jebsen手功能测试。所有受试者耐受治疗良好,没有并发症observed.Conclusions:机器人治疗中风后手部轻瘫是安全可行的,这些初步结果证明了进一步研究的疗效。关键词:脑卒中,偏瘫,机器人,康复
Stein J, Bishop L, Gillen G, Helbok R: Robot-assisted exercise for hand weakness after stroke: a pilot study. Am J Phys Med Rehabil 2011; 90: 887-894.Objective: Upper-limb paresis is a major source of disability in stroke survivors, and robotic device-aided exercise therapy is a promising approach to enhance motor abilities. Few robotic devices have been available to provide therapy to the fingers and hand. This study was designed to test a new robotic device for hand rehabilitation in stroke survivors.Design: This is an open-label pilot study of 12 individuals with chronic moderate hemiparesis after stroke. Participants underwent a 6-wk training program using a hand robotic device. Participants received a total of 18 hrs of robotic therapy.Results: Improvements were found in multiple measures of motor performance, including the Upper Extremity Fugl-Meyer test, the Motor Activity Log, the Manual Ability Measure-36, and the Jebsen Hand Function Test. All subjects tolerated the treatment well and no complications were observed.Conclusions: Robotic therapy for hand paresis after stroke is safe and feasible, and further studies of efficacy are justified by these preliminary results. Key Words: Stroke, Hemiparesis, Robotics, Rehabilitation