Adjustment effect during shoulder abduction training with the Hybrid Assistive Limb in a patient with postoperative C5 palsy
Adjustment effect during shoulder abduction training with the Hybrid Assistive Limb in a patient with postoperative C5 palsy
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DOI：
10.1016/j.jocn.2021.03.042
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发表时间：
2021-04-14
影响因子：
2
通讯作者：
Yamazaki, Masashi
中科院分区：
文献类型：
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作者：
Kubota, Shigeki;Kadone, Hideki;Yamazaki, Masashi
术后C5瘫痪患者的标准肩部康复程序尚未建立。我们将可穿戴机器人套装混合辅助肢体(HAL)应用于1例C5术后瘫痪患者，并用HAL进行肩部外展训练。一名65岁的女性在接受颈椎手术后被诊断为术后C5瘫痪。术后5天开始用HAL进行肩外展训练。评价肩外展角度、外展力量、斜方肌和三角肌活动度。共进行了10次康复治疗，直至术后82天。从第一次训练开始，安全有效地进行了肩外展训练。她的肩外展角度和力量在每一次训练中都有所改善，第10次训练后，她可以完全抬起手臂，而不需要任何补偿性动作。肩部HAL训练抑制斜方肌的肌电活动，激活三角肌的肌电活动，尤其是在康复早期。此外，它对获得正常的肩部运动有调节作用，这可能通过无错误的运动学习促进了手臂更平稳的抬高。这些发现表明，HAL是术后C5瘫痪患者肩部康复的有用工具。(C)2021年爱思唯尔有限公司。保留所有权利。
Standard shoulder rehabilitation procedures for patients with postoperative C5 palsy have not yet been established. We applied a wearable robot suit hybrid assistive limb (HAL) for a patient with postoperative C5 palsy and conducted shoulder abduction training with HAL. A 65-year-old woman was diagnosed with postoperative C5 palsy after undergoing cervical spine surgery. Five days after surgery, shoulder abduction training with HAL was initiated. The shoulder abduction angle and power and trapezius and deltoid activities were evaluated. Ten rehabilitation sessions were conducted until 82 days after surgery. Shoulder abduction training was safely and effectively performed from the first session. Her shoulder abduction angle and power improved at every session, and she could fully elevate her arm without any compensatory motion after the 10th session. Shoulder HAL training suppressed the muscular activity of the trapezius and activated that of the deltoid, especially in the earlier stages of rehabilitation. Moreover, it had an adjustment effect for obtaining normal shoulder motion, which might have promoted smoother arm elevation using errorless motor learning. These findings suggest that HAL is a useful tool for shoulder rehabilitation in patients with postoperative C5 palsy. (c) 2021 Elsevier Ltd. All rights reserved.