Upper Limb Robotics in Rehabilitation: An Approach to Select the Devices, Based on Rehabilitation Aims, and Their Evaluation in a Feasibility Study
Upper Limb Robotics in Rehabilitation: An Approach to Select the Devices, Based on Rehabilitation Aims, and Their Evaluation in a Feasibility Study
复制标题
DOI：
10.3390/app9183920
复制
发表时间：
2019-09-01
影响因子：
2.7
通讯作者：
Gramatica, Furio
中科院分区：
文献类型：
--
作者：
Aprile, Irene;Cruciani, Arianna;Gramatica, Furio
机器人介导治疗是一种可行的上肢康复方法。上肢是一个高度复杂的部分，识别能够在临床实践中全面（从肩部到手部）康复的适当设备至关重要。在这项工作中，我们旨在：（i）描述用于识别一组技术和机器人设备以全面治疗上肢的方法，以及（ii）评估所识别的设备在临床实践中的可行性。一个多学科的团队使用一种特殊的形式，确定了一套四个机器人和基于传感器的设备来治疗上肢。然后，30名中风患者被招募并被分配到两组：机器人组（RG），其中患者使用机器人组进行治疗，或传统组（CG）。所有患者均在治疗前后进行评估。在RG中，患者使用了所有器械（每次康复疗程使用一种器械）;治疗被广泛接受，无脱落或不良事件。使用多学科的方法，我们确定了一套技术和机器人设备来治疗上肢的全球性，然后我们在试点研究中进行了实验，以确定其可行性。机器人技术提供了相当数量的康复设备，应根据康复目的和临床实践的可行性进行选择。
Robot-mediated therapy is a viable approach for upper limb rehabilitation. The upper limb is a highly complex segment and the identification of the appropriate devices capable of rehabilitating it globally (from the shoulder to the hand) in clinical practice is crucial. In this work, we aimed: (i) to describe an approach used in identifying a set of technological and robotic devices to globally treat the upper limb, and (ii) to evaluate the feasibility of the identified set in clinical practice. Using an ad-hoc form, a multidisciplinary team identified a set of four robotic and sensor-based devices to treat globally the upper limb. Then, 30 stroke patients were enrolled and assigned to two groups: the robotic group (RG), where patients were treated with the robotic set, or the conventional group (CG). All patients were evaluated before and after the treatment. In the RG the patients used all the devices (one in each rehabilitation session); the treatment was well accepted, without drop-outs or adverse events. Using a multidisciplinary approach, we identified a set of technological and robotic devices to treat the upper limb globally, and then we experimented to ascertain its feasibility, in a pilot study. Robotics offers a considerable number of devices for rehabilitation that should be selected according to rehabilitation aims and feasibility in clinical practice.