Robotic Shoulder Rehabilitation With the Hybrid Assistive Limb in a Patient With Delayed Recovery After Postoperative C5 Palsy: A Case Report.
Robotic Shoulder Rehabilitation With the Hybrid Assistive Limb in a Patient With Delayed Recovery After Postoperative C5 Palsy: A Case Report.
复制标题
DOI：
10.3389/fneur.2021.676352
复制
发表时间：
2021
影响因子：
3.4
通讯作者：
Yamazaki M
中科院分区：
文献类型：
--
作者：
Kubota S;Kadone H;Shimizu Y;Takahashi H;Koda M;Miura K;Watanabe H;Suzuki K;Hada Y;Sankai Y;Yamazaki M
C5麻痹是颈椎手术后可能出现的严重并发症；然而，C5性麻痹术后患者肩部康复的标准程序尚未建立。我们使用可穿戴机器人套装混合辅助肢（HAL）对C5麻痹术后延迟恢复的患者进行肩部外展训练。一名62岁男性在颈椎手术后2天出现左三角肌无力。他在抬起左臂时遇到了很大的困难，并被诊断为术后C5麻痹。手术后7个月，开始用HAL进行肩外展训练。手术后26个月，共进行了23次肩部HAL康复治疗。在每次HAL治疗中，他的肩膀外展角度和力量都有所改善，并且在第23次治疗后，他能够完全抬起手臂而无需任何代偿运动，这表明HAL是术后C5麻痹患者肩部康复的有用工具。我们对一名C5麻痹术后延迟恢复的患者进行了肩部HAL训练，并实现了肩部功能的完全恢复。我们认为，基于hal的训练纠正了他瘫痪的肩部的错误运动模式，并促进了无错误运动学习的恢复。我们的集体经验表明肩部HAL训练可能是术后C5麻痹患者的有效治疗工具。
C5 palsy is a serious complication that may occur after cervical spine surgery; however, standard procedures for shoulder rehabilitation for patients with postoperative C5 palsy have not yet been established. We used a wearable robot suit Hybrid Assistive Limb (HAL) in a patient with delayed recovery after postoperative C5 palsy and conducted shoulder abduction training with the HAL. A 62-year-old man presented with weakness in his left deltoid muscle 2 days after cervical spine surgery. He experienced great difficulty in elevating his left arm and was diagnosed with postoperative C5 palsy. Seven months after surgery, shoulder abduction training with a HAL was initiated. In total, 23 sessions of shoulder HAL rehabilitation were conducted until 26 months after surgery. His shoulder abduction angle and power improved at every HAL session, and he was able to fully elevate his arm without any compensatory movement after the 23rd session, suggesting that the HAL is a useful tool for shoulder rehabilitation in patients with postoperative C5 palsy. We employed shoulder HAL training for a patient with delayed recovery from postoperative C5 palsy and achieved complete restoration of shoulder function. We believe that the HAL-based training corrected the erroneous motion pattern of his paralyzed shoulder and promoted errorless motor learning for recovery. Our collective experience suggests that shoulder HAL training could be an effective therapeutic tool for patients with postoperative C5 palsy.
登录
查看更多内容
影响因子：
2
作者：
Kubota, Shigeki;Abe, Tetsuya;Yamazaki, Masashi
通讯作者：
Yamazaki, Masashi
影响因子：
3
作者：
Chiba, K;Toyama, Y;Hirabayashi, K
通讯作者：
Hirabayashi, K
影响因子：
3
作者：
Nassr, Ahmad;Eck, Jason C.;Kang, James D.
通讯作者：
Kang, James D.
影响因子：
--
作者：
Takemitsu, Masakazu;Cheung, Kenneth M. C.;Luk, Keith D. K.
通讯作者：
Luk, Keith D. K.
影响因子：
2
作者：
Kubota, Shigeki;Kadone, Hideki;Yamazaki, Masashi
通讯作者：
Yamazaki, Masashi