Technology-assisted training of arm-hand skills in stroke: concepts on reacquisition of motor control and therapist guidelines for rehabilitation technology design.
Technology-assisted training of arm-hand skills in stroke: concepts on reacquisition of motor control and therapist guidelines for rehabilitation technology design.
复制标题
DOI：
10.1186/1743-0003-6-1
复制
发表时间：
2009-01-20
影响因子：
5.1
通讯作者：
Kingma H
中科院分区：
文献类型：
--
作者：
Timmermans AA;Seelen HA;Willmann RD;Kingma H
这篇文章的目的是确定和审查康复技术应该满足的标准，以便根据最近的运动学习原则为中风患者提供手臂-手训练。对PubMed、MEDLINE、CINAHL和EMBASE进行文献检索(1997-2007)。187篇科学论文/书籍参考文献被确定为相关文献。中风后上肢训练的康复方法在过去十年中已经从分析性转向注重环境背景技能训练(以任务为导向的训练)。提高运动技能的培训方案使用患者和目标量身定做的运动时间表以及个人对运动表现的反馈。建议了上肢康复技术的治疗师标准，用于评估一些当前技术系统的优点和缺点。这篇综述表明，支持中风后上肢训练的技术需要与过去十年康复训练方法的演变保持一致。相关技术开发的一个主要挑战是在自然环境中提供面向患者的、面向任务的手臂训练，并提供患者定制的反馈，以支持(重新)运动技能的学习。
It is the purpose of this article to identify and review criteria that rehabilitation technology should meet in order to offer arm-hand training to stroke patients, based on recent principles of motor learning. A literature search was conducted in PubMed, MEDLINE, CINAHL, and EMBASE (1997–2007). One hundred and eighty seven scientific papers/book references were identified as being relevant. Rehabilitation approaches for upper limb training after stroke show to have shifted in the last decade from being analytical towards being focussed on environmentally contextual skill training (task-oriented training). Training programmes for enhancing motor skills use patient and goal-tailored exercise schedules and individual feedback on exercise performance. Therapist criteria for upper limb rehabilitation technology are suggested which are used to evaluate the strengths and weaknesses of a number of current technological systems. This review shows that technology for supporting upper limb training after stroke needs to align with the evolution in rehabilitation training approaches of the last decade. A major challenge for related technological developments is to provide engaging patient-tailored task oriented arm-hand training in natural environments with patient-tailored feedback to support (re) learning of motor skills.