Effects of robot-guided passive stretching and active movement training of ankle and mobility impairments in stroke
Effects of robot-guided passive stretching and active movement training of ankle and mobility impairments in stroke
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DOI：
10.3233/nre-130885
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发表时间：
2013-01-01
影响因子：
2
通讯作者：
Zhang, Li-Qun
中科院分区：
文献类型：
--
作者：
Waldman, Genna;Yang, Chung-Yong;Zhang, Li-Qun
目的：调查的影响，控制被动拉伸和主动运动训练，使用便携式康复机器人对中风幸存者踝关节和移动importance.METHODS：24例患者至少3个月后中风被分配到接受6周的训练，使用便携式机器人在研究实验室（机器人组）或指导运动计划在家里（对照组）。所有患者均在实验室进行临床和生物力学评估，评估前、评估后和6周随访。机器人组的受试者在减少痉挛（改良Ashworth量表测量）、移动性（卒中康复运动评估（STREAM））、平衡（贝格平衡评分）、背屈被动活动范围、训练6周后，观察患肢步态时的背屈强度和负重情况。两组患者训练后的STREAM、背屈主动活动度和背屈肌力均有所改善，并在随访中得到了有效的评价。结论：机器人辅助被动伸展和主动运动训练对改善脑卒中后运动功能和活动能力是有效的。
OBJECTIVES: To investigate the effects of controlled passive stretching and active movement training using a portable rehabilitation robot on stroke survivors with ankle and mobility impairment.METHODS: Twenty-four patients at least 3 months post stroke were assigned to receive 6 week training using the portable robot in a research laboratory (robot group) or an instructed exercise program at home (control group). All patients underwent clinical and biomechanical evaluations in the laboratory at pre-evaluation, post-evaluation, and 6-week follow-up.RESULTS: Subjects in the robot group improved significantly more than that in the control group in reduction in spasticity measured by modified Ashworth scale, mobility by Stroke Rehabilitation Assessment of Movement (STREAM), the balance by Berg balance score, dorsiflexion passive range of motion, dorsiflexion strength, and load bearing on the affected limb during gait after 6-week training. Both groups improved in the STREAM, dorsiflexion active range of motion and dorsiflexor strength after the training, which were retained in the follow-up evaluation.CONCLUSION: Robot-assisted passive stretching and active movement training is effective in improving motor function and mobility post stroke.