Robot-Assisted Upper and Lower Limb Rehabilitation After Stroke Walking and Arm/Hand Function
Robot-Assisted Upper and Lower Limb Rehabilitation After Stroke Walking and Arm/Hand Function
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DOI：
10.3238/arztebl.2008.0330
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发表时间：
2008-05-02
影响因子：
7.7
通讯作者：
Werner, Cordula
中科院分区：
文献类型：
--
作者：
Hesse, Stefan;Mehrholz, Jan;Werner, Cordula
导语：机器人有助于加强中风后上下肢的运动康复。方法：检索Medline(PubMed)、Embase和CINHAL上1980-2007年间发表的相关随机对照试验。结果：两项研究显示机电步态训练器有好处，与传统物理疗法相比，恢复行走的患者明显更多。两项研究显示，没有证据表明外骨骼系统有好处。由于研究数量较少且异质性较高，未进行合并分析。在手臂/手康复中，许多基于单侧或双侧末端效应器的系统被证明对中风患者有效，简单的一维系统和被动外骨骼系统被证明对慢性症状患者有效。更多的试验，包括比较研究，是强制性的。机器人不能被认为是患者和治疗师关系的替代品。
Introduction: Robots help to intensify motor rehabilitation of the upper and lower limbs after stroke. This article presents controlled studies relating to this topic, and an overview.Methods: A search was carried out for relevant randomized controlled trials, published between 1980 and 2007, on Medline (PubMed), Embase, and CINHAL.Results: Two studies showed benefit for an electromechanical gait trainer, with significantly more patients resuming walking as compared to conventional physiotherapy. Two studies showed no evidence of benefit for an exoskeleton-based system. A pooled analysis was not conducted due to the small numbers of studies and high heterogeneity. In arm/hand rehabilitation a number of unilateral or bilateral end-effector based systems proved effective in patients with stroke, and a simple one-dimensional system and a passive exoskeleton system proved effective in patients with chronic symptoms.Discussion: Robot-assisted motor rehabilitation after stroke appears promising. More trials, including comparative studies, are mandatory. The robot cannot be considered a substitute for the patient-therapist relationship.