Robot-Aided Neurorehabilitation: From Evidence-Based to Science-Based Rehabilitation
Robot-Aided Neurorehabilitation: From Evidence-Based to Science-Based Rehabilitation
复制标题
机器人辅助神经康复：从循证康复到科学康复
DOI：
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发表时间：
2002
影响因子：
2.2
通讯作者：
N. Hogan
中科院分区：
文献类型：
--
作者：
H. Krebs;B. T. Volpe;M. Ferraro;S. Fasoli;J. Palazzolo;Brandon Rohrer;L. Edelstein;N. Hogan
康复治疗没有“灵丹妙药”。在没有直接神经移植的情况下，神经康复是一个艰巨的过程。我们开创了机器人技术在中风康复中的临床应用，并证明了有针对性的运动对中风康复的积极影响。在这篇文章中，我们将回顾在伯克康复医院96例中风患者的初步临床试验中获得的结果。我们将提供证据表明，机器人辅助训练可以增强恢复，这种增强的恢复是长期持续的，并且这种恢复不是由于一般的生理改善-事实上，它似乎是肢体和肌肉群特定的。循证方法现在必须转向更科学的中风康复方法。鉴于所需协议的长度和患者的可变性以及有限的普查，循证方法的实际局限性是不言而喻的，并将试验延长多年。每个患者和病变在卒中康复中都是独特的，因此没有理由相信存在“一刀切”的最佳治疗方法。为了优化个体患者的治疗，我们需要基于科学的模型。在这篇文章中，我们将总结我们正在研究的科学工具和模型，并介绍迄今为止的一些结果。
Abstract There is no “magic bullet” in rehabilitation. In the absence of direct neural transplants, neurological rehabilitation is an arduous process. We have pioneered the clinical application of robotics in stroke rehabilitation and have shown evidence of the positive impact of targeted exercise on stroke recovery. In this article, we will review results obtained in the initial clinical trials with 96 stroke patients at the Burke Rehabilitation Hospital. We will provide evidence that robot-aided training enhances recovery, that this enhanced recovery is sustained in the long term, and that this recovery is not due to a general physiological improvement — in fact, it appears to be limb and muscle group specific. An evidence-based approach must now segue into a more scientific approach to stroke rehabilitation. Given the length of the required protocols and patients' variability and limited census, the practical limitations of the evidence-based approach are self-evident and extend trials for years. Each patient and lesion is unique in stroke rehabilitation, so there is no reason to believe that a “one-size-fits-all” optimal treatment exists. To optimize therapy for individual patients, we need science-based models. In this article, we will summarize the scientific tools and models that we are investigating and present some of the results to date.
影响因子：
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作者：
H. Krebs;B. Volpe;M. Aisen;N. Hogan
通讯作者：
H. Krebs;B. Volpe;M. Aisen;N. Hogan
影响因子：
4.3
作者：
Fasoli, SE;Krebs, HI;Hogan, N
通讯作者：
Hogan, N
DOI：
10.1109/86.662623
发表时间：
1998-03-01
期刊：
IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society
影响因子：
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作者：
Krebs, H I;Hogan, N;Volpe, B T
通讯作者：
Volpe, B T