Efficacy of rehabilitation robotics for walking training in neurological disorders: A review
Efficacy of rehabilitation robotics for walking training in neurological disorders: A review
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DOI：
10.1682/jrrd.2010.04.0055
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发表时间：
2011-01-01
影响因子：
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通讯作者：
Winchester, Patricia
中科院分区：
文献类型：
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作者：
Tefertiller, Candace;Pharo, Beth;Winchester, Patricia
机器人技术在临床环境中治疗神经系统疾病方面变得越来越普遍。我们对原始文章进行了文献检索，以识别所有检查使用机器人设备恢复患有神经系统疾病的成年人行走功能的研究。我们使用物理治疗证据数据库量表（随机对照试验（RCT））或唐斯和布莱克量表（非RCT）对每项研究进行评价和评级。我们回顾了30篇文章（14项随机对照试验，16项非随机对照试验），这些文章研究了在中风、脊髓损伤（SCI）、多发性硬化症（MS）、创伤性脑损伤（TBI）和帕金森病（PD）患者中机器人辅助运动训练的效果。这篇综述支持机器人辅助的运动训练有利于改善中风和SCI后个体的行走功能。在各种运动训练方法后，未发现运动不完全性SCI患者的步态速度和耐力有显著差异。有限的证据表明，机器人辅助的运动训练对MS、TBI或PD患者人群有益。我们讨论了神经功能障碍步态康复领域的临床意义和决策。
Robotic technologies are becoming more prevalent for treating neurological conditions in clinical settings. We conducted a literature search of original articles to identify all studies that examined the use of robotic devices for restoring walking function in adults with neurological disorders. We evaluated and rated each study using either the Physiotherapy Evidence Database scale for randomized controlled trials (RCTs) or the Downs and Black scale for non-RCTs. We reviewed 30 articles (14 RCTs, 16 non-RCTs) that examined the effects of locomotor training with robotic assistance in patients following stroke, spinal cord injury (SCI), multiple sclerosis (MS), traumatic brain injury (TBI), and Parkinson disease (PD). This review supports that locomotor training with robotic assistance is beneficial for improving walking function in individuals following a stroke and SCI. Gait speed and endurance were not found to be significantly different among patients with motor incomplete SCI after a variety of locomotor training approaches. Limited evidence demonstrates that locomotor training with robotic assistance is beneficial in populations of patients with MS, TBI, or PD. We discuss clinical implications and decision making in the area of gait rehabilitation for neurological dysfunction.