Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke
Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke
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DOI：
10.1053/apmr.2001.33101
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发表时间：
2002-07-01
影响因子：
4.3
通讯作者：
Van der Loos, M
中科院分区：
文献类型：
--
作者：
Lum, PS;Burgar, CG;Van der Loos, M
目的：比较机器人辅助运动训练与传统技术对脑卒中后上肢运动功能康复的效果。设计：随机对照试验，6个月随访。地点：退伍军人事务部康复研究与发展中心。参与者：27名慢性轻偏瘫受试者的对比样本干预措施：所有受试者在2个月内接受24次I小时的治疗。机器人组的受试者在机器人操作器的协助下练习肩部和肘部的运动。在对照组中的主题接受神经发育治疗（针对近端上肢功能）和5分钟的曝光，以机器人在每个会话。主要结果measurements：Fugl-Meyer评估的运动障碍，ESTA（TM）仪器，和生物力学措施的力量和达到运动学。结果：治疗1个月后，机器人组与对照组相比，Fugl-Meyer测试的近端运动部分有较大改善（P
Objective: To compare the effects of robot-assisted movement training with conventional techniques for the rehabilitation of upper-limb motor function after stroke.Design: Randomized controlled trial, 6-month follow-up.Setting: A Department of Veterans Affairs rehabilitation research and development center.Participants: Consecutive sample of 27 subjects with chronic hemiparesis (>6mo after cerebrovascular accident) randomly allocated to group.Interventions: All subjects received twenty-four I-hour sessions over 2 months. Subjects in the robot group practiced shoulder and elbow movements while assisted by a robot manipulator. Subjects in the control group received neurodevelopmental therapy (targeting proximal upper limb function) and 5 minutes of exposure to the robot in each session.Main Outcome Measures: Fugl-Meyer assessment of motor impairment, FIM(TM) instrument, and biomechanic measures of strength and reaching kinematics. Clinical evaluations were performed by a therapist blinded to group assignments.Results: Compared with the control group, the robot group had larger improvements in the proximal movement portion of the Fugl-Meyer test after 1 month of treatment (P