Interactive robots for neuro-rehabilitation.
Interactive robots for neuro-rehabilitation.
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DOI：
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发表时间：
2004
影响因子：
2.8
通讯作者：
N. Hogan;H. Krebs
中科院分区：
文献类型：
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作者：
N. Hogan;H. Krebs
本文回顾了十年来旨在开发有效的交互式机器人工具来治疗和理解运动损伤和残疾的工作。一项针对急性期中风住院患者的初步试点研究的成功，促使了一项更大规模的研究，表明这些结果可以被复制，一项后续研究表明，这种益处持续存在。对慢性期门诊患者的研究表明，可以获得类似的益处，这种益处也持续存在，并伴有疼痛的减轻。对可能的康复生物学的探索表明，以基于表现的渐进式治疗的形式改进机器人治疗，旨在加速类似于运动学习的过程，假设这是康复的基础。对这种方法的初步研究表明，与以前的成功相比，这种方法有了显著的改进。对恢复过程的运动学研究表明，与婴儿运动行为的发展类似，它始于刻板的亚动作，并通过逐步合并这些动作来接近未受损的运动表现。
This article reviews a decade of work aimed at developing effective interactive robotic tools to treat and understand motor impairment and disability. The success of an initial pilot study with acute-phase in-patients recovering from stroke prompted a larger study showing that these results could be replicated and a follow-up study showing that the benefits lasted. Studies of chronic-phase out-patients demonstrated that similar benefits could be obtained which also lasted and were accompanied by a concomitant reduction of pain. Exploration of the likely biology of recovery suggested an improvement of robotic treatment in the form of performance-based progressive therapy aimed at accelerating a process akin to motor learning postulated to underlie recovery. Initial studies of this method show a dramatic improvement over the previous successes. Kinematic studies of the recovery process show that, similar to the development of motor behavior in infants, it begins with stereotyped submovements and proceeds by progressively merging these to approach unimpaired motor performance.