Robotic rehabilitation training with a newly developed upper limb single-joint Hybrid Assistive Limb (HAL-SJ) for elbow flexor reconstruction after brachial plexus injury: A report of two cases
Robotic rehabilitation training with a newly developed upper limb single-joint Hybrid Assistive Limb (HAL-SJ) for elbow flexor reconstruction after brachial plexus injury: A report of two cases
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DOI：
10.1177/2309499018777887
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发表时间：
2018-06-06
影响因子：
1.6
通讯作者：
Yamazaki, Masashi
中科院分区：
文献类型：
--
作者：
Kubota, Shigeki;Kadone, Hideki;Yamazaki, Masashi
本研究旨在评估上肢单关节混合辅助肢体（上肢HAL-SJ）在臂丛神经损伤（BPI）肘屈肌重建术后进行肘屈训练的有效性和安全性。我们介绍了两例患者的情况下，上肢HAL-SJ实施后5个月和7个月的肘屈肌重建BPI。采用肋间神经-肌皮神经交叉重建肘屈肌。术后使用上肢HAL-SJ进行训练，从医学研究理事会（MRC）I级肘关节屈曲力量开始，每周一次或每2周一次。两名患者即使在其肘关节屈曲力量的MRC I级时也可以使用上肢HAL-SJ进行肘关节训练。在2例肘屈肌重建患者中，使用上肢HAL-SJ进行了安全有效的训练，并在BPI后交叉ICN。
This study aimed to evaluate the effectiveness and safety of using the upper limb single-joint Hybrid Assistive Limb (upper limb HAL-SJ) during elbow flexion training following elbow flexor reconstruction for brachial plexus injury (BPI). We present the cases of two patients in whom the upper limb HAL-SJ was implemented 5 and 7 months postoperatively following elbow flexor reconstruction for BPI. They underwent elbow flexor reconstruction with intercostal nerve crossing-to-musculocutaneous nerve (ICN-MCN crossing) after BPI. Postoperative training using the upper limb HAL-SJ was started from the Medical Research Council (MRC) grade I elbow flexion power to MRC grade 3 once every week or every 2 weeks. Both patients could implement elbow training using the upper limb HAL-SJ even in MRC grade I of their elbow flexion power. Training with the upper limb HAL-SJ was performed safely and effectively in two patients with elbow flexor reconstruction with ICN crossing after BPI.