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Development of a Functional Recovery Training Assistant System of Hemiplegic Lower Limb; Motion Evaluation and Training System for the Hemiplegic Lower Limb and Its Clinical Application in Rehabilitation

偏瘫下肢功能恢复训练辅助系统的研制

基本信息

批准号：
10838023
负责人：
KAWAHIRA Kazumi
金额：
$ 2.43万
依托单位：
Kagoshima University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 1999
项目状态：
已结题

项目摘要

For the functional recovery of hemiplegic lower limbs (HLL), it is very important to repeat voluntary motions isolated from synergy. The purpose of this study is to design a Functional Recovery Training Assistant System for Hemiplegic Lower Limb (FRTASHLL) and evaluate its clinical benefits in rehabilitation.1. FRTASHLL is designed to assist the intensive exercise therapy free from synergy and evaluate the quantification and rehabilitation of physical impairment. The system achieves a visual feedback loop, providing the real-time position marker of the trainee's foot and the desired foot trajectory of a voluntary motion of HLL for the visual display terminal of the system computer. Accuracy and reproducibility of the motion of HLL are examined in relation to a locus pattern of the foot movement and the dynamic force of the lower limb at the foot. Testing and exercising data can be compiled and analyzed by using the system computer. FRTASHLL can calculate various characteristics values … More of rehabilitation, e.g. a time integral of the distance (Position Trajectory Errors, PT-Errors: cm s/cycle) between a desired trajectory of the foot and the position marker of a trainee's foot.2. The clinical application of FRTASHLL was evaluated in 10 hemiplegic patients and 13 normal controls. Fine movements of unaffected lower limb were measured with FRTASHLL PT-Errors of stroke patients were significantly bigger than those of normal controls in both 8-figure motion patterns and mirrored 8-figure motion patterns (foot marker displayed at mirror-image position). PT-Errors in the 8-figure motion pattern and the mirrored 8-figure motion pattern did not correlate. Except correlation between PT-Errors in mirrored 8-figure motion pattern and a degree of hemiplegia, PT-Errors in a normal or mirrored 8-figure motion pattern did not correlate with sensation of unaffected lower limb, hemineglect, finger tapping, construction ability, or site of lesion.Training with FRTASHLL by tracing an 8-figure motion pattern with HLL 50 trails daily for 4 days significantly decreased PT-Errors.FRTASHLL is effective to evaluate and train HLL with visual feedback. It also reveals impairment in the unaffected lower limb of hemiplegic patients and improves HLL function with training. Less

偏瘫患者肢体功能的恢复，离不开自主动作的重复训练是非常重要的。本研究旨在设计一套偏瘫肢体功能康复训练辅助系统(FRTASHLL)，并评估其在康复治疗中的临床效益。FRTASHLL旨在辅助无协同的强化运动治疗，并评估身体损伤的量化和康复。该系统实现了视觉反馈回路，为系统计算机的视觉显示终端提供了受训者脚部的实时位置标记和HLL任意运动的所需足部轨迹。根据足部运动轨迹模式和足部下肢的动态力，检查高位滑车运动的准确性和重复性。测试和练习数据可以通过系统计算机进行编辑和分析。FRTASHLL可以计算各种特征值…更多的康复，例如，时间积分的距离(位置轨迹误差，PT-误差：厘米S/周期)之间的期望的脚的轨迹和训练者的脚的位置标记之间的时间积分。对10例偏瘫患者和13例正常人进行了FRTASHLL的临床应用评价。用FRTASHLL PT测量健侧肢体的精细运动--中风患者在8字运动模式和镜像8字运动模式(足标显示在镜像位置)上的误差均显着大于正常对照组。PT-8图形运动模式和镜像8图形运动模式中的错误不相关。除镜像8位动作模式的PT错误与偏瘫程度相关外，正常或镜像8位动作模式的PT错误与健侧肢体感觉、偏侧、手指敲击、构筑能力或损伤部位无关。通过跟踪8位动作模式，每天跟踪HLL50条轨迹，连续4天，FRTASHLL训练显著减少PT错误。它还显示了偏瘫患者未受影响的下肢的损害，并通过训练改善了HLL功能。较少

项目成果

期刊论文数量（13）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

余永,季英,辻尾昇三: "片麻痺下肢リハビリ訓練における下肢運動学計算" 日本機械学会九州支部講演論文集. (in press). (1999)

Yonaga、Kiehide、Shozo Tsujio：《偏瘫下肢康复训练中的下肢运动学计算》日本机械工程学会九州分会讲座论文集（1999 年出版）。

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0
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川平和美、衛藤誠二、田中信行、辻尾昇三、末吉靖宏、他2名: "脳卒中患者の非麻痺側下肢の運動技能障害について-8字軌跡,鏡像8字軌跡追従の評価-"第37回日本リハビリテーション医学会学術集会抄録集(2000). (印刷中).

Kawami Kawa、Seiji Eto、Nobuyuki Tanaka、Shozo Tsujio、Yasuhiro Sueyoshi 和另外 2 人：“关于中风患者非瘫痪下肢的运动技能障碍 - 8 字符轨迹和镜像 8 字符轨迹跟随的评估”日本康复医学会年会论文集第 37 期（2000 年）（正在出版）。

DOI：
发表时间：
期刊：
影响因子：
0
作者：
通讯作者：

川平和美,衛藤誠二,田中信行,辻尾昇三,末吉靖宏,他2名: "脳卒中患者の非麻痺側下肢の運動技能障害について―8字軌跡鏡像8字軌跡追従の評価―"第37回日本リハビリテーション医学会学術集会抄録集(2000). (印刷中).

Heiwami Kawa、Seiji Eto、Nobuyuki Tanaka、Shozo Tsujio、Yasuhiro Sueyoshi 等 2 人：“关于中风患者非瘫痪下肢的运动技能障碍 - 8 字符轨迹镜像的评估 8 字符轨迹跟踪” 否. 37 日本康复医学会学术会议摘要（2000 年）（正在出版）。