摘要
脑卒中是导致上肢功能障碍的重要原因,上肢康复机器人可弥补目前脑卒中康复训练的部分缺陷。本文简述上肢康复机器人的发展和理论基础。目前上肢康复机器人主要以大剂量、高重复的方式提供特定任务训练,提高偏瘫患者上肢肌力,促进运动分离,但对减少上肢痉挛和提高日常生活能力作用尚不明确。上肢康复机器人训练与一些康复手段相结合,效果更佳。虽然上肢康复机器人具有无疲劳、定量化、个体化、客观评价等优点,但也存在训练不具有整体性、不能纠正代偿动作、无同理心等缺点。目前上肢康复机器人缺乏大样本高质量临床研究,治疗频率和时间尚无统一标准。
Stroke would result in upper-limb dysfunction.Robot-assisted upper limb rehabilitation is applied in the rehabilitation training after stroke,mainly for intensive and repetitive specific task-oriented training to improve muscle strength and promote the isolated movement of upper limbs for the hemiplegics.However,it can do less for spasm and activities of daily living.It may be more effective combining with other therapies.Although the robots have the advantages of no fatigue,quantification,individualization and objective evaluation,there are also some disadvantages,such as incomplete training,inability to correct compensatory action and lack of empathy,etc.There is still a lack of high quality clinical research of large samples about robot-assisted upper limb rehabilitation,and frequency and time of the treatment is unclear.
作者
李宇淇
曾庆
黄国志
LI Yu-qi;ZENG Qing;HUANG Guo-zhi(Department of Rehabilitation Medicine,Zhujiang Hospital of Southern Medical University,Guangzhou,Guangdong 510280,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2020年第3期310-314,共5页
Chinese Journal of Rehabilitation Theory and Practice
基金
国家自然科学基金面上项目(No.81874032)
南方医科大学科研启动计划(No.C1051350)。
关键词
脑卒中
上肢
康复机器人
临床应用
综述
stroke
upper limb
rehabilitation robot
clinical application
review
