一种自稳式家用手功能互动训练装置的研发及可行性研究

doi:10.3969/j.issn.1006-9771.2026.09.009

《中国康复理论与实践》 ›› 2026, Vol. 32 ›› Issue (9): 1068-1077.doi: 10.3969/j.issn.1006-9771.2026.09.009

一种自稳式家用手功能互动训练装置的研发及可行性研究

冯晓娟¹, 黄富表¹^,²^,³(), 李冬跃¹, 周明毅³, 牛宇轩³, 麦格皮热提·伊斯马伊力³, 王曦贤³, 王子乐³

¹ 中国康复研究中心北京博爱医院作业疗法科，北京市 100068
² 温州医科大学康复医学院，浙江温州市 325035
³ 首都医科大学康复医学院，北京市 100068

收稿日期:2026-05-18 修回日期:2026-06-23 接受日期:2026-06-24 出版日期:2026-09-25 发布日期:2026-09-20
通讯作者: 黄富表，E-mail： huangfubiao123@126.com
作者简介:冯晓娟(1987-)，女，汉族，湖北随州市人，主管技师，主要研究方向：神经康复、肌骨康复的作业疗法，手功能康复及设备研发。
基金资助:
中国康复研究中心青年基金项目(2023ZX-Q8)

Development and feasibility study of a self-stabilizing home-based functional interactive training device

Feng Xiaojuan¹, Huang Fubiao¹^,²^,³(), Li Dongyue¹, Zhou Mingyi³, Niu Yuxuan³, Ismaili McGee Pireti³, Wang Xixian³, Wang Zile³

¹ Department of Occupational Therapy, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
² School of Rehabilitation Medicine, Wenzhou Medical University, Wenzhou, Zhejiang 325035, China
³ School of Rehabilitation, Capital Medical University, Beijing 100068, China

Received:2026-05-18 Revised:2026-06-23 Accepted:2026-06-24 Published:2026-09-25 Online:2026-09-20
Contact: Huang Fubiao, E-mail: huangfubiao123@126.com
Supported by:
Youth Fund Project of China Rehabilitation Research Center(2023ZX-Q8)

摘要/Abstract

摘要：

目的根据脑卒中后手功能障碍的特点以及居家手功能训练装置较为缺乏的现状，基于自稳回中原理设计一款不倒翁式家用手功能互动训练装置，并探讨其应用于脑卒中患者手功能康复训练的可行性及临床价值。

方法本研究采用分阶段研究设计，分为装置研发和临床验证两个阶段。第一阶段，以自稳回中原理为核心，结合脑卒中患者手功能康复训练的临床需求，完成家用手功能互动训练装置的研发及实用新型专利的申报和授权。第二阶段，选取2025年5月至10月北京博爱医院住院治疗的30例脑卒中后手功能障碍患者，随机分为对照组(n = 15)和试验组(n = 15)。两组均接受常规康复治疗，在此基础上，对照组每晚增加常规手功能训练，试验组采用本研究研发的手功能训练装置训练，共4周。干预前后分别检测两组握力、侧捏力、指腹捏力、三指捏力和腕关节活动度(背屈、掌屈、桡偏、尺偏)，采用Fugl-Meyer评定量表(FMA)评估上肢和手的运动功能，改良Barthel指数(MBI)评估日常生活活动能力(ADL)。

结果研制出一种自稳式半球状手功能康复系统，并获得实用新型专利一项。干预后，两组患者握力、侧捏力、指腹捏力、三指捏力、腕关节活动度、FMA和MBI评分均改善(|t| > 5.683, P < 0.05)；除MBI评分(P > 0.05)外，试验组其他指标均优于对照组(t > 2.633, P < 0.05)。

结论本研究设计的自稳式家用手功能互动训练装置可有效改善脑卒中患者手的抓握、捏取功能及腕关节活动度，提升上肢和手的运动功能，在家用手功能康复训练中具有可行性。但该装置对患者ADL无明显改善，需进一步优化完善以提升其临床应用价值。

关键词: 脑卒中, 手功能障碍, 自稳式手功能训练装置, 互动游戏, 居家康复, 康复训练, 可行性研究

Abstract:

Objective To design a "roly-poly" style interactive home-based hand function training device based on the principle of self-stabilization and recovery in light of the characteristics of post-stroke hand dysfunction and the current scarcity of home-based hand function training devices; and explore the feasibility and clinical value of this device in hand function rehabilitation training for stroke patients.

Methods This study adopted a phased research design consisting of two stages: device development and clinical validation. At the first stage, focusing on the principle of the tumbler's automatic return to center, combined with the clinical needs of hand function rehabilitation training for stroke patients, the development of a home-based interactive hand function training device was completed, and the application and authorization of a utility model patent were obtained. At the second stage, 30 stroke patients with post-stroke hand dysfunction hospitalized at Beijing Bo'ai Hospital from May to October, 2025 were randomly divided into control group (n = 15) and experimental group (n = 15). Both groups received conventional rehabilitation therapy, the control group added routine hand function training every evening, and the experimental group added hand function training using the device developed in this study every evening, for four weeks. The grip strength, lateral pinch strength, finger pad pinch strength, three-finger pinch strength and wrist joint range of motion (dorsal-flexion, palm-flexion, radial deviation and ulnar deviation) were measured before and after intervention. The upper limb and hand motor function was assessed with Fugl-Meyer Assessment (FMA), and the modified Barthel Index (MBI) was used to evaluate activities of daily living (ADL).

Results A self-stabilizing hemispherical hand functional rehabilitation device was developed and granted a utility model patent. After intervention, the grip strength, lateral pinch strength, finger pad pinch strength, three-finger pinch strength, wrist joint range of motion, and FMA and MBI scores significantly improved in both groups (|t| > 5.683, P< 0.05); except for the score of MBI (P> 0.05), all the other indicators were better in the experimental group than in the control group (t > 2.633, P< 0.05).

Conclusion The self-stabilizing, closed-loop home-based functional hand interaction training device designed in this study effectively improves hand grip, pinching function and wrist joint range of motion of stroke patients, significantly enhancing upper limb and hand motor function, and demonstrates feasibility for home-based hand rehabilitation training. However, the device does not provide notable additional improvements in patients' ADL, necessitating further optimization to enhance its clinical application value.

Key words: stroke, hand dysfunction, self-stabilizing device for hand function training, interactive games, home-based rehabilitation, rehabilitation training, feasibility study

中图分类号:

R743.3

冯晓娟, 黄富表, 李冬跃, 周明毅, 牛宇轩, 麦格皮热提·伊斯马伊力, 王曦贤, 王子乐. 一种自稳式家用手功能互动训练装置的研发及可行性研究[J]. 《中国康复理论与实践》, 2026, 32(9): 1068-1077.

Feng Xiaojuan, Huang Fubiao, Li Dongyue, Zhou Mingyi, Niu Yuxuan, Ismaili McGee Pireti, Wang Xixian, Wang Zile. Development and feasibility study of a self-stabilizing home-based functional interactive training device[J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(9): 1068-1077.

图/表 5

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参考文献 26

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组别	n	性别(男/女)/n	年龄/岁	病程/d	卒中类型(出血/梗死)/n	Brunnstrom分期(Ⅱ期/Ⅲ期/Ⅳ期)/n
对照组	15	11/4	50.07±13.40	88(41, 161)	11/4	0/6/9
试验组	15	11/4	50.53±12.78	54(37, 224)	8/7	0/7/8
t/χ²值		0.000	-0.098	-0.560	1.292	0.136
P值		1.000^a	0.923	0.595	0.256^a	0.713

指标	组别	n	测试	$\stackrel{-}{\mathit{x}}\pm \mathit{s}$	t值	P值
握力	对照组	15	前测	2.53±0.95	-6.576	< 0.001
			后测	4.16±1.28
	试验组	15	前测	2.59±0.81	-6.613	< 0.001
			后测	6.42±2.39
	治疗前两组均值差			0.05±0.32	0.166	0.869
	治疗后两组均值差			2.26±0.70	3.231	0.004
侧捏力	对照组	15	前测	2.73±1.58	-10.954	< 0.001
			后测	6.73±1.90
	试验组	15	前测	2.87±1.64	-9.533	< 0.001
			后测	12.13±4.19
	治疗前两组均值差			0.13±0.59	0.227	0.822
	治疗后两组均值差			5.40±1.19	4.543	< 0.001
指腹捏力	对照组	15	前测	2.27±1.79	-5.683	< 0.001
			后测	4.80±2.65
	试验组	15	前测	2.00±1.65	-7.948	< 0.001
			后测	8.33±4.40
	治疗前两组均值差			-0.27±0.63	-0.424	0.675
	治疗后两组均值差			3.53±1.33	2.633	0.013
三指捏力	对照组	15	前测	1.80±1.47	-7.906	< 0.001
			后测	5.00±2.36
	试验组	15	前测	1.33±0.98	-13.132	< 0.001
			后测	10.20±3.03
	治疗前两组均值差			-0.47±0.46	-1.023	0.315
	治疗后两组均值差			5.20±0.99	5.245	< 0.001

腕关节活动度指标	组别	n	测试	$\stackrel{-}{\mathit{x}}\pm \mathit{s}$	t值	P值
背屈	对照组	15	前测	7.67±5.30	-10.838	< 0.001
			后测	13.60±4.40
	试验组	15	前测	8.00±5.91	-8.874	< 0.001
			后测	23.00±9.02
	治疗前两组均值差			0.33±2.05	0.163	0.872
	治疗后两组均值差			9.40±2.60	3.626	0.002
掌屈	对照组	15	前测	6.60±4.91	-6.666	< 0.001
			后测	13.13±3.85
	试验组	15	前测	6.67±4.88	-9.696	< 0.001
			后测	20.47±6.36
	治疗前两组均值差			0.07±1.79	0.037	0.971
	治疗后两组均值差			7.33±1.92	3.821	0.001
桡偏	对照组	15	前测	4.93±2.22	-14.922	< 0.001
			后测	9.67±2.32
	试验组	15	前测	5.33±2.32	-17.189	< 0.001
			后测	16.33±2.89
	治疗前两组均值差			0.40±0.83	0.483	0.633
	治疗后两组均值差			6.67±0.96	6.960	< 0.001
尺偏	对照组	15	前测	4.20±2.89	-7.449	< 0.001
			后测	9.33±4.27
	试验组	15	前测	3.93±2.96	-13.549	< 0.001
			后测	16.53±5.71
	治疗前两组均值差			-0.27±1.07	-0.250	0.805
	治疗后两组均值差			7.20±1.84	3.913	0.001

指标	组别	n	测试	$\stackrel{-}{\mathit{x}}\pm \mathit{s}$	t值	P值
FMA	对照组	15	前测	36.27±5.56	-15.057	< 0.001
			后测	45.47±5.89
	试验组	15	前测	34.80±4.48	-11.923	< 0.001
			后测	53.07±5.64
	治疗前两组均值差			-1.47±1.84	-0.796	0.433
	治疗后两组均值差			7.60±2.10	3.614	0.001
MBI	对照组	15	前测	81.27±10.38	-6.236	< 0.001
			后测	85.73±9.90
	试验组	15	前测	82.33±8.35	-5.037	< 0.001
			后测	87.93±6.63
	治疗前两组均值差			1.07±3.44	0.310	0.759
	治疗后两组均值差			2.20±3.03	0.715	0.480

一种自稳式家用手功能互动训练装置的研发及可行性研究

Development and feasibility study of a self-stabilizing home-based functional interactive training device

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