《中国康复理论与实践》

中国康复理论与实践 >

2020 , Vol. 26 >Issue 3: 310 - 314

DOI: https://doi.org/10.3969/j.issn.1006-9771.2020.03.009

上肢康复机器人在脑卒中的临床应用进展

  • 李宇淇 ,
  • 曾庆 ,
  • 黄国志
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  • 南方医科大学珠江医院康复医学科,广东广州市 510280
李宇淇(1992-),女,汉族,广西贵港市人,硕士研究生,医师,主要研究方向：神经康复、智能化康复。|黄国志(1963-),男,汉族,博士,主任医师,博士研究生导师,主要研究方向：神经康复、疼痛康复。

收稿日期: 2019-07-11

  修回日期: 2019-09-08

  网络出版日期: 2020-04-01

基金资助

1.国家自然科学基金面上项目(81874032);2.南方医科大学科研启动计划(C1051350)

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Application of Robot-assisted Upper Limb Rehabilitation for Stroke (review)

  • Yu-qi LI ,
  • Qing ZENG ,
  • Guo-zhi HUANG
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  • Department of Rehabilitation Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, Guangdong 510280, China

Received date: 2019-07-11

  Revised date: 2019-09-08

  Online published: 2020-04-01

Supported by

National Natural Science Foundation of China(81874032);Southern Medical University Research Launching Scheme(C1051350)

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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。

关键词： 脑卒中; 上肢; 康复机器人; 临床应用; 综述

本文引用格式

李宇淇 , 曾庆 , 黄国志 . 上肢康复机器人在脑卒中的临床应用进展[J]. 中国康复理论与实践, 2020 , 26(3) : 310 -314 . DOI: 10.3969/j.issn.1006-9771.2020.03.009

Abstract

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.

Key words： stroke; upper limb; rehabilitation robot; clinical application; review

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