《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2021, Vol. 27 ›› Issue (7): 797-801.doi: 10.3969/j.issn.1006-9771.2021.07.010
Previous Articles Next Articles
Received:
2021-02-26
Revised:
2021-04-08
Published:
2021-07-25
Online:
2021-07-28
Contact:
ZHANG Tong
E-mail:Tom611@126.com
Supported by:
CLC Number:
HE Yan,ZHANG Tong. Effect of Robot-assisted Training on Upper-limb Function for Stroke Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 797-801.
"
指标 | 训练前 | 训练后 | t值 | P值 |
---|---|---|---|---|
FMA-UE | 21.1±3.4 | 27.4±4.2 | -4.372 | < 0.001 |
MBI | 54.3±3.8 | 63.2±3.7 | -6.445 | < 0.001 |
肩屈曲(°) | 83.0±8.7 | 105.7±9.8 | -4.610 | < 0.001 |
肩伸展(°) | 22.3±3.6 | 33.3±3.7 | -5.904 | < 0.001 |
肩内旋(°) | 28.6±5.6 | 42.0±5.2 | -4.556 | < 0.001 |
肩外旋(°) | 22.0±5.7 | 29.5±4.5 | -3.302 | 0.003 |
肩外展(°) | 58.3±10.0 | 88.0±8.4 | -4.559 | < 0.001 |
肘屈曲(°) | 81.8±7.7 | 105.5±7.4 | -5.859 | < 0.001 |
前臂旋前(°) | 26.2±5.8 | 49.8±6.1 | -4.092 | < 0.001 |
前臂旋后(°) | 20.3±4.9 | 43.2±5.6 | -4.512 | < 0.001 |
"
指标 | 训练前 | 训练后 | t值 | P值 |
---|---|---|---|---|
FMA-UE | 23.0±3.3 | 29.3±3.3 | -5.853 | < 0.001 |
MBI | 39.8±5.0 | 57.9±4.2 | -6.372 | < 0.001 |
肩屈曲(°) | 75.3±11.6 | 114.2±10.6 | -6.884 | < 0.001 |
肩伸展(°) | 21.0±3.5 | 28.0±3.7 | -3.404 | 0.002 |
肩内旋(°) | 46.8±6.2 | 59.7±5.9 | -3.760 | 0.001 |
肩外旋(°) | 20.5±4.2 | 42.5±5.1 | -7.047 | < 0.001 |
肩外展(°) | 64.2±11.1 | 91.5±10.9 | -5.626 | < 0.001 |
肘屈曲(°) | 87.5±11.5 | 110.8±10.0 | -3.688 | 0.001 |
前臂旋前(°) | 27.0±6.5 | 41.8±7.2 | -3.050 | 0.005 |
前臂旋后(°) | 21.2±5.3 | 38.0±6.5 | -4.185 | < 0.001 |
"
指标 | 对照组(n = 30) | 观察组(n = 30) | t值 | P值 |
---|---|---|---|---|
FMA-UE | 6.3±1.4 | 6.3±1.1 | -0.018 | 0.985 |
MBI | 8.8±1.4 | 16.2±2.7 | 2.393 | 0.020 |
肩屈曲(°) | 22.7±4.9 | 38.8±5.6 | -2.160 | 0.035 |
肩伸展(°) | 11.0±1.9 | 7.0±2.0 | 1.441 | 0.155 |
肩内旋(°) | 13.4±2.9 | 12.8±3.4 | 0.126 | 0.900 |
肩外旋(°) | 7.5±2.3 | 22.0±3.1 | -3.756 | < 0.001 |
肩外展(°) | 29.7±6.5 | 27.3±4.9 | 0.287 | 0.775 |
肘屈曲(°) | 23.7±4.0 | 23.3±6.3 | 0.044 | 0.965 |
前臂旋前(°) | 23.7±5.8 | 14.8±4.9 | 1.169 | 0.247 |
前臂旋后(°) | 22.8±5.1 | 16.8±4.0 | 0.928 | 0.357 |
[1] |
CURADO M R, COSSIO E G, BROETZ D, et al. Residual upper arm motor function primes innervation of paretic forearm muscles in chronic stroke after brain-machine interface (BMI) training[J]. PLoS One, 2015, 10(10):e0140161.
doi: 10.1371/journal.pone.0140161 |
[2] |
LANGHORNE P, BERNHARDT J, KWAKKEL G. Stroke rehabilitation[J]. Lancet, 2011, 377(9778):1693-1702.
doi: 10.1016/S0140-6736(11)60325-5 |
[3] |
COSCIA M, MAXIMILIAN J W, CHAUDARY U, et al. Neurotechnology-aided interventions for upper limb motor rehabilitation in severe chronic stroke[J]. Brain, 2019, 142(8):2182-2197.
doi: 10.1093/brain/awz181 |
[4] |
VEERBEEK J M, LANGBROEK-AMERSFOORT A C, VAN WEGEN E E H, et al. Effects of robot-assisted therapy for the upper limb after stroke[J]. Neurorehabil Neural Repair, 2017, 31(2):107-121.
doi: 10.1177/1545968316666957 |
[5] | 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. |
LI Y Q, ZENG Q, HUANG G Z. Application of robot-assisted upper limb rehabilitation for stroke (review)[J]. Chin J Rehabil Theory Pract, 2020, 26(3):310-314. | |
[6] | CHIEN W T, CHONG Y Y, TSE M K, et al. Robot-assisted therapy for upper-limb rehabilitation in subacute stroke patients: a systematic review and meta-analysis[J]. Brain Behav, 2020, 10(8):e01742. |
[7] | 张孟旋, 刘涛, 王晨程, 等. 上肢康复机器人主动训练模式控制策略研究[J]. 机械工程与自动化, 2020(4):21-23. |
ZHANG M X, LIU T, WANG C C, et al. Study on control strategy of active training mode of upper limb rehabilitation robot[J]. Mech Eng Autom, 2020(4):21-23. | |
[8] | 余灵, 喻洪流. 上肢康复机器人研究进展[J]. 生物医学工程学进展, 2020, 41(3):134-143. |
YU L, YU H L. Research and development of upper limb rehabilitation robot technology[J]. Prog Biomed Eng, 2020, 41(3):134-143. | |
[9] | 姜荣荣, 叶正茂, 陈艳, 等. 上肢康复机器人对偏瘫上肢运动功能和日常生活能力的影响[J]. 中国康复, 2020, 35(10):517-521. |
JIANG R R, YE Z M, CHEN Y, et al. Effect of robot-assisted training on motor function and activity ability of hemiplegic upper limb and the possible mechanism[J]. Chin J Rehabil, 2020, 35(10):517-521. | |
[10] |
ROSENTHAL O, WING A M, WYATT J L, et al. Boosting robot-assisted rehabilitation of stroke hemiparesis by individualized selection of upper limb movements: a pilot study[J]. J Neuroeng Rehabil, 2019, 16(1):42.
doi: 10.1186/s12984-019-0513-0 |
[11] |
FRANCESCHINI M, GOFFREDO M, POURNAJAF S, et al. Predictors of activities of daily living outcomes after upper limb robot-assisted therapy in subacute stroke patients[J]. PLoS One, 2018, 13(2):e0193235.
doi: 10.1371/journal.pone.0193235 |
[12] |
RODGERS H, SHAW L, BOSOMWORTH H, et al. Robot Assisted Training for the Upper Limb after Stroke (RATULS): study protocol for a randomised controlled trial[J]. Trials, 2017, 18(1):340.
doi: 10.1186/s13063-017-2083-4 |
[13] |
BERTANI R, MELEGARI C, DE COLA M C, et al. Effects of robot-assisted upper limb rehabilitation in stroke patients: a systematic review with meta-analysis[J]. Neurol Sci, 2017, 38(9):1561-1569.
doi: 10.1007/s10072-017-2995-5 |
[14] | 胡洁, 朱琳, 刘霖, 等. 上肢康复机器人结合常规康复训练对急性期脑卒中患者上肢功能的疗效研究[J]. 中国康复, 2018, 33(6):448-450. |
HU J, ZHU L, LIU L, et al. Efficacy of upper limb rehabilitation robot combined with general rehabilitation for the upper limb function of acute stroke patients with hemiplegia[J]. Chin J Rehabil, 2018, 33(6):448-450. | |
[15] | 王平, 刘爱贤. 上肢康复机器人对脑卒中患者上肢功能康复的临床疗效观察[J]. 医学综述, 2019, 25(12):2492-2496. |
WANG P, LIU A X. Observation on clinical effect of upper limb rehabilitation of stroke patients[J]. Med Recap, 2019, 25(12):2492-2496. | |
[16] | 李会军, 宋爱国. 上肢康复训练机器人虚拟环境建模技术[J]. 中国组织工程研究与临床康复, 2007, 11(44):8877-8881. |
LI H J, SONG A G. Virtual environment building for a rehabilitation robot of the upper-limb[J]. Chin Tissue Eng Res Clin Rehabil, 2007, 11(44):8877-8881. | |
[17] | ZHANG S, FU Q, GUO S, et al. Coordinative motion-based bilateral rehabilitation training system with exoskeleton and haptic devices for biomedical application[J]. Micromachines (Basel), 2018, 10(1):8. |
[18] | 侯莹, 高琳, 陈苗苗, 等. 基于运动想象的手部机器人辅助训练对脑卒中患者上肢运动功能的疗效[J]. 中国康复理论与实践, 2019, 25(1):81-85. |
HOU Y, GAO L, CHEN M M, et al. Effects of hand robot-assisted training based on motor imagery on upper limb function of stroke patients[J]. Chin J Rehabil Theory Pract, 2019, 25(1):81-85. | |
[19] |
SALEH S, FLUET G, QIU Q, et al. Neural patterns of reorganization after intensive robot-assisted virtual reality therapy and repetitive task practice in patients with chronic stroke[J]. Front Neurol, 2017, 8:452.
doi: 10.3389/fneur.2017.00452 |
[20] | BUTT M, NAGHDY G, NAGHDY F, et al. Patient-specific robot-assisted stroke rehabilitation guided by EEG: a feasibility study[C]. 42nd Annual International Conferences of the IEEE Engineering in Medicine and Biology Society, 2020. |
[21] |
VAHDAT S, DARAINY M, THIEL A, et al. A single session of robot-controlled proprioceptive training modulates functional connectivity of sensory motor networks and improves reaching accuracy in chronic stroke[J]. Neurorehabil Neural Repair, 2019, 33(1):70-81.
doi: 10.1177/1545968318818902 |
[1] | LUO Lihua, WANG Yusheng, LI Jianfeng, DONG Jige. Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 105-110. |
[2] | WANG Zihao, LI Xinhua, JIANG Huiping, GUO Sainan, LIANG Qiuman, SHI Tingqi. Short-term knee function after total knee arthroplasty and related factors [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 111-118. |
[3] | LIN Na, GAO Hanlu, LU Huiping, CHEN Yanqing, ZHENG Junfan, CHEN Shurong. Effect of virtual reality on upper limb function after stroke: a study of diffusion tensor imaging [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 61-67. |
[4] | WANG Haoyi, SHI Yawei, LU Jun, XU Guangxu. Impact of subjective vertical perception impairment on function in stroke patients: a retrospective study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 68-73. |
[5] | CHEN Junwen, CHEN Qian, CHEN Cheng, LI Shuyue, LIU Lingling, WU Cunshu, GONG Xiang, LU Jun, XU Guangxu. Effect of modified Baduanjin exercise on cardiopulmonary function, motor function and activities of daily living for stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 74-80. |
[6] | HU Yonglin, MA Ying, DOU Chao, LU Anmin, JIANG Xiaoge, SONG Xinjian, XIAO Yuhua. Effect of neural mobilization based on shoulder control training on shoulder pain and upper limb function in stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 81-86. |
[7] | WANG He, HAN Liang, KAN Mengfan, YU Shaohong. Efficacy of electrical stimulation on shoulder-hand syndrome after stroke: a systematic review and meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1048-1056. |
[8] | SHI Jiawei, LI Lingyu, YANG Haojie, WANG Qinlu, ZOU Haiou. Effect of preoperative prerehabilitation training on total knee arthroplasty: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1057-1064. |
[9] | CAI Huanian, FEI Sixian, ZHANG Yichen, SUN Qing, GUO Shuai, SONG Tao. Motion assistance analysis for robot-assisted tele-rehabilitation based on bilateral admittance control [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1104-1109. |
[10] | SUN Tengfang, REN Mengting, YANG Lin, WANG Yaoting, WANG Hongyu, YAN Xingzhou. Effect of hyperbaric oxygen therapy combined with repetitive peripheral magnetic stimulation on ankle motor function and balance of stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 875-881. |
[11] | WANG Ya'nan, LIU Xihua. Correlation and predictive effect of subjective and objective balance function measurements in stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 890-895. |
[12] | WANG Haiyun, WANG Yin, ZHOU Xinjie, HE Aiqun. Effect of transcranial direct current stimulation combined with acupuncture on central and upper limb function in stroke patients based on central-peripheral-central theory [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 919-925. |
[13] | CHEN Yiting, WANG Qian, CUI Shenhong, LI Yingcai, ZHANG Siyu, WEI Yanxu, REN Hui, LENG Jun, CHEN Bin. Effect of bilateral sequential repetitive transcranial magnetic stimulation on motor function of upper limbs in stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 926-932. |
[14] | LI Zhenya, SUN Jie, GUO Pengfei, WANG Guangming. Correlation between changes of swallowing function in oral and pharyngeal phases, and aspiration in stroke patients based on videofluroscopic swallowing study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 933-939. |
[15] | LIU Yang, ZHANG Peng, HUANG Ying, CHEN Han, XU Chen, LI Min. Path analysis of mediating effect of perceived stress affecting impact of event in rehabilitation patients with traumatic injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 954-960. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||
|