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Development of a New Robotic Ankle Rehabilitation Platform for Hemiplegic Patients after Stroke

机译:中风偏瘫患者新型机器人踝关节康复平台的开发

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摘要

A large amount of hemiplegic survivors are suffering from motor impairment. Ankle rehabilitation exercises act an important role in recovering patients' walking ability after stroke. Currently, patients mainly perform ankle exercise to reobtain range of motion (ROM) and strength of the ankle joint under a therapist's assistance by manual operation. However, therapists suffer from high work intensity, and most of the existed rehabilitation devices focus on ankle functional training and ignore the importance of neurological rehabilitation in the early hemiplegic stage. In this paper, a new robotic ankle rehabilitation platform (RARP) is proposed to assist patients in executing ankle exercise. The robotic platform consists of two three-DOF symmetric layer-stacking mechanisms, which can execute ankle internal/external rotation, dorsiflexion/plantarflexion, and inversion/eversion exercise while the rotation center of the distal zone of the robotic platform always coincides with patients' ankle pivot center. Three exercise modes including constant-speed exercise, constant torque-impedance exercise, and awareness exercise are developed to execute ankle training corresponding to different rehabilitation stages. Experiments corresponding to these three ankle exercise modes are performed, the result demonstrated that the RARP is capable of executing ankle rehabilitation, and the novel awareness exercise mode motivates patients to proactively participate in ankle training.
机译:大量的偏瘫幸存者患有运动障碍。踝关节康复锻炼在恢复中风后患者的步行能力中起着重要作用。当前,患者主要进行踝关节运动以在治疗师的帮助下通过手动操作重新获得踝关节的运动范围(ROM)和强度。然而,治疗师的工作强度很高,并且大多数现有的康复设备都集中在脚踝功能训练上,而忽视了偏瘫早期神经康复的重要性。在本文中,提出了一种新的机器人踝关节康复平台(RARP),以帮助患者进行踝关节锻炼。机器人平台由两个三自由度对称层堆叠机制组成,可以执行踝关节内/外旋转,背屈/足底屈曲和内翻/外翻运动,而机器人平台远端区域的旋转中心始终与患者的身体重合。脚踝枢轴中心。开发了三种运动模式,包括恒速运动,恒定转矩阻抗运动和意识运动,以执行与不同康复阶段相对应的踝关节训练。进行了与这三种踝关节锻炼模式相对应的实验,结果表明RARP能够执行踝关节康复,并且新颖的意识锻炼模式可以激励患者主动参加踝关节训练。

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