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Efficacy of robot-assisted fingers training in chronic stroke survivors: a pilot randomized-controlled trial

机译:机器人辅助手指在慢性中风幸存者中训练的功效:试点随机对照试验

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Background While constraint-induced movement therapy (CIMT) is one of the most promising techniques for upper limb rehabilitation after stroke, it requires high residual function to start with. Robotic device, on the other hand, can provide intention-driven assistance and is proven capable to complement conventional therapy. However, with many robotic devices focus on more proximal joints like shoulder and elbow, recovery of hand and fingers functions have become a challenge. Here we propose the use of robotic device to assist hand and fingers functions training and we aim to evaluate the potential efficacy of intention-driven robot-assisted fingers training. Methods Participants (6 to 24 months post-stroke) were randomly assigned into two groups: robot-assisted (robot) and non-assisted (control) fingers training groups. Each participant underwent 20-session training. Action Research Arm Test (ARAT) was used as the primary outcome measure, while, Wolf Motor Function Test (WMFT) score, its functional tasks (WMFT-FT) sub-score, Fugl-Meyer Assessment (FMA), its shoulder and elbow (FMA-SE) sub-score, and finger individuation index (FII) served as secondary outcome measures. Results Nineteen patients completed the 20-session training (Trial Registration: HKClinicalTrials.com HKCTR-1554); eighteen of them came back for a 6-month follow-up. Significant improvements (p?
机译:背景技术而受约束诱导的运动疗法(CIMT)是中风后上肢康复最有前途的技术之一,但它需要高剩余功能以开始。另一方面,机器人设备可以提供有意驱动的辅助,并且可以得到补充常规治疗的能力。然而,许多机器人设备专注于更近端的关节,如肩部和肘部,手指和手指的恢复已经成为一个挑战。在这里,我们建议使用机器人设备来帮助手指和手指职能培训,我们的目标是评估意图驱动的机器人辅助手指训练的潜在疗效。方法参与者(中风后6至24个月)被随机分配为两组:机器人辅助(机器人)和非辅助(控制)手指培训组。每个参与者都接受了20次会议培训。动作研究ARM测试(ARAT)被用作主要结果测量,而狼电机功能测试(WMFT)得分,其功能任务(WMFT-FT)分数,Fugl-Meyer评估(FMA),其肩膀和肘部(FMA-SE)分数,手指个性化指数(FII)作为二次结果措施。结果19名患者完成了20届会议培训(审判登记:HKCLINICALTIALS.com HKCTR-1554);其中十八岁回来了为期6个月的随访。在训练后,在机器人和对照组的临床评分中发现了显着的改善(p?<0.05)。但是,只有机器人组在培训后六个月内保持ARAT和FMA-SE的显着差异。机器人组的WMFT-FT分数和时间训练后改善明显优于对照组。结论本研究表明,机器人辅助手指对手指和手指康复训练的潜在功效及其可行性,以促进更广泛的中风幸存者患者的早期康复;因此,可以用来补充CIMT。

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