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A Biomechatronic System for Supporting Measurement and Recovery of Upper Limb Human Functions in Neurorehabilitation

机译:一种用于支撑和恢复Neuroratehilitation中肢体功能测量和恢复的生物学技术系统

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Motor rehabilitation therapy is an application field where systems for quantitative measurement and analysis of human motor functions can produce an important break-through in current clinical practice.Recently, several researchers have shown that important variables in relearning motor skills and in changing the underlying neural architecture are the quantity, duration, and intensity of training sessions. Looking at the effects of different intensities of physical therapy treatment, several authors have reported significant improvement in activities of daily living as a result of higher intensities of treatment e.g. for upper limbs treatment of patients after stroke [1-12]. Stroke is one of the leading causes of adult disability, with 65percent of the nearly three million people in the Europe who have survived a stroke living with minor to severe impairments. Impairments such as muscle weakness, loss of range of motion, and impaired force generation create deficits in motor control that affect the stroke survivor's capacity for independent living and economic selfsufficiency.For this reason, many research centres have paid more and more attention to the development and test inneurorehabilitation clinical trials of mechatronic and robotic devices [13]. Such systems can be specifically design not only as tools for accurate measurement and analysis of human functions, e.g. in manipulation and grasping tasks,but also to allow intensive physical therapy to improve the recovery of motor functions.In fact, mechatronic and robotic systems for neurorehabilitation can be generally used to: (l) record information about the motor performance (position, trajectory, interaction force/impedance) during active movements; (2). provoke passive movements, and/or trigger voluntary movements of the patient whose limb is Physically attached to the rehabilitation device.It is worth noting that the possibility of assessing the performance of the patients in a repeatable and objectivemanner is crucial in order to define a custom and effective rehabilitation procedure and the different mechatronic systems have shown to be very useful in this case [13].However, the use of many of these systems in clinical practice is limited by their complexity and costs (especiallywhen they are derived from industrial robots). For this reason, it seems to be necessary to investigate thepotentialities of more simple and low-cost mechatronic devices which could be more acceptable in clinical practice.In this paper, a low-cost mechatronic system for upper limb neurorehabilitation in stroke patients is presented.Moreover, the results in terms of motor recovery during clinical trials with chronic hemiparetic subjects are alsopresented.
机译:马达康复治疗是一个应用领域,其中用于定量测量和人体运动功能分析系统可产生重要的突破在目前的临床practice.Recently,一些研究人员已经表明,在重新学习运动技能和在改变底层神经结构重要的变量所规定的数量,持续时间和培训课程的强度。综观物理疗法治疗的不同强度的影响,一些作者报告日常生活活动显著改善作为治疗例如高强度的结果对于上肢患者的治疗中风[1-12]后。中风是成人残疾的主要原因之一,在欧洲近三百万人谁幸存中风生活有轻微到严重损伤65percent。损伤如肌无力,运动的范围内的损失,以及力产生受损创建在电机控制影响卒中幸存者的能力,独立生活和经济selfsufficiency.For为此,许多研究中心已经受到越来越多的关注发展赤字和机电和机器人装置的测试inneurorehabilitation临床试验[13]。这样的系统可以专门设计不仅作为精确测量和人性化功能分析,例如工具在操控和抓任务,也让密集型物理治疗是改善电机functions.In事实上,机电一体化和神经康复机器人系统的恢复一般可以用于:对电动机的性能(升)记录信息(位置,运动轨迹,相互作用力期间主动运动/阻抗); (2)。惹被动运动,和/或触发其肢体物理连接到康复device.It值得注意患者的主动运动是评估一个重复和objectivemanner的患者表现的可能性是至关重要的,以定义一个定制和有效的康复过程和不同的机电系统已显示出在这种情况下,[13]。但是,使用许多在临床实践中,这些系统中的每一个可以通过复杂性和成本(especiallywhen它们从工业机器人衍生)的限制是非常有用的。出于这个原因,它似乎是必要的调查更加简单和低成本的机电一体化设备的thepotentialities这可能是在临床practice.In本文对脑卒中患者上肢神经康复低成本的机电一体化系统提出更容易接受。此外,在患有慢性偏瘫受试者的临床试验中马达恢复方面的结果alsopresented。

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