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首页> 美国卫生研究院文献>Journal of NeuroEngineering and Rehabilitation >Functional impacts of exoskeleton-based rehabilitation in chronic stroke: multi-joint versus single-joint robotic training
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Functional impacts of exoskeleton-based rehabilitation in chronic stroke: multi-joint versus single-joint robotic training

机译：慢性卒中中基于外骨骼的康复的功能影响：多关节与单关节机器人训练

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Stroke is a major cause of disability in the world. The activities of upper limb segments are often compromised following a stroke, impairing most daily tasks. Robotic training is now considered amongst the rehabilitation methods applied to promote functional recovery. However, the implementation of robotic devices remains a major challenge for the bioengineering and clinical community. Latest exoskeletons with multiple degrees of freedom (DOF) may become particularly attractive, because of their low apparent inertia, the multiple actuators generating large torques, and the fact that patients can move the arm in the normal wide workspace. A recent study published in JNER by Milot and colleagues underlines that training with a 6-DOF exoskeleton impacts positively on motor function in patients being in stable phase of recovery after a stroke. Also, multi-joint robotic training was not found to be superior to single-joint robotic training. Although it is often considered that rehabilitation should start from simple movements to complex functional movements as the recovery evolves, this study challenges this widespread notion whose scientific basis has remained uncertain.
机译：中风是世界上导致残疾的主要原因。中风后上肢的活动通常受到损害，从而损害了大多数日常工作。现在，机器人培训被认为是促进功能恢复的康复方法之一。然而，机器人设备的实施仍然是生物工程和临床界的主要挑战。具有低自由度（DOF）的最新外骨骼可能会变得特别有吸引力，因为它们的表观惯性低，多个执行器产生的扭矩大，而且患者可以在正常的宽工作空间中移动手臂。由Milot及其同事在JNER上发表的最新研究强调，接受6自由度外骨骼训练对中风后处于稳定恢复阶段的患者的运动功能有积极影响。而且，没有发现多关节机器人训练优于单关节机器人训练。尽管通常认为随着恢复的发展，康复应该从简单的运动开始，到复杂的功能运动，但这项研究对这一广泛的观念提出了挑战，而这一观念的科学基础仍然不确定。

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