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首页> 外文期刊>Journal of NeuroEngineering Rehabilitation >Training modalities in robot-mediated upper limb rehabilitation in stroke: a framework for classification based on a systematic review
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Training modalities in robot-mediated upper limb rehabilitation in stroke: a framework for classification based on a systematic review

机译：机器人介导的中风上肢康复训练模式：基于系统评价的分类框架

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Robot-mediated post-stroke therapy for the upper-extremity dates back to the 1990s. Since then, a number of robotic devices have become commercially available. There is clear evidence that robotic interventions improve upper limb motor scores and strength, but these improvements are often not transferred to performance of activities of daily living. We wish to better understand why. Our systematic review of 74 papers focuses on the targeted stage of recovery, the part of the limb trained, the different modalities used, and the effectiveness of each. The review shows that most of the studies so far focus on training of the proximal arm for chronic stroke patients. About the training modalities, studies typically refer to active, active-assisted and passive interaction. Robot-therapy in active assisted mode was associated with consistent improvements in arm function. More specifically, the use of HRI features stressing active contribution by the patient, such as EMG-modulated forces or a pushing force in combination with spring-damper guidance, may be beneficial. Our work also highlights that current literature frequently lacks information regarding the mechanism about the physical human-robot interaction (HRI). It is often unclear how the different modalities are implemented by different research groups (using different robots and platforms). In order to have a better and more reliable evidence of usefulness for these technologies, it is recommended that the HRI is better described and documented so that work of various teams can be considered in the same group and categories, allowing to infer for more suitable approaches. We propose a framework for categorisation of HRI modalities and features that will allow comparing their therapeutic benefits.
机译：机器人介导的上肢卒中后疗法可以追溯到1990年代。从那时起，许多机器人设备已在市场上出售。有明确的证据表明，机器人干预可以改善上肢运动评分和力量，但这些改善通常不会转移到日常生活活动中。我们希望更好地理解原因。我们对74篇论文的系统评价着眼于康复的目标阶段，受过肢体训练的部位，所使用的不同方式以及每种方法的有效性。该评论表明，到目前为止，大多数研究都集中在慢性卒中患者近端手臂的训练上。关于训练方式，研究通常涉及主动，主动和被动互动。主动辅助模式下的机器人疗法与手臂功能的持续改善相关。更具体地，使用强调患者的主动贡献的HRI特征，例如EMG调制力或推力结合弹簧阻尼器引导，可能是有益的。我们的工作还强调，当前的文献经常缺少有关物理人机交互（HRI）机制的信息。通常不清楚由不同的研究小组（使用不同的机器人和平台）如何实现不同的方式。为了更好，更可靠地证明这些技术的实用性，建议更好地描述和记录HRI，以便可以将同一小组和类别中的各个团队的工作考虑在内，从而推断出更合适的方法。我们提出了一种用于HRI模式和特征分类的框架，可以比较它们的治疗益处。

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