机器人中介方法对脑卒中患者上肢改善影响的描述性研究

Youn-bum Sung, Dae-hwan Lee, Jung-Ho Lee
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引用次数: 0

摘要

中风后出现的上肢功能障碍是妨碍患者精细的手势、操作、饮食、写作、个人卫生控制、表达意见、行走、平衡等活动的主要原因,从而阻碍了患者的社会独立,导致生活质量下降。脑卒中患者上肢功能的恢复可以说是维持人类最基本生活的重要因素。在日常生活中,下肢的行走功能与下肢的行走功能同样重要。本研究将以患者为中心的机器人辅助康复应用于亚急性脑卒中患者,通过设定日常生活需求和目标,并进行运动分析,不仅可以改善患者的上半身功能,而且可以改善日常活动的表现,而不是以现有的机器人设备为重点,以机器人为中心的机器人辅助康复。此外,以患者为中心的机器人辅助康复和以机器人为中心的机器人康复在上远端关节操作范围、手部握力和握力方面都比传统康复更有效。另一方面,以患者为中心的机器人辅助康复和传统康复比以机器人为中心的机器人辅助康复效果更好。基于这些发现,本研究为应用以患者为中心的机器人康复改善亚急性脑卒中患者上肢功能和日常操作能力提供了依据,具有重要意义。摘要数据(平均年龄、实验组和对照组患者人数、运动恢复和功能水平测量的平均变化评分、标准中实验组和对照组的标准差)输入Excel for Windows。对于所有结果变量,拒绝h0假设的阈值设为P < 0.05(双尾)。
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Descriptive Study on the Influence of Intermediation Methods Using Robots on the Improvement of Upper Extremity in Stroke Patients
Upper extremity dysfunction, which occurs after stroke, acts as a major cause of obstruction of motion, such as elaborate hand gestures, manipulation, eating, writing, personal hygiene control, expression of opinion, walking and balancing, etc., thus hindering the social independence of patients and causing poor quality of life. Restoration of upper limb function in stroke patients can be said to be important in maintaining the most basic human life. The walking function of the lower extremities is as important as the walking function of the lower extremities in carrying out daily life. In this study, when patient-centered robot assisted rehabilitation was applied to patients with subacute stroke through setting demands and goals for daily life, and motion analysis, it was positive not only to improve the patient’s upper body function, but also to improve the performance of daily activities rather than robot-centered robot assisted rehabilitation with the focus of existing robot devices. In addition, patient-centered robot assisted rehabilitation and robot-centered robotic rehabilitation were more effective than traditional rehabilitation in the range of joint operation of the upper distal region, grip of the hand, and grip strength. On the other hand, patient-centered robot assisted rehabilitation and traditional rehabilitation showed more positive effects than robot-centered robot assisted rehabilitation. Based on these findings, it is meaningful that the research provided a basis for applying patient-centered robotic rehabilitation to improve upper limb function and performance of daily operations in subacute stroke patients. Abstract data (average age, the number of patients in experiment and control groups, the average change score for motor recovery and function level measurements, and the standard deviation of experiment and control groups in criteria) were entered into Excel for Windows. For all the resulting variables, the threshold for rejecting the H 0 hypothesis was set to P < 0.05 (2-tailed)
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