动力下肢矫形器:在运动适应和康复中的应用

Gregory S Sawicki, Keith E. Gordon, Daniel P. Ferris
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引用次数: 160

摘要

特定任务练习对神经损伤后的运动康复是有益的。不幸的是,高劳动需求限制了其临床接受度,特别是在步态康复方面。世界各地的许多研究团队正在测试大型机器人设备,以辅助跑步机行走,作为减少治疗师劳动的一种手段。我们建议动力下肢矫形器也可能在辅助步态康复中发挥作用。动力矫形器可以帮助特定任务的步态练习,长期目标是改善患者固有的运动能力。我们提供的数据表明:(1)气动下肢矫形器可以为人类行走提供大量的机械辅助,(2)动力矫形器可以使健康受试者的步态运动适应,(3)动力下肢矫形器可能对步态康复有积极的益处。
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Powered lower limb orthoses: applications in motor adaptation and rehabilitation
Task-specific practice can be beneficial for motor rehabilitation after neurological injury. Unfortunately, high labor demands have limited its clinical acceptance, especially for gait rehabilitation. A number of research teams around the world are testing large robotic devices for assisting treadmill stepping as a means for reducing therapist labor. We propose that powered lower limb orthoses may also have a role in assisting gait rehabilitation. Powered orthoses could assist task specific practice of gait with the long-term goal of improving patients' inherent locomotor capabilities. We present data showing that: (1) pneumatically powered lower limb orthoses can provide substantial mechanical assistance to human walking, (2) powered orthoses can lead to motor adaptation of gait in healthy subjects, and (3) powered lower limb orthoses may have positive benefits during gait rehabilitation.
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