查詢結果分析
相關文獻
- 量化評估機器人上肢復健之運動控制
- 護理介入方案對輕度中風患者之成效
- 腦中風患者吞嚥功能臨床評估可靠性之探討
- 上矢狀竇栓塞併雙側偏癱:病例報告
- 運動後低血壓反應與血壓控制之探討
- The Effect of Sphenopalatine Postganglionic Neurotomy on the Alteration of Local Cerebral Blood Flow of Normotensive and Hypertensive Rats in Acute Cold Stress
- 以動脈注射血栓溶劑治療急性缺血性腦中風:七例報告
- 腦中風患者接受復健治療的臨床資料和功能恢復情況的研究
- 成功使用血栓溶解劑治療急性缺血性腦中風:一病例報告暨文獻回顧
- 延胡索成分四氫巴馬汀對熱中風動物模式之療效評估
頁籤選單縮合
題 名 | 量化評估機器人上肢復健之運動控制=Quantitative Evaluation of Motor Control of Upper Limbs after Neuro-Robot Rehabilitation |
---|---|
作 者 | 程琡敏; 蔡育佳; 朱銘祥; 龔品誠; | 書刊名 | 臺灣復健醫學雜誌 |
卷 期 | 40:1 2012.03[民101.03] |
頁 次 | 頁19-24 |
分類號 | 418.996 |
關鍵詞 | 機器人治療; 量化評估; 中風; Robot therapy; Quantitative evaluation; Stroke; |
語 文 | 中文(Chinese) |
中文摘要 | 上肢對於日常生活的重要性眾所皆知,而中風後上肢的恢復緩慢且不足,影響中風患者甚鉅,因此復健醫學不斷持續地在促進中風患側上肢的恢復方面不遺餘力,以圖增進患者日常生活機能。機器人手臂為近年來興起促進中風上肢恢復的輔助復健工具。除此,對中風後運動功能的評估,也更講求結果的敏感度及精確性。過去臨床常用的評估方法如關節活動角度及修正版艾許沃斯評分(modified Ashworthscale),便利但評估不夠客觀且敏感度不足。此研究目的為使用具量測腕部控制之上肢復健機器人客觀量化評估該上肢復健機器人復健之成效。此研究採單一樣本,評估機器人復健治療前後及四個月後追蹤結果。共有六位慢性中風個案符合收案標準並願意接受額外每週兩次、一次五十分鐘的復健機器人手臂治療為期四個月。使用的評估方法為布朗斯狀氏分期(Brunnstrom stage)及修正版艾許沃斯評分、傅格-梅爾評估量表(Fugl-Meyer assessment)以及旋前旋後扭矩總和(integration of absolute deviation of torque)。研究統計結果顯示布朗斯狀氏分期及修正版艾許沃斯評分並無顯著進步,在量化評估方面,傅格-梅爾評估量表以及旋前旋後扭矩總和在治療前後、治療前和後與四個月後分別做比較,皆有統計學上顯著差異。該研究首次採用量化方法評估中風後上肢運動恢復,使得機器人復健手臂不但可以治療亦可作為評估工具,期待提供未來作為研究其他復健對中風的恢復的評估工具。 |
英文摘要 | Function of the upper limbs is crucial in daily activities. Motor recovery of upper limbs after stroke is slower and less complete than of lower limbs. During the recovery period, abnormal synergies always disturb daily life activity. Various therapeutic techniques have been developed to improve the function of upper limbs after stroke, such as the neuro-rehabilitation robot, which was developed in recent years and shows numerous positive outcomes for upper-limb facilitation after stroke. For the evaluation of motor recovery after stroke, Brunnstrom stages and the Modified Ashworth scale are commonly used and convenient. However, both depend heavily on the evaluator and are not very sensitive to motor recovery. The Fugl-Meyer assessment is another scale that focuses particularly on the motor function of the hand, such as grasp function and finger extension. Although the Fugl-Meyer assessment is a quantitative method of motor assessment and has good correlation with function, it depends on a trained physical therapist and is time-consuming. We used a quantitative method to evaluate the effect of neuro-robot treatment; the method was devised by adding a measuring system to the neuro-robot, which simultaneously provided treatment and an evaluation. We include 6 chronic stroke cases who received an additional neuro-rehabilitation robot treatment for 32 sessions lasting 50 minutes each, with 2 sessions per week, for 4 months. The assessment methods are Brunnstrom stages, the Modified Ashworth Scale, and a quantitative evaluation including the Fugl-Meyer assessment and Integration of Absolute Deviation of Torque. Integration of Absolute Deviation of Torque was proposed by Kung and was applied clinically for the first time. These were performed before the therapy, at the end of therapy, and 4 months after the end of therapy. Brunnstrom stages and the Modified Ashworth scale results show only a slight improvement, but a significant statistical difference was shown by the quantitative scales between pre-therapy and the end of therapy, pre-therapy and 4 months after the end of therapy, and the end and 4 months after the end of therapy. This study is the first to use such a quantitative evaluation method by a neuro-robot which also can be used for simultaneously therapeutic purposes during rehabilitation. The quantitative index may be a more sensitive and accurate evaluation method of the motor control of upper limbs after stroke, and may be used clinically. |
本系統中英文摘要資訊取自各篇刊載內容。