以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (17): 23-27.doi: 0.16460/j.issn1008-9969.2022.17.023

• 文献研究 • 上一篇    下一篇

康复机器人在脑性瘫痪儿童肢体康复中的应用进展

苏予洁1, 裴菊红1, 钟娟平1, 谢琪1, 南锐伶2a, 王兴蕾1,2b, 豆欣蔓1,2b   

  1. 1. 兰州大学 护理学院,甘肃 兰州 730011;
    2. 兰州大学第二医院 a.重症医学科;b.护理部,甘肃 兰州 730030
  • 收稿日期:2022-04-06 出版日期:2022-09-10 发布日期:2022-10-10
  • 通讯作者: 豆欣蔓（1979-）,女,甘肃兰州人,博士,主任护师,E-mail：douxm@lzu.edu.cn
  • 作者简介:苏予洁（1998-）,女,河南郑州人,本科学历,硕士研究生在读。
  • 基金资助:
    甘肃省教育厅项目（2022QB-008）; 甘肃省卫生健康行业科研项目（GSWSHL2021-011）; 萃英科技计划项目（CY2020-MS19）

  • Received:2022-04-06 Online:2022-09-10 Published:2022-10-10

PDF (PC)

341

赞

摘要： 目的 对康复机器人技术在脑瘫患儿康复领域的应用及存在问题进行归纳,展望未来发展,为今后国内临床应用提供参考信息。方法 从康复机器人技术的概述及分类,介绍4种不同类型的康复机器人在脑瘫患儿康复中的应用效果,对其优缺点等方面进行总结和分析。结果 国内外较多相关研究证实,脑瘫患儿采用康复机器人技术训练不仅可以提高患儿四肢表现力,还可改善患儿步态模式以及平衡能力,促进了脑瘫患儿的康复。结论 与传统康复治疗模式不同,康复机器人技术有着自动化、精准化和智能化等康复训练优势,正逐渐被广泛应用于康复医学领域。

关键词: 脑瘫, 康复机器人, 机器人辅助治疗, 儿科康复护理

中图分类号: 

  • 473.72
[1] Wallard L, Dietrich G, Kerlirzin Y, et al.Robotic-assisted Gait Training Improves Walking Abilities in Diplegic Children with Cerebral Palsy[J]. Eur J Paediatr Neurol, 2017, 21(3):557-564. DOI:10.1016/j.ejpn.2017.01.012.
[2] Velde AT, Morgan C, Novak I, et al.Early Diagnosis and Classification of Cerebral Palsy: An Historical Perspective and Barriers to an Early Diagnosis[J]. J Clin Med, 2019, 8(10). DOI:10.3390/jcm8101599.
[3] Carvalho I, Pinto SM, Chagas DV, et al.Robotic Gait Training for Individuals with Cerebral Palsy: A Systematic Review and Meta-analysis[J]. Arch Phys Med Rehabil, 2017, 98(11):2332-2344. DOI:10.1016/j.apmr.2017.06.018.
[4] 郭海滨, 周璇, 杜青. 下肢康复机器人对脑瘫患儿步行能力改善的研究进展[J].中国康复, 2021, 36(6):376-379. DOI: 10.3870/zgkf.2021.06013.
[5] Sucuoglu H .Effects of Robot-assisted Gait Training Alongside Conventional Therapy on the Development of Walking in Children with Cerebral Palsy[J]. J Pediatric Rehabilit Med, 2020, 13(4):1-9. DOI:10.3233/PRM-180541.
[6] Sheridan TB.A Review of Recent Research in Social Robotics[J]. Curr Opin Psychol, 2020, 36:7-12. DOI:10.1016/j.copsyc.2020.01.003.
[7] Giansanti D.The Rehabilitation and the Robotics: Are They Going Together Well?[J]. Healthcare (Basel), 2020, 9(1): DOI:10.3390/healthcare9010026.
[8] Sawicki GS, Beck ON, Kang I, et al.The Exoskeleton Expansion: Improving Walking and Running Economy[J]. J Neuroeng Rehabil, 2020, 17(1):25. DOI:10.1186/s12984-020-00663-9.
[9] Mehrholz J, Pollock A, Pohl M, et al.Systematic Review with Network Meta-analysis of Randomized Controlled Trials of Robotic-assisted Arm Training for Improving Activities of Daily Living and Upper Limb Function after Stroke[J]. J Neuroeng Rehabil, 2020,17(1):83.DOI:10.1186/s12984-020-00715-0.
[10] 潘静, 杨旭博, 徐开寿.机器人辅助步行训练改善脑性瘫痪儿童运动功能的作用及机制研究进展[J].中国康复医学杂志, 2021,36(12):1602-1605.DOI:10.3969/j.issn.1001-1242.2021.12.024.
[11] 李宇淇, 曾庆, 黄国志.上肢康复机器人在脑卒中的临床应用进展[J]. 中国康复理论与实践, 2020, 26(3):310-314. DOI: 10.3969/j.issn.1006-9771.2020.03.009.
[12] Maranesi E, Riccardi GR, Di Donna V, et al.Effectiveness of Intervention Based on End-effector Gait Trainer in Older Patients with Stroke: A Systematic Review[J]. J Am Med Dir Assoc, 2020, 21(8):1036-1044. DOI:10.1016/j.jamda.2019.10.010.
[13] Singh H, Unger J, Zariffa J, et al.Robot-assisted Upper Extremity Rehabilitation for Cervical Spinal Cord Injuries: A Systematic Scoping Review[J]. Disabil Rehabil Assist Technol, 2018,13(7):704-715.DOI:10.1080/17483107.2018.1425747.
[14] 伍宝银, 粟愿学.医教结合模式的作业治疗用于脑瘫患儿研究进展[J]. 护理学报, 2017, 24(12):4. DOI:10.16460/j.issn1008-9969.2017.12.020.
[15] Beckung E, Hagberg G. Neuroimpairments, Activity Limitations, And Participation Restrictions in Children with Cerebral Palsy[J]. Dev Med Child Neurol, 2002, 44(5): 309-316. DOI:10.1017/s0012162201002134.
[16] 陈蓉, 黄琴, 刘金丽. 脑瘫患儿家庭照顾者照顾负担现状调查及影响因素分析[J]. 临床护理杂志, 2021, 20(6):4. DOI:10.3969/j.issn.1671-8933.2021.06.013.
[17] Fasoli SE, Ladenheim B, Mast J, et al.New Horizons for Robot-assisted Therapy in Pediatrics[J]. Am J Phys Med Rehabil, 2012, 91(11 Suppl 3):S280-289. DOI:10.1097/PHM.0b013e31826bcff4.
[18] Fasoli SE, Fragala-Pinkham M, Hughes R, et al.Upper Limb Robotic Therapy for Children with Hemiplegia[J]. Am J Phys Med Rehabil, 2008, 87(11):929-936. DOI:10.1097/PHM.0b013e31818a6aa4.
[19] Chen YP, Howard AM.Effects of Robotic Therapy on Upper-extremity Function in Children with Cerebral Palsy: A Systematic Review[J]. Dev Neurorehabil, 2016, 19(1):64-71. DOI:10.3109/17518423.2014.899648.
[20] 刘国庆, 韩婧怡, 宋文静, 等. 虚拟现实在护理领域应用研究关键词的可视化分析[J]. 护理学报, 2022, 29(3): 6-11. DOI: 10.16460/j.issn1008-9969.2022.03.029.
[21] Reid DT.Benefits of a Virtual Play Rehabilitation Environment for Children with Cerebral Palsy on Perceptions of Self-efficacy: A Pilot Study[J]. Pediatr Rehabil, 2002, 5(3):141-148. DOI:10.1080/1363849021000039344.
[22] Qiu Q, Ramirez DA, Saleh S, et al.The New Jersey Institute of Technology Robot-assisted Virtual Rehabilitation (NJIT-RAVR) System for Children with Cerebral Palsy: AFeasibility Study[J]. J Neuroeng Rehabil, 2009, 6(40). DOI:10.1186/1743-0003-6-40.
[23] Fluet GG, Qiu Q, Kelly D, et al.Interfacing a Haptic Robotic System with Complex Virtual Environments to Treat Impaired Upper Extremity Motor Function in Children with Cerebral Palsy[J]. Dev Neurorehabil, 2010, 13(5): 335-345. DOI:10.3109/17518423.2010.501362.
[24] Qiu Q, Adamovich S, Saleh S, et al.A Comparison of Motor Adaptations to Robotically Facilitated Upper Extremity Task Practice Demonstrated by Children with Cerebral Palsy and Adults with Stroke[J].IEEE Int Conf Rehabil Robot, 2011. DOI:10.1109/ICORR.2011.5975431.
[25] Weiland S, Smit IH, Reinders-Messelink H, et al.The Effect of Asymmetric Movement Support on Muscle Activity during Lokomat Guided Gait in Able-bodied Individuals[J]. PLoS One, 2018,13(6):e0198473.DOI:10.1371/journal.pone.0198473.
[26] Lobato Garcia L, González González Y, Da Cuña Carrera I, et al. Benefits of Robotics in Gait Rehabilitation in Cerebral Palsy: A Systematic Review[J]. Rehabilitacion (Madr), 2020, 54(2):128-136. DOI:10.1016/j.rh.2020.01.004.
[27] Borggraefe I, Schaefer JS, Klaiber M, et al.Robotic-assisted Treadmill Therapy Improves Walking and Standing Performance in Children and Adolescents with Cerebral Palsy[J]. Eur J Paediatr Neurol, 2010, 14(6):496-502. DOI:10.1016/j.ejpn.2010.01.002.
[28] 郑宏超, 王琼, 杨丽. 下肢机器人配合运动疗法训练对脑瘫患儿步行能力的影响[J]. 临床医学研究与实践, 2021,6(33):166-168.DOI:10.19347/j.cnki.2096-1413.2021330

[29] Druzbicki M, Rusek W, Snela S, et al.Functional Effects of Robotic-assisted Locomotor Treadmill Thearapy in Children with Cerebral Palsy[J]. J Rehabil Med, 2013, 45(4):358-363. DOI:10.2340/16501977-1114.
[30] Smania N, Bonetti P, Gandolfi M,et al.Improved Gait after Repetitive Locomotor Training in Children with Cerebral Palsy[J]. Am J Phys Med Rehabil, 2011, 90(2):137-149. DOI:10.1097/PHM.0b013e318201741e.
[31] Lefmann S, Russo R,Hillier S.The Effectiveness of Robotic-assisted Gait Training for Paediatric Gait Disorders: Systematic Review[J]. J Neuroeng Rehabil, 2017, 14(1): 1. DOI:10.1186/s12984-016-0214-x.
[32] Nam YG, Lee JW, Park JW, et al.Effects of Electromechanical Exoskeleton-assisted Gait Training on Walking Ability of Stroke Patients: A Randomized Controlled Trial[J]. Arch Phys Med Rehabil, 2019, 100(1):26-31.DOI:10.1016/j.apmr.2018.06.020.
[33] Wang L, Zheng Y, Dang Y,et al. Effects of Robot-Assisted Training on Balance Function in Patients with Stroke: A Systematic Review and Meta-analysis[J]. J Rehabil Med, 2021, 53(4): jrm00174. DOI:10.2340/16501977-2815.
[34] Daunoraviciene K, Adomaviciene A, Grigonyte A, et al.Effects of Robot-assisted Training on Upper Limb Functional Recovery during the Rehabilitation of Poststroke Patients[J]. Technol Health Care, 2018, 26(S2):533-542. DOI:10.3233/THC-182500.
[35] Ueno T, Watanabe H, Kawamoto H, et al.Feasibility and Safety of Robot Suit Hal Treatment for Adolescents and Adults with Cerebral Palsy[J]. J Clin Neurosci, 2019, 68:101-104. DOI:10.1016/j.jocn.2019.07.026.
[1] 伍宝银,粟愿学. 医教结合模式的作业治疗用于脑瘫患儿研究进展[J]. 护理学报, 2017, 24(12): 20-23.
[2] 刘一苇,丁志勇,梁莉丹,陈翔. 脑瘫高危儿家属添加辅食的全程健康教育[J]. 护理学报, 2012, 19(8): 77-78.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!