机器人辅助上肢训练对中风患者认知和身体功能的影响:一项随机对照研究
American journal of physical medicine & rehabilitation
|January 27, 2026
概括
将机器人辅助训练 (RAT) 添加到传统中风康复中,并没有显著改善认知或运动功能. 机器人辅助训练与中风幸存者的标准护理相比没有任何额外的好处.
科学领域:
- 神经康复疗法 神经康复疗法
- 机器人在医学中的机器人
背景情况:
- 脑卒中显著影响认知和运动功能,影响日常生活活动.
- 传统的康复计划是中风后恢复的标准护理.
- 机器人辅助训练 (RAT) 是一种新兴的增强运动恢复的模式.
研究的目的:
- 评估上肢 (UE) 机器人辅助训练 (RAT) 的有效性,作为中风后患者常规康复的辅助.
- 评估额外的RAT对认知功能,UE运动功能,手的灵敏度和日常生活活动 (ADL) 的影响.
主要方法:
- 一项随机对照试验,涉及40名急性中风后患者.
- 参与者被分配到对照组 (传统康复) 或机器人组 (传统康复+UE RAT).
- 评估包括认知功能,UE运动功能,手的灵巧度和ADL,在治疗前,治疗后和3个月后续进行.
主要成果:
- 两组在所有测量结果中均显著改善 (p < 0.05).
- 然而,对于任何结果指标,机器人和对照组之间没有观察到统计学上显著的差异 (p > 0.0167).
结论:
- 上肢机器人辅助训练,当添加到传统康复时,并没有为中风后患者的认知功能提供额外的好处.
- 辅助RAT也显示没有显著的优势比传统治疗改善UE运动功能,手的灵敏度,或ADL.
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