中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (35): 6604-6607.doi: 10.3969/j.issn.1673-8225.2010.35.036

• 骨与关节综述 bone and joint review • 上一篇    下一篇

下肢步态康复机器人：研究进展及临床应用

丁  敏1，李建民2，吴庆文1，沈海涛1   

  1. 1华北煤炭医学院护理系，河北省唐山市 063000；   2华北煤炭医学院附属医院神经外科，河北省唐山市 063000
  • 出版日期:2010-08-27 发布日期:2010-08-27
  • 通讯作者: 吴庆文，硕士生导师，教研室主任，副教授，主要从事神经内科、神经康复方面的研究。 wxywqw@163.com
  • 作者简介:丁敏★，女，1978年生，河北省邯郸市人，汉族，华北煤炭医学院在读硕士，讲师。 dingmin158@163.com

Research advances and clinical application of lower limb gait rehabilitation robots

Ding Min1, Li Jian-min2, Wu Qing-wen1, Shen Hai-tao1   

  1. 1 Nursing Department, North China Coal Medical University, Tangshan  063000, Hebei Province, China; 2 Department of Neurosurgery, Affiliated Hospital of North China Coal Medical University, Tangshan  063000, Hebei Province, China
  • Online:2010-08-27 Published:2010-08-27
  • Contact: Wu Qing-wen, Master’ s supervisor, Associate professor, Nursing Department, North China Coal Medical University, Tangshan 063000, Hebei Province, China wxywqw@163.com
  • About author:Ding Min★, Studying for master’s degree, Lecturer, Nursing Department, North China Coal Medical University, Tangshan 063000, Hebei Province, China dingmin158@163.com

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摘要：

背景：为解决康复训练过程中出现的问题，需要安全、定量、有效及可进行重复训练的新技术，康复机器人的出现从某种程度上解决了这一问题。
目的：对如何使用康复机器人加强和恢复肌肉骨骼的功能，并改善其协调能力进行相应的探讨。分析以上新发展对康复领域的影响，局限性以及现在科研人员所面临的挑战。
方法：以stroke,gait, biofeedback，rehabilitation , treadmill training，rehabilitation robot为检索词，检索Pubmed数据库(1992-04/2009-12)；以“脑卒中，步态，生物反馈，康复疗法，活动平板训练，康复机器人”为检索词，检索中国期刊全文数据库(1992-04/2009-12)。以与下肢步态康复机器人的相关文献为评价指标。纳入与下肢步态康复机器人相关的内容，排除重复研究。
结果与结论：腿部驱动步态康复训练机器人通过牵引患者大腿和小腿协调摆动完成腿部步行动作，足底驱动步态康复训练机器人通过驱动患者足部模拟步行过程中踝关节的运动轨迹来进行步态训，从某种程度上解决很多临床问题。在探索脑卒中患者如何使用康复机器人的过程中发现：机器人的应用提供了各种康复机会来改善残疾人的生存质量。

关键词: 脑卒中, 步态, 生物反馈, 康复疗法, 活动平板训练, 康复机器人

Abstract:

BACKGROUND: Safe, quantitative, effect and repetitive new techniques are required in rehabilitation training. Rehabilitation robots can solve these problems to certain degree.
OBJECTIVE: To explore how to enhance and restore musculoskeletal function and to improve coordination capacity by rehabilitation robots, and to analyze the influence of rehabilitation and limitation about the new development, and the challenges.
METHODS: With the key words of “stroke, gait, biofeedback, rehabilitation, treadmill training, rehabilitation robotics” databases of Pubmed and Medline and Chinese Journal Full-text Database was searched for articles published between April 1992 and December 2009. Lower limb gait rehabilitation robot was used as the evaluation index. Articles related to lower limb gait rehabilitation robot were included, and repeat studies were excluded.
RESULTS AND CONCLUSION: Lower limb gait rehabilitation robot completes walking by guide thing and leg coordinate swing. Sole gait rehabilitation robot performs gait training by simulating angle joint movement track, which solves many clinical issues to certain degree. Application of rehabilitation robot for stroke patients shows that robot provides rehabilitation opportunities to improve the quality of life of the disabled.

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