TY - JOUR AU - Burdea, Grigore AU - Kim, Nam AU - Polistico, Kevin AU - Kadaru, Ashwin AU - Grampurohit, Namrata AU - Hundal, Jasdeep AU - Pollack, Simcha PY - 2022 DA - 2022/4/13 TI -用于卒中后早期综合康复的机器人桌和严肃游戏:JO - JMIR Rehabil Assist Technol SP - e26990 VL - 9 IS - 2kw -亚急性中风KW -虚拟现实KW -游戏化KW -治疗游戏控制器KW -综合康复KW - BrightArm Duo KW - BrightArm Compact KW -上肢KW -认知KW -抑郁AB背景:BrightArm Compact是一种新的上肢康复系统。它提供了分级重力加载的双向训练，并与具有认知挑战性的严肃游戏进行互动。目的:设计并测试一个基于机器人康复平台的虚拟康复系统，以评估脑卒中后早期综合训练的功能影响。方法:研制一种新型机器人康复台、控制器和自适应游戏。除了标准护理外，2名参与者还接受了12次实验。在干预前后分别进行上肢功能(主要结局)、抑郁和认知的标准化测量。非标准化指标包括游戏变量和主观评价。结果:2名案例研究参与者在每次训练中获得了较高的手臂总重复次数(504和957)，并获得了较高的抓握和手指伸展次数。训练强度显著改善了受影响的肩部力量(增加225%和100%)、抓握力量(增加27%和16%)和捏捏力量(增加31%和15%)。 The shoulder flexion range increased by 17% and 18% and elbow supination range by 75% and 58%. Improvements in motor function were at or above minimal clinically important difference for the Fugl-Meyer Assessment (11 and 10 points), Chedoke Arm and Hand Activity Inventory (11 and 14 points), and Upper Extremity Functional Index (19 and 23 points). Cognitive and emotive outcomes were mixed. Subjective rating by participants and training therapists were positive (average 4, SD 0.22, on a 5-point Likert scale). Conclusions: The design of the robotic rehabilitation table was tested on 2 participants in the early poststroke phase, and results are encouraging for upper extremity functional gains and technology acceptance. Trial Registration: ClinicalTrials.gov NCT04252170; https://clinicaltrials.gov/ct2/show/NCT04252170 SN - 2369-2529 UR - https://rehab.www.mybigtv.com/2022/2/e26990 UR - https://doi.org/10.2196/26990 UR - http://www.ncbi.nlm.nih.gov/pubmed/35416787 DO - 10.2196/26990 ID - info:doi/10.2196/26990 ER -