|
您當(dāng)前的位置：電子期刊欄目→論著>>正文 |
|
基于虛擬現(xiàn)實的下肢機器人多任務(wù)步態(tài)訓(xùn)練平臺在早期偏癱患者中的應(yīng)用 Application of multi-task gait training platform of lower limb robot based on virtual reality in patients with early hemiplegia |
| 作者： 馬良飛 何蓬莉 曾西西 王蕊 尹翎 |
| 單位：中國五冶集團有限公司醫(yī)院康復(fù)醫(yī)學(xué)科 （四川成都 610000）<br />通信作者：尹翎。E-mail:[email protected] |
| 關(guān)鍵詞： 虛擬現(xiàn)實；下肢機器人；多任務(wù)；可穿戴設(shè)備；眼動儀 |
| 分類號：R318.01 |
| 出版年·卷·期（頁碼）：2022·41·5（495-499） |
| 摘要： |
|
目的 觀察基于虛擬現(xiàn)實的下肢機器人多任務(wù)步態(tài)訓(xùn)練平臺在早期偏癱患者中的應(yīng)用效果。方法 選取50例腦卒中患者，隨機分為改良組、對照組各25例。對照組采用單純的下肢機器人訓(xùn)練，改良組采用融入虛擬現(xiàn)實技術(shù)、眼動/平衡訓(xùn)練技術(shù)、非侵入神經(jīng)調(diào)控技術(shù)、可穿戴設(shè)備（表面肌電圖+近紅外光腦成像）、遠(yuǎn)程診療的下肢機器人。兩組干預(yù)9周，觀察Fugl-meyer下肢運動功能評定表(Fugl-meyer assessment,FMA)、Berg平衡量表（Berg balance scale ，BBS）、改良Barthel指數(shù)（modified Barthel index ，MBI）、Holden步行功能分級。結(jié)果 兩組患者在治療前后進行FMA評分、BBS評分、MBI指數(shù)評定，9周后兩組在上述指標(biāo)與治療前相比，差異均有統(tǒng)計學(xué)意義（P <0.05）；而組間比較，而改良組在FMA評分、BBS評分、MBI指數(shù)評分均優(yōu)于對照組，差異有統(tǒng)計學(xué)意義（P <0.05）。在Holden步行功能分級方面，治療后9周后兩組在Holden分級與治療前有統(tǒng)計學(xué)意義（P <0.05）；而組間比較，而改良組在優(yōu)于對照組，差異有統(tǒng)計學(xué)意義（P <0.05）。結(jié)論 基于虛擬現(xiàn)實的下肢機器人多任務(wù)步態(tài)訓(xùn)練平臺，能夠?qū)崿F(xiàn)視聽多感官、多通道刺激和訓(xùn)練，通過眼球運動捕捉建立自適應(yīng)算法；并在傳統(tǒng)下肢機器人的步態(tài)參數(shù)采集基礎(chǔ)上，融入sEMG和fNIRS的肌電參數(shù)、血紅蛋白濃度變化，進行多指標(biāo)的同步監(jiān)測，最終實現(xiàn)具有自適應(yīng)功能的、可調(diào)整、優(yōu)化、更新訓(xùn)練方案的智能技術(shù)，提高干預(yù)療效。 |
|
Objective To observe the application effect of a multi-task gait training platform for lower limb robots based on virtual reality in patients with early hemiplegia. Methods Fifty stroke patients were selected and randomly divided into modified group and control group with 25 cases each. The control group used simple lower-limb robot training, and the modified group used the improved the original lower-limb robot that was integrated virtual reality technology, eye movement/balance training technology, non-invasive neuromodulation technology, wearable equipment (surface electromyography + near-infrared light Brain imaging), remote diagnosis and treatment. The two groups were intervened for 9 weeks, and the Fugl-meyer lower limb motor function assessment scale (FMA), Berg balance scale (BBS), modified Barthel index (MBI), and Holden walking function classification were observed. Results The two groups of patients were assessed by FMA score, BBS score, and MBI index before and after treatment. After 9 weeks, the differences in the above indicators between the two groups were statistically significant (P <0.05); and the comparison between groups. The improved group was better than the control group in FMA score, BBS score, MBI index score, and the difference was statistically significant (P <0.05). In terms of Holden walking function classification, the Holden classification of the two groups after 9 weeks after treatment was statistically significant (P <0.05); while the comparison between the groups, the improved group was better than the control group, and the difference was statistically significant ( P <0.05). Conclusions Based on traditional lower-limb robots, this research has improved a virtual reality-based multi-task gait training platform for lower-limb robots, which can realize multi-sensory, multi-channel stimulus and training through audiovisual and eye movements. Based on the acquisition of gait parameters, the changes in electromyographic parameters and hemoglobin concentration of sEMG and fNIRS are incorporated, and multiple indicators are simultaneously monitored. Finally, an intelligent technology with adaptive function, adjustable, optimized, and updated training program is realized, and the intervention is improved. |
| 參考文獻： |
|
［1］王亞東,葉頔.針灸聯(lián)合康復(fù)訓(xùn)練對腦卒中偏癱患者下肢功能恢復(fù)的影響[J].神經(jīng)損傷與功能重建,2019,14(2):102-103. |
| 服務(wù)與反饋： |
| 【文章下載】【加入收藏】 |
| 提示：您還未登錄，請登錄！點此登錄 |
|
|||||||||||||||||
|
|||||||||||||||||
|
|
地址：北京安定門外安貞醫(yī)院內(nèi)北京生物醫(yī)學(xué)工程編輯部 電話：010-64456508 傳真：010-64456661 電子郵箱：[email protected] |