SCI TRANSL MED:个性化康复算法帮助中风患者恢复运动能力

2017-07-23 海北 MedSci原创

神经性疾病后,患者往往需要进行步行功能恢复,而步行功能的恢复会涉及患者身体机能和重力之间的相互作用。尽管人们已经知道重力依赖的步行能力以及积极参与促进这种学习的重要性,但是至今为止,步行能力恢复过程中的基本组成部分受到的关注还比较少。

神经性疾病后,患者往往需要进行步行功能恢复,而步行功能的恢复会涉及患者身体机能和重力之间的相互作用。尽管人们已经知道重力依赖的步行能力以及积极参与促进这种学习的重要性,但是至今为止,步行能力恢复过程中的基本组成部分受到的关注还比较少。

为了解决这些问题,来自瑞士联邦理工学院的科学家们开发了一种基于患者特异性运动障碍,能够将作用于躯干的多向力个性化的自适应算法。研究人员发现,在大型安全环境中,高度参与性运动期间,将该算法运用于人机界面能够重新建立步态动力学。

在患有脊髓损伤或是脑卒中的患者中间,使用这种多向重力辅助措施能够建立自然的行走。在受损较轻的患者中,该辅助措施还能够帮助患者增强技巧性运动控制。经过一小束的多向重力辅助训练,患者能够立刻提高不依赖机械辅助的运动能力。相反,在跑步机上行走相同的距离并不会改善步行能力。

因此,研究人员的研究成果表明,精确的躯干支持对于步行能力恢复的重要性,并展示了潜在的临床运用前景。


原始出处:

Jean-Baptiste Mignardot et al. A multidirectional gravity-assist algorithm that enhances locomotor control in patients with stroke or spinal cord injuryScience Translational Medicine, 2017; 9 (399): eaah3621 DOI: 10.1126/scitranslmed.aah3621


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    2017-07-23 1e20390em99(暂无匿称)

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