机器人辅助步行训练改善帕金森病步态障碍研究进展  

Research progress on robot⁃assisted gait training to improve gait disorder in Parkinson's disease

作　　者：赵卿 卜时嬴 靳令经[1,2] ZHAO Qing;BU Shi‑ying;JIN Ling‑jing(Center of Neurology and Neurorehabilitation,Shanghai Yangzhi Rehabilitation Hospital(Shanghai Sunshine Rehabilitation Center),School of Medicine,Tongji University,Shanghai 201619,China;Shanghai Disabled Person'Federation Key Laboratory of Intelligent Rehabilitation Assistive Devices,Shanghai Yangzhi Rehabilitation Hospital(Shanghai Sunshine Rehabilitation Center),School of Medicine,Tongji University,Shanghai 201619,China)

机构地区：[1]同济大学附属养志康复医院(上海市阳光康复中心)神经康复中心,上海201619 [2]上海市残联智能康复辅助器具与技术重点实验室,201619

出　　处：《中国现代神经疾病杂志》2024年第3期151-157,共7页Chinese Journal of Contemporary Neurology and Neurosurgery

基　　金：国家重点研发计划重点专项(项目编号:2023YFC3603800-2023YFC3603803);国家临床重点专科建设项目(项目编号:Z155080000004);上海市2023年度创新医疗器械应用示范项目(项目编号:23SHS05500);上海市级医院诊疗技术推广及优化管理项目(项目编号:SHDC22023304)。

摘　　要：步态障碍是帕金森病的常见运动症状,严重影响患者生活质量和运动独立性。机器人辅助步行训练可显著缓解帕金森病步态障碍,特别是下肢运动功能,纠正步速、步长、步频等步态参数异常,减少冻结步态发生,提高运动耐力,增强平衡功能,最终改善生活质量,具有广阔的应用前景。本文重点阐述外骨骼机器人的分类和设计、临床疗效及作用机制,用于指导帕金森病的康复治疗实践。Gait disorder is one of common motor symptoms in patients with Parkinson's disease(PD),significantly affecting their quality of life and mobility.Robot‑assisted gait training(RAGT)can improve the motor symptoms of PD patients,particularly in terms of lower limb motor function.It corrects abnormal spatiotemporal parameters of gait,such as gait velocity,step length,and step frequency,reduces the occurrence of freezing of gait,improves endurance,enhances balance ability,and ultimately improves quality of life.This paper focuses on the classification and construction,clinical efficacy and mechanism of exoskeleton robot,which can be used to guide the rehabilitation treatment of PD.

关 键 词：帕金森病 步态 康复 机器人 综述 

分 类 号：R742.5[医药卫生—神经病学与精神病学] R496[医药卫生—临床医学]