基于视觉反馈的肌电驱动外骨骼机械手任务导向性康复训练治疗手外伤的效果观察  

Task-orientated rehabilitation using a myoelectrically driven exoskeleton with visual feedback:effects on hand trauma recovery

作　　者：邢政 赵晓璇 杜心愉 张舒扬 赵冬临 李奇[1] XING Zheng;ZHAO Xiaoxuan;DU Xinyu(Department of Rehabilitation,Tianjin Hospital,Tianjin,300211;不详)

机构地区：[1]天津市天津医院,天津市300211 [2]天津体育学院

出　　处：《中国康复医学杂志》2025年第4期522-527,共6页Chinese Journal of Rehabilitation Medicine

基　　金：国家重点研发计划重点专项项目(2023YFF1205200)。

摘　　要：目的:探究视觉反馈肌电驱动外骨骼机械手任务导向性康复训练对手外伤患者的影响。方法:将符合纳入标准与排除标准的患者随机分为2组,试验组和对照组各15例。其中对照组患者进行为期4周的常规康复训练(包括作业治疗、肌力训练、关节活动度训练),试验组患者在常规康复的基础上进行视触反馈肌电驱动外骨骼机械手训练。治疗前后对所有受试者进行握力、捏力、普渡钉板、上肢功能障碍评定量表(disabilities of the arm,shoulder and hand,DASH)的评估,并对结果进行统计学分析。结果:在经过4周的康复治疗后,组内对比显示两组患者的握力、捏力、普渡钉板得分、DASH问卷得分均较治疗前有显著性差异(P<0.05),组间对比显示,两组的握力体重比在治疗后无显著性差异(P>0.05),其余指标均存在显著性差异(P<0.05)。结论:经过4周的康复治疗,两组的肌肉力量、手部灵活性、上肢日常生活活动能力均提高,并且试验组患者的功能水平高于对照组,表明视觉反馈肌电驱动外骨骼机械手任务导向性康复训练对手外伤患者功能的良好促进作用。Objective:To investigate the effects of a visual feedback electromyography-driven exoskeleton on patients with hand injuries and to compare its efficacy with conventional rehabilitation treatment.Method:Patients who met the inclusion and exclusion criteria were randomly divided into two groups,with 15 patients in the experimental group and 15 in the control group.The control group underwent a 4-week conventional rehabilitation program,which included occupational therapy,muscle strength training,and range of motion exercises.The experimental group received the same conventional rehabilitation alongside training with the visual feedback electro-myography-driven exoskeleton.All participants were evaluated for grip strength,pinch strength,Purdue Pegboard results,and DASH questionnaire scores before and after treatment.Statistical analyses were performed to compare intra-group and inter-group differences.Result:After 4 weeks of rehabilitation,both groups showed significant differences in grip strength,pinch strength,Purdue Pegboard scores,and DASH questionnaire scores compared to baseline(P<0.05).Betweengroup comparisons showed no significant difference in the post-treatment grip weight ratio(P>0.05),while all other indicators demonstrated significant differences(P<0.05).Conclusion:Following 4 weeks of rehabilitation,both groups showed improvements in muscle strength,hand dexterity,and activities of daily living in the upper limbs.However,the functional level of patients in the experimental group was superior to that of the control group,indicating that task-oriented rehabilitation using a visual feedback electromyography-driven exoskeleton significantly promotes functional recovery in patients with hand trauma.

关 键 词：肌电驱动外骨骼 手外伤 多感知通路 视觉反馈 康复 

分 类 号：R493[医药卫生—康复医学] R496[医药卫生—临床医学]