Repetitive Facilitative Exercise and Rehabilitation Robot for Poststroke Hemiplegia
نویسندگان
چکیده
促通反復療法は脳卒中片麻痺の機能回復を図るための新たな運動療法で, 促通手技による意図した運動の実現 (Hebb則) とその集中反復 (使用頻度依存性の神経の可塑的変化) によって運動性下降路の再建, 強化を目指す. 促通反復療法の有用性はランダム化比較試験などの臨床試験によって報告され, さらに神経筋電気刺激や振動などの物理刺激との同時併用が機能回復を促進することを報告してきた. われわれはこれらの知見を活かしたリハビリテーションロボットを医工連携チームによって開発し, さらに産学連携により ｢麻痺側上肢のリーチング運動｣ や, ｢前腕の回内回外運動｣ の機能回復を目的とした製品が上市された. 今後, 麻痺肢への訓練量増大が期待される.
منابع مشابه
[Repetitive facilitative exercise: recent evidence and development for combination therapy].
Repetitive facilitative exercise (RFE), a combination of high-dose (high frequency) of repetitions and neurofacilitation, is a recently developed approach to the rehabilitation of stroke-related limb impairment. We conducted a randomized controlled evaluation of RFE compared with a duration-matched conventional rehabilitation program in the treatment of subacute stroke-related upper extremity i...
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Neuromuscular electrical stimulation can improve motor function in those affected by paralysis, but its use is limited by a high rate of muscular fatigue. Variable stimulation patterns have been examined in young adults with and without spinal cord injury, but much less investigation has been devoted to studying the effects of variable stimulation patterns administered to older adults or those ...
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BACKGROUND AND PURPOSE A principle of poststroke rehabilitation is that effort should be avoided since it leads to increased spasticity and produces widespread associated abnormal reactions. Although weakness also contributes to movement dysfunction after a stroke, it has been feared that heightened activity levels during strength training will further exacerbate the abnormal tone imbalance pre...
متن کاملElectrical stimulation of wrist extensors in poststroke hemiplegia.
BACKGROUND AND PURPOSE It has been suggested that cyclic neuromuscular electrical stimulation (ES) may enhance motor recovery after stroke. We have investigated the effects of ES of the wrist extensors on impairment of wrist function and on upper-limb disability in patients being rehabilitated after acute stroke. METHODS We recruited 60 hemiparetic patients (mean age, 68 years) 2 to 4 weeks a...
متن کاملEfficacy of Upper Extremity Robotic Therapy in Subacute Poststroke Hemiplegia
Although stroke affects nearly 15 million people worldwide annually, with 5 million experiencing some degree of permanent paralysis, appropriate rehabilitation programs can improve motor function and quality of life. For example, repetitive voluntary movement of the paralyzed limb can improve function and remodel neural circuits. Robotic technologies may be effective for stroke rehabilitation b...
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ژورنال
عنوان ژورنال: Japanese Journal of Neurosurgery
سال: 2022
ISSN: ['0917-950X', '2187-3100']
DOI: https://doi.org/10.7887/jcns.31.771