上肢外骨骼机器人在偏瘫儿童中的研究进展

Application of upper limb exoskeleton robots in hemiplegic children

摘要

儿童偏瘫在脑损伤儿童中较为多见,主要表现为单侧肢体肌力下降、肌张力改变和感觉障碍,上肢症状常比下肢明显,延缓上肢发育和精细运动能力的获得。上肢外骨骼机器人是一种新型康复设备,可量化评估偏瘫儿童上肢功能并提供个性化的训练任务,作为传统康复治疗的补充方案,其在改善偏瘫儿童上肢功能障碍、提升生活质量方面展现出潜力。本文对上肢外骨骼机器人在偏瘫儿童上肢功能康复和评估中的研究现状展开综述,分析其在儿童偏瘫康复领域所面临的挑战,旨在为儿童上肢外骨骼机器人的技术研发与临床应用提供参考。

Abstract

Hemiplegia is a prevalent complication among children with brain injuries, mainly characterized by unilateral limb muscle weakness, altered muscle tone, and sensory disturbances. Impairments in the upper extremity are typically more pronounced than those in the lower extremity, significantly delaying upper limb neurodevelopment and the acquisition of fine motor skills.Upper limb exoskeleton robots are a new type of rehabilitation equipment that can quantitatively assess upper limb function in hemiplegic children and provide personalized training tasks. As a supplementary approach to traditional rehabilitation therapy,robotic exoskeletons demonstrate substantial potential in improving upper limb dysfunction and enhancing the overall quality of life in children with hemiplegia. This review summarizes the current landscape of upper extremity robotic exoskeletons in the functional rehabilitation and clinical evaluation of pediatric hemiplegia, analyzes the existing challenges in pediatric populations, aiming to provide strategic insights for future technological development and clinical application in this domain.

关键词

上肢外骨骼机器人 / 偏瘫 / 上肢康复 / 儿童

Key words

upper limb exoskeleton robot / hemiplegia / upper limb rehabilitation / children

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基金资助

广东省医学科学技术研究基金项目(A2022421);广东省高水平医院建设财政基金(ynkt2021-zz036)