Effectiveness of task-oriented three-dimensional robot-assisted training in upper limb rehabilitation after stroke
10.3969/j.issn.1001-1242.2025.12.004
- VernacularTitle:基于任务导向的三维机器人辅助训练对脑卒中上肢康复的效果研究
- Author:
Xuan XU
1
;
Guanglei LIU
;
Lu FENG
Author Information
1. 昆明医科大学康复学院,云南省 昆明市,650500
- Publication Type:Journal Article
- Keywords:
stroke;
upper limb robots;
task oriented training
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(12):1790-1795
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of task oriented 3D upper limb robot training on upper limb function in pa-tients with subacute stroke.Method:Forty-five stroke patients from the occupational therapy department of Kunming Changhe Tiancheng Rehabilitation Hospital from January to December 2023 were selected and randomly divided into an experimen-tal group(n=23)and a control group(n=22).The control group received occupational therapy for 60 min per session;the experimental group received routine occupational therapy combined with robot-assisted EMU adju-vant therapy for 60 min(40min+20min)per session.Both groups were intervened for a total of 4 weeks,5 times per week.Before and after treatment,the Fugl-Meyer upper limb assessment scale(FMA-UE),modi-fied Barthel index(MBI),and surface electromyography(sEMG)were used to evaluate upper limb motor function,daily living activity,muscle activation and synergy(biceps and triceps).Result:Before treatment,there was no significant difference in FMA-UE,MBI,muscle activation,and syner-gy between the two groups(P>0.05).After treatment,both groups showed improvements in FMA-UE,MBI,muscle activation,and synergistic evaluation.The experimental group demonstrated significantly greater improve-ments in FMA-UE scores and muscle synergistic evaluation than the control group(P<0.05).There was no sig-nificant difference in MBI and muscle activation assessment between the two groups(P>0.05).Conclusion:Task-oriented 3D robot-assisted training may have more advantages in improving post-stroke pa-tient's upper limb function and muscle synergy compared to conventional occupational therapy alone.Further studies are warranted to determine optimal training parameters and long-term effects.
