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Human-Robot Interaction-Based Model Predictive Control for Exoskeleton Robots Driven by Series Elastic Actuators
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作者 Changxian Xu Keping Liu Zhongbo Sun 《IEEE/CAA Journal of Automatica Sinica》 2026年第2期486-488,共3页
Dear Editor,This letter presents a model predictive control(MPC)scheme for human-robot interaction(HRI)in a multi-joint exoskeleton robot(ER)driven by series elastic actuator(SEA).The proposed scheme in robot-in-charg... Dear Editor,This letter presents a model predictive control(MPC)scheme for human-robot interaction(HRI)in a multi-joint exoskeleton robot(ER)driven by series elastic actuator(SEA).The proposed scheme in robot-in-charge(RIC)mode facilitates the ER driven by SEA to provide the required assistance and support for the subject. 展开更多
关键词 human robot interaction model predictive assistance support series elastic actuator model predictive control series elastic actuator sea exoskeleton robot robot charge mode
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Structural Design and Analysis of Lower Limb Exoskeleton Robotics
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作者 Mingshuo ZHANG Yutong LI +2 位作者 Sheng ZHANG Yuanhai DING Chuanqi LI 《Mechanical Engineering Science》 2025年第1期20-25,共6页
With the acceleration of the global aging process and the increase of cardiovascular ancerebrovascular diseases,more and more patients are paralyzed due to accidents,so theexoskeleton robot began to appear in people&#... With the acceleration of the global aging process and the increase of cardiovascular ancerebrovascular diseases,more and more patients are paralyzed due to accidents,so theexoskeleton robot began to appear in people's sight,and the lower limb exoskeleton robot withrehabilitation training is also favored by more and more people.In this paper,the structural designand analysis of the lower limb exoskeleton robot are carried out in view of the patients'expectation ofnormal walking.First,gait analysis and structural design of lower limb exoskeleton robot.Based onthe analysis of the walking gait of normal people,the freedom of the three key joints of the lower limbexoskeleton robot hip joint,knee joint and ankle joint is determined.at the same time,according tothe structuralcharacteristics of each joint,the three key joints are modeled respectively,and theoverall model assembly of the lower limb exoskeleton robot is completed.Secondly,the kinematicsanalysis of the lower limb exoskeleton robot was carried out to obtain the relationship between thelinear displacement,linear speed and acceleration of each joint,so as to ensure the coordination ofthe model with the human lower limb movement.Thirdly,the static analysis of typical gait of hipjoint,knee joint and ankle joint is carried out to verify the safety of the design model under thepremise of ensuring the structural strength requirements.Finally,the parts of the model were 3Dprinted,and the rationality of the design was further verified in the process of assembling the model. 展开更多
关键词 exoskeleton robots Mechanical Structure Design Finite Element Analysis Motion Simulation
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CPG-based gait planning and model-independent adaptive time-delay control for lower limb rehabilitation exoskeleton robots
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作者 Zhe Sun Weixin Chen +3 位作者 Bo Chen Hai Wang Jinchuan Zheng Zhihong Man 《Control Theory and Technology》 2025年第4期650-662,共13页
Focusing on the rehabilitation training of hemiplegia patients,this paper proposes a gait-planning strategy based on a central pattern generator and an adaptive time-delay control scheme that utilizes recursive termin... Focusing on the rehabilitation training of hemiplegia patients,this paper proposes a gait-planning strategy based on a central pattern generator and an adaptive time-delay control scheme that utilizes recursive terminal sliding mode for lower limb rehabilitation exoskeleton robots.The central pattern generator network plans a reference gait trajectory for the affected leg,synchronized with the movement of the healthy leg.The proposed adaptive time-delay control scheme possesses a model-independent property due to the mechanism of time-delay estimation,with adaptive control gains that enhance the resilience against system perturbations and a recursive terminal sliding mode control component to achieve a fast convergence rate.According to the Lyapunov stability criterion,it is proved that the gait trajectory-tracking error is uniformly ultimately bounded.Experiments are conducted on a lower limb exoskeleton experimental platform,and the experimental results demonstrate the effectiveness and superiority of the proposed strategies. 展开更多
关键词 Lower limb rehabilitation exoskeleton robot(LLRER) Central pattern generator(CPG) Time-delay estimation(TDE) Sliding mode control(SMC)
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WALK-ASSISTING BALANCE SYSTEM OF THE EXOSKELETON ROBOT FOR DISABLED PEOPLE 被引量:1
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作者 Yin Yuehong Zhou Chunlin +3 位作者 Song Jiaren Chen Shiyi Han Tianpu Zhou Chen Research Institute of Robotics,Shanghai Jiaotong University,Shanghai 200030, China 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2004年第2期263-267,共5页
A novel methodology for a walk-assisting balance system of the exoskeleton robot for dis-abled people is presented. The experiment on the walk-assisting balance system is implemented using amini-type ropewalker robot.... A novel methodology for a walk-assisting balance system of the exoskeleton robot for dis-abled people is presented. The experiment on the walk-assisting balance system is implemented using amini-type ropewalker robot. The mechanism of the ropewalker robot is designed, its dynamic model isbuilt, and its control system based on PWM is developed. The emulations in Matlab and the results ofexperiments prove that this methodology is effective. 展开更多
关键词 Balance system Ropewalker robot exoskeleton robot
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Review of Power-Assisted Lower Limb Exoskeleton Robot
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作者 贺贵松 黄学功 +1 位作者 李峰 汪辉兴 《Journal of Shanghai Jiaotong university(Science)》 EI 2024年第1期1-15,共15页
Power-assisted lower limb exoskeleton robot is a wearable intelligent robot system involving mechanics,materials,electronics,control,robotics,and many other fields.The system can use external energy to provide additio... Power-assisted lower limb exoskeleton robot is a wearable intelligent robot system involving mechanics,materials,electronics,control,robotics,and many other fields.The system can use external energy to provide additional power to humans,enhance the function of the human body,and help the wearer to bear weight that is previously unbearable.At the same time,employing reasonable structure design and passive energy storage can also assist in specific actions.First,this paper introduces the research status of power-assisted lower limb exoskeleton robots at home and abroad,and analyzes several typical prototypes in detail.Then,the key technologies such as structure design,driving mode,sensing technology,control method,energy management,and human-machine coupling are summarized,and some common design methods of the exoskeleton robot are summarized and compared.Finally,the existing problems and possible solutions in the research of power-assisted lower limb exoskeleton robots are summarized,and the prospect of future development trend has been analyzed. 展开更多
关键词 power assistance lower limb exoskeleton robot research status key technology
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Adaptive Robust Control with Leakage-Type Control Law for Trajectory Tracking of Exoskeleton Robots
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作者 Jin Tian Xiulai Wang +1 位作者 Ningling Ma Yutao Zhang 《Advances in Internet of Things》 2024年第3期53-66,共14页
This paper investigates the trajectory following problem of exoskeleton robots with numerous constraints. However, as a typical nonlinear system with variability and parameter uncertainty, it is difficult to accuratel... This paper investigates the trajectory following problem of exoskeleton robots with numerous constraints. However, as a typical nonlinear system with variability and parameter uncertainty, it is difficult to accurately achieve the trajectory tracking control for exoskeletons. In this paper, we present a robust control of trajectory tracking control based on servo constraints. Firstly, we consider the uncertainties (e.g., modelling errors, initial condition deviations, structural vibrations, and other unknown external disturbances) in the exoskeleton system, which are time-varying and bounded. Secondly, we establish the dynamic model and formulate a close-loop connection between the dynamic model and the real world. Then, the trajectory tracking issue is regarded as a servo constraint problem, and an adaptive robust control with leakage-type adaptive law is proposed with the guaranteed Lyapunov stability. Finally, we conduct numerical simulations to verify the performance of the proposed controller. 展开更多
关键词 Trajectory Tracking Adaptive Robust Control exoskeleton robots UNCERTAINTIES
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A Review on Lower Limb Rehabilitation Exoskeleton Robots 被引量:62
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作者 Di Shi Wuxiang Zhang +1 位作者 Wei Zhang Xilun Ding 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2019年第4期2-12,共11页
Lower limb rehabilitation exoskeleton robots integrate sensing, control, and other technologies and exhibit the characteristics of bionics, robotics, information and control science, medicine, and other interdisciplin... Lower limb rehabilitation exoskeleton robots integrate sensing, control, and other technologies and exhibit the characteristics of bionics, robotics, information and control science, medicine, and other interdisciplinary areas. In this review, the typical products and prototypes of lower limb exoskeleton rehabilitation robots are introduced and stateof-the-art techniques are analyzed and summarized. Because the goal of rehabilitation training is to recover patients’ sporting ability to the normal level, studying the human gait is the foundation of lower limb exoskeleton rehabilitation robot research. Therefore, this review critically evaluates research progress in human gait analysis and systematically summarizes developments in the mechanical design and control of lower limb rehabilitation exoskeleton robots. From the performance of typical prototypes, it can be deduced that these robots can be connected to human limbs as wearable forms;further, it is possible to control robot movement at each joint to simulate normal gait and drive the patient’s limb to realize robot-assisted rehabilitation training. Therefore human–robot integration is one of the most important research directions, and in this context, rigid-flexible-soft hybrid structure design, customized personalized gait generation, and multimodal information fusion are three key technologies. 展开更多
关键词 Control method LOWER LIMB exoskeleton Mechanical design REHABILITATION robot
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Technical Analysis of Exoskeleton Robot 被引量:1
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作者 Sungjun Yeem Jinyeong Heo +1 位作者 Hongchul Kim Yongjin Kwon 《World Journal of Engineering and Technology》 2019年第1期68-79,共12页
Recently, the need for exoskeleton robots has been increased due to the advancement of robotic technologies and changes in the concept of how the robots can be utilized in direct contact with human bodies. The robots,... Recently, the need for exoskeleton robots has been increased due to the advancement of robotic technologies and changes in the concept of how the robots can be utilized in direct contact with human bodies. The robots, once only used on the factory floor, are now becoming a part of human bodies, which provides the unprecedented level of muscle power boost and the increase of running speed. If used very carefully, the exoskeleton robots can be also used for patients’ rehabilitation. The exoskeleton robots have many potential application areas;?hence most advanced countries are currently developing various types of exoskeleton robots. Those robots can be classified into two major categories, namely the rigid type and the soft type. Each type has own advantages and disadvantages, while the carrying load capacity and the actuation speed can be quite different. There are also many technical difficulties in order to use the exoskeleton robots in the field. The aim of this study is, therefore, to introduce the trends of exoskeleton robot development in advanced countries, while providing the analysis on the technical merits and downside of robot types. The comparison chart also indicates the major technical directions, in which the future technology will be headed for, such as the improved robot response characteristics by employing advanced sensors and artificial intelligence. The robots are becoming smarter, lighter, and more powerful. It is foreseeable that the wearable robots can be a part of human life in the very near future. 展开更多
关键词 exoskeleton robot WEARABLE robot RIGID TYPE robot Soft TYPE robot Artificial MUSCLE
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An Investigation of Exoskeleton Robotic Systems in Assisting Construction Tasks*
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作者 Xiu-Tian Yan Jenna Browne +4 位作者 Cameron Swanson Cong Niu Graeme Bisland Youhua Li Alan Johnston 《Intelligent Information Management》 2023年第3期216-241,共26页
Whilst industrial robots have been widely used in many industrial sectors, they are predominantly used in a structured factory environment. In recent years, off-site robotics have been investigated extensively and the... Whilst industrial robots have been widely used in many industrial sectors, they are predominantly used in a structured factory environment. In recent years, off-site robotics have been investigated extensively and there are some promising candidates emerging. One such category of robots is exoskeleton robots and this paper provides an in-depth assessment of their suitability in assisting human operators in undertaking manual operations typically found in the construction industry. This work aims to objectively assess the advantages and disadvantages of these two suits and provide recommendations for further improvements of similar system designs. The paper focuses on the passive exoskeleton robotic suits which are commercially available. Three types of activities are designed and a mechatronic methodology has been designed and implemented to capture visual data in order to assess these systems in comparison with normal human operations. The study suggests that these passive suits do reduce the effort required by human operators to undertake the same construction tasks as evidenced by the results from one focused study, though a number of improvements could be made to improve their performance for wider adoption. 展开更多
关键词 exoskeleton robotICS Construction Manufacturing
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Radial basis function‐based exoskeleton robot controller development
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作者 SK Hasan 《IET Cyber-Systems and Robotics》 EI 2022年第3期228-250,共23页
The realisation of a model‐based controller for a robot with a higher degree of freedom requires a substantial amount of computational power.A high‐speed CPU is required to maintain a higher sampling rate.Multicore ... The realisation of a model‐based controller for a robot with a higher degree of freedom requires a substantial amount of computational power.A high‐speed CPU is required to maintain a higher sampling rate.Multicore processors cannot boost the performance or reduce the execution time as the programs are sequentially structured.The neural network is a great tool to convert a sequentially structured program to an equivalent parallel architecture program.In this study,a radial basis function(RBF)neural network is developed for controlling 7 degrees of freedom of the human lower extremity exoskel-eton robot.A realistic friction model is used for modelling joint friction.High trajectory tracking accuracies have been obtained.Evidence of computational efficiency has been observed.The stability analysis of the developed controller is presented.Analysis of variance is used to assess the controller's resilience to parameter variation.To show the effectiveness of the developed controller,a comparative study was performe between the developed RBF network‐based controller and Sliding Mode Controller,Computed Tor-que Controller,Adaptive controller,Linear Quadratic Regulator and Model Reference Computed Torque Controller. 展开更多
关键词 exoskeleton robot dynamic modelling lower extremity exoskeleton robot control radial basis function(RBF)controller
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Systematic Review on Wearable Lower Extremity Robotic Exoskeletons for Assisted Locomotion 被引量:4
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作者 Shuang Qiu Zhongcai Pei +1 位作者 Chen Wang Zhiyong Tang 《Journal of Bionic Engineering》 SCIE EI CSCD 2023年第2期436-469,共34页
Lower extremity robotic exoskeletons(LEEX)can not only improve the ability of the human body but also provide healing treatment for people with lower extremity dysfunction.There are a wide range of application needs a... Lower extremity robotic exoskeletons(LEEX)can not only improve the ability of the human body but also provide healing treatment for people with lower extremity dysfunction.There are a wide range of application needs and development prospects in the military,industry,medical treatment,consumption and other felds,which has aroused widespread concern in society.This paper attempts to review LEEX technical development.First,the history of LEEX is briefy traced.Second,based on existing research,LEEX is classifed according to auxiliary body parts,structural forms,functions and felds,and typical LEEX prototypes and products are introduced.Then,the latest key technologies are analyzed and summarized,and the research contents,such as bionic structure and driving characteristics,human–robot interaction(HRI)and intentawareness,intelligent control strategy,and evaluation method of power-assisted walking efciency,are described in detail.Finally,existing LEEX problems and challenges are analyzed,a future development trend is proposed,and a multidisciplinary development direction of the key technology is provided. 展开更多
关键词 Lower extremity robotic exoskeletons Bionic robot Classifcation method Human-robot interaction Biomechatronic
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Robotic exoskeletons: The current pros and cons 被引量:2
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作者 Ashraf S Gorgey 《World Journal of Orthopedics》 2018年第9期112-119,共8页
Robotic exoskeletons have emerged as rehabilitation tool that may ameliorate several of the existing healthrelated consequences after spinal cord injury(SCI).However,evidence to support its clinical application is sti... Robotic exoskeletons have emerged as rehabilitation tool that may ameliorate several of the existing healthrelated consequences after spinal cord injury(SCI).However,evidence to support its clinical application is still lacking considering their prohibitive cost.The current mini-review is written to highlight the main limitations and potential benefits of using exoskeletons in the rehabilitation of persons with SCI.We have recognized two main areas relevant to the design of exoskeletons and to their applications on major health consequences after SCI.The design prospective refers to safety concerns,fitting time and speed of exoskeletons.The health prospective refers to factors similar to body weight,physical activity,pressure injuries and bone health.Clinical trials are currently underway to address some of these limitations and to maximize the benefits in rehabilitation settings.Future directions highlight the need to use exoskeletons in conjunction with other existing and emerging technologies similar to functional electrical stimulation and brain-computer interface to address major limitations.Exoskeletons have the potential to revolutionize rehabilitation following SCI;however,it is still premature to make solid recommendations about their clinical use after SCI. 展开更多
关键词 SPINAL CORD INJURY exoskeleton robotICS REHABILITATION Locomotion
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呼吸控制联合外骨骼机器人步行训练对脊髓损伤患儿康复的影响
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作者 李金铭 吴英英 +2 位作者 王向丽 韩亮 石彩晓 《护理学杂志》 北大核心 2026年第5期11-15,共5页
目的探讨呼吸控制联合外骨骼机器人步行训练对脊髓损伤患儿肺功能及运动功能的影响。方法将60例脊髓损伤患儿按照入院时间分为呼吸组、机器人组及联合组各20例。三组患儿均接受常规康复治疗护理,呼吸组增加呼吸控制训练,机器人组增加外... 目的探讨呼吸控制联合外骨骼机器人步行训练对脊髓损伤患儿肺功能及运动功能的影响。方法将60例脊髓损伤患儿按照入院时间分为呼吸组、机器人组及联合组各20例。三组患儿均接受常规康复治疗护理,呼吸组增加呼吸控制训练,机器人组增加外骨骼机器人步行训练,联合组实施呼吸控制训练联合外骨骼机器人步行训练。于干预前、干预4周、8周比较患儿的肺功能、平衡功能、10米步行测试及儿童功能独立性评定表评分。结果干预4周与8周后,三组患儿的肺功能、平衡功能、10米步行时间及儿童功能独立性评分较干预前均显著改善,联合组效果最佳(干预主效应、时间主效应及交互效应均P<0.05)。结论呼吸控制联合外骨骼机器人步行训练可以有效改善脊髓损伤患儿的肺功能,增强其运动能力,进而提高日常生活活动能力。 展开更多
关键词 脊髓损伤 儿童 外骨骼机器人 步行训练 呼吸控制训练 肺功能 平衡功能 康复护理
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最优模糊理论的下肢机器人自适应鲁棒控制
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作者 陈元富 贺元成 《机械设计与制造》 北大核心 2026年第2期298-308,共11页
为了解决不确定性和外部干扰,提出了一种基于最优模糊理论的下肢外骨骼机器人自适应鲁棒控制方法。首先提出一种自适应鲁棒控制,保证系统的一致有界性和一致最终有界性。然后采用模糊集理论来描述不确定性和干扰,并用隶属函数确定这些... 为了解决不确定性和外部干扰,提出了一种基于最优模糊理论的下肢外骨骼机器人自适应鲁棒控制方法。首先提出一种自适应鲁棒控制,保证系统的一致有界性和一致最终有界性。然后采用模糊集理论来描述不确定性和干扰,并用隶属函数确定这些不确定性和干扰的界。在此基础上,构造一个包含平均模糊系统性能和控制代价的模糊性能指标,求出自适应鲁棒控制的最优控制增益,并从理论上验证了最优控制增益的存在性。最后,通过仿真结果证明了提出方法可以同时实现高精度跟踪控制和良好的不确定性鲁棒控制。 展开更多
关键词 不确定性 下肢外骨骼机器人 鲁棒控制 模糊集理论
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A Further Study on Terminal Sliding Mode Control for Nonlinear Systems
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作者 Zhe Sun Zhipeng Li +3 位作者 Bo Chen Yuan Zhou Jinchuan Zheng Zhihong Man 《IEEE/CAA Journal of Automatica Sinica》 2026年第1期43-56,共14页
In this paper,a unified terminal sliding mode(UTSM)control method is proposed for second-order nonlinear systems with uncertainties and disturbances.It is seen that the newly defined terminal sliding surface is integr... In this paper,a unified terminal sliding mode(UTSM)control method is proposed for second-order nonlinear systems with uncertainties and disturbances.It is seen that the newly defined terminal sliding surface is integrated with both conventional and fast terminal sliding mode and exhibits design advantages such as a variable exponent,adjustable sliding mode parameters,and chattering-alleviation effect.The inherent dynamic properties of the closed-loop systems with the UTSM control are discussed in detail via the phase plane and Lyapunov stability theory.Both numerical simulations and experimental results show the flexible sliding manifold design,strong robustness against uncertain dynamics,and effective attenuation of chattering phenomenon. 展开更多
关键词 Chattering alleviation lower limb exoskeleton robot nonlinear systems unified terminal sliding mode(UTSM)
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面向机器人辅助步态训练的主动自适应人机交互控制
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作者 石伟国 王卫群 +3 位作者 王佳星 刘圣达 梁旭 侯增广 《机器人》 北大核心 2026年第2期238-245,258,共9页
提出了一种融合步态轨迹主动规划、刚度自适应控制及步态重规划的主动自适应人机交互控制方法,以实现机器人辅助步态训练中的人机柔顺交互并确保患者安全。首先,针对步态训练中患者主动参与度不足的问题,采用有限傅里叶级数构建了步态... 提出了一种融合步态轨迹主动规划、刚度自适应控制及步态重规划的主动自适应人机交互控制方法,以实现机器人辅助步态训练中的人机柔顺交互并确保患者安全。首先,针对步态训练中患者主动参与度不足的问题,采用有限傅里叶级数构建了步态轨迹的参数化模型,并设计了基于表面肌电信号的步态轨迹在线规划法,实现了患者意图驱动的步态轨迹主动规划。进而,提出了基于位置偏差与肌肉激活度的刚度自适应控制策略,采用模糊控制算法实时调整机器人关节的等效刚度,有效改善了人机交互的柔顺性。基于此,针对临床应用时易出现人机运动失衡与跌倒风险的问题,提出了人机系统动态平衡性和运动轨迹稳定性的评价指标,并基于在线评价结果采用模型预测控制对步态轨迹进行重规划。最后,开展了系统仿真和实际实验,验证了上述方法的有效性。 展开更多
关键词 下肢外骨骼机器人 主动自适应人机交互 康复训练 步态轨迹规划
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AR游戏化训练与下肢外骨骼机器人对缺血性脑卒中恢复期患者的康复效果
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作者 王剑桥 苏国栋 +4 位作者 郭辉 樊祥德 樊华 刘洋 杜悦 《中国实用神经疾病杂志》 2026年第4期451-457,共7页
目的探索增强现实(AR)游戏化训练模块联合下肢外骨骼机器人(ER)辅助步行能力训练对缺血性脑卒中患者运动与平衡功能、步行能力、步行速度和疲劳程度的影响。方法纳入2021-01—2022-08中国康复研究中心神经功能康复科治疗的56例缺血性脑... 目的探索增强现实(AR)游戏化训练模块联合下肢外骨骼机器人(ER)辅助步行能力训练对缺血性脑卒中患者运动与平衡功能、步行能力、步行速度和疲劳程度的影响。方法纳入2021-01—2022-08中国康复研究中心神经功能康复科治疗的56例缺血性脑卒中患者,采用密闭信封法将56例受试者随机分为对照组和治疗组,每组28例。对照组进行60min/d常规康复训练,治疗组进行30min/d常规康复训练,ER辅助步行训练30min/d,以及AR游戏化训练模块,2组均训练5次/周,共进行4周训练。治疗前和治疗4周后测定Fugl-Meyer运动功能量表-下肢(FMA-LE)、Berg平衡功能量表(BBS)、功能性步行分级量表(FAC)、Borg自觉疲劳程度量表及步行速度。结果干预后,2组患者BBS评分均显著升高,治疗组与对照组BBS评分有统计学差异,治疗前后差值有统计学差异(t=—3.239、4.911,P<0.05)。2组患者FAC评级均显著提高(Z=2.593、4.364,P<0.05),治疗组与对照组比较有统计学差异(Z=2.913,P<0.05)。2组患者Borg评分均显著降低,治疗组与对照组比较有统计学差异,治疗前后差值有统计学差异(t=—2.714、11.841,P<0.05)。2组患者步行速度均显著提高,治疗组与对照组步行速度比较有统计学差异,治疗前后差值有统计学差异(t=9.955、—7.456,P<0.05)。结论AR游戏化训练模块、ER辅助步行训练对缺血性脑卒中患者的平衡、步行功能、步行速度和疲劳程度的改善均优于常规康复训练。 展开更多
关键词 缺血性脑卒中 外骨骼机器人 增强现实 游戏化训练 步行功能 平衡能力 疲劳程度
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下肢外骨骼机器人对卒中后小脑性共济失调患者平衡和步行功能的影响
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作者 岳圆 张通 +1 位作者 刘元旻 王亚囡 《中国康复理论与实践》 北大核心 2026年第1期23-29,共7页
目的探讨下肢外骨骼机器人对卒中后小脑性共济失调患者平衡和步行功能的影响。方法2022年10月至2024年10月,选择北京博爱医院卒中后小脑性共济失调患者60例,随机分为对照组(n=30)和外骨骼组(n=30)。两组均予常规运动疗法训练,包括躯干... 目的探讨下肢外骨骼机器人对卒中后小脑性共济失调患者平衡和步行功能的影响。方法2022年10月至2024年10月,选择北京博爱医院卒中后小脑性共济失调患者60例,随机分为对照组(n=30)和外骨骼组(n=30)。两组均予常规运动疗法训练,包括躯干控制训练、旋轴训练和Frenkel训练。外骨骼组增加下肢外骨骼机器人训练,共4周。治疗前后,采用Gait Watch三维步态分析仪、Holden步行功能分级(HFAC)对步速、步频、步长偏差等步行时空参数和步行能力进行评定;采用Berg平衡量表(BBS)、国际合作共济失调评估量表(ICARS)评价平衡功能和共济功能。结果治疗后,两组步速、步频和步长偏差均显著改善(|t|>19.676,P<0.001),BBS评分均显著提高(|t|>29.032,P<0.001),ICARS评分均显著减低(t>33.192,P<0.001);且外骨骼组优于对照组(|t|>2.284,P<0.05)。两组HFAC改善率比较无显著性差异(P>0.05)。结论下肢外骨骼机器人可促进卒中后小脑性共济失调患者的平衡和步行功能改善。 展开更多
关键词 脑卒中 小脑性共济失调 下肢外骨骼机器人 平衡功能 步行功能
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下肢康复外骨骼机器人在脑卒中患者康复中的应用进展与研究
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作者 马露雨 王兰香 +4 位作者 殷晓伟 邹慧 薛佳慧 韩文英 张玉静 《中华保健医学杂志》 2026年第3期302-306,共5页
下肢康复外骨骼机器人作为新兴技术,可有效改善脑卒中患者下肢运动功能与异常步态,提升康复效果及生活质量。刚性外骨骼技术成熟、临床应用广泛,可为严重功能障碍患者提供站立、行走等基础动作支撑;柔性外骨骼近年兴起,以其轻量化、舒... 下肢康复外骨骼机器人作为新兴技术,可有效改善脑卒中患者下肢运动功能与异常步态,提升康复效果及生活质量。刚性外骨骼技术成熟、临床应用广泛,可为严重功能障碍患者提供站立、行走等基础动作支撑;柔性外骨骼近年兴起,以其轻量化、舒适性的优势适配中轻度障碍患者居家康复。临床研究证实,该技术可提升患者步行能力、矫正偏瘫异常步态、增强平衡以降低跌倒风险,还能改善心肺功能、缓解下肢肌肉痉挛,临床价值明确。本文探讨其临床应用,并提出未来研究重点方向。 展开更多
关键词 脑卒中 下肢康复外骨骼机器人 下肢运动功能 步态康复 卒中康复
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