Objective:To explore the rehabilitation effect of upper limb rehabilitation robots combined with isokinetic muscle strength training on hemiplegic patients in the recovery phase of stroke,and to provide a more effecti...Objective:To explore the rehabilitation effect of upper limb rehabilitation robots combined with isokinetic muscle strength training on hemiplegic patients in the recovery phase of stroke,and to provide a more effective intervention plan for clinical rehabilitation treatment.Methods:One hundred and sixty type 2 stroke patients with hemiplegia in recovery phase treated at Jintan First People’s Hospital from May 2020 to May 2025 were selected as the research subjects.They were divided into a control group(n=80)and an observation group(n=80)using a random number table method.The control group received isokinetic muscle strength training,while the observation group received additional upper limb rehabilitation robot-assisted intervention based on the control group’s treatment.The general information(age,gender,course of disease),Brunnstrum staging,Barthel index,FMA score,and facial expression pain score were compared between the two groups.Results:After treatment,the indicators of both groups improved compared to before treatment.The observation group showed significant advantages in improving various indicators.In terms of Brunnstrum staging,the number of patients in stage IV and above was significantly higher than that in the control group;in terms of the Barthel index,the increase was more significant than that of the control group(P=0.000<0.001).In terms of the FMA score,the increase was more pronounced(P=0.000<0.001);and in terms of facial expression pain assessment,the decrease was more evident(P=0.000<0.01).Conclusion:The combination of upper limb rehabilitation robots and isokinetic muscle strength training can significantly improve the recovery of limb function and activities of daily living in hemiplegic patients during the recovery phase of stroke,and reduce pain.Compared with simple isokinetic muscle strength training,the rehabilitation effect is better,and it is worthy of clinical application.展开更多
Muscle strength training can effectively reduce muscle atrophy,activate muscle tissue and promote muscle strength recovery and growth.Based on our previous research,we developed four muscle strength training strategie...Muscle strength training can effectively reduce muscle atrophy,activate muscle tissue and promote muscle strength recovery and growth.Based on our previous research,we developed four muscle strength training strategies by further imitating the clinical muscle strength training methods,namely,Isokinetic centriPetal-centriPetal Exercise(IPPE),Isokinetic centriPetal-centriFuge exercise(IPFE),Isokinetic centriFuge-centriPetal Exercise(IFPE)and Isokinetic centriFuge-centriFuge Exercise(IFFE).To quantitatively evaluate the performance of the developed strategies,experiments were carried out with elbow and knee joints as examples,and muscle Endurance Ratio(ER),Flexion and Extension torque ratio(F/E)and the degree of muscle activation were extracted and calculated based on angle/torque and Surface ElectroMyoGraphy(sEMG)signals.Experimental results showed that the ER value of IFFE was significantly reduced compared with IPPE,while the F/E value of IFPE was significantly increased;this suggests that muscle centrifugation corresponds to higher training intensity;In addition,flexor and extensor muscle groups showed different levels of muscle activation in different training strategies.The results reveal that combining different muscle movement characteristics,isokinetic exercise can exert special muscle strength training effects.The study can lay the foundation for exploring subject-specific adaptive muscle strength training strategies to better adapt to different levels of muscle strength.展开更多
Different from limb rehabilitation training,the purpose of muscle strength training is to reduce muscle atrophy and increase muscle strength and tolerance through strength training of limb muscles,and then improve the...Different from limb rehabilitation training,the purpose of muscle strength training is to reduce muscle atrophy and increase muscle strength and tolerance through strength training of limb muscles,and then improve the muscle strength level of muscles(groups),mainly for sports fitness and muscle strengthening groups and patients with muscle atrophy or muscle weakness caused by various diseases.In this paper,we developed a new reconfigurable muscle strength training robot,a bionic robot by imitating physicians to conduct muscle strength training for patients,which was developed with six training modes for 17 joint movements,that is,the shoulder flexion/extension,the shoulder internal/external rotation,the shoulder adduction/abduction,the elbow flexion/extension,the wrist supination/pronation,the wrist flexion/extension,the wrist radial/ulnar deviation,the hip flexion/extension,the hip internal/external rotation,the hip adduction/abduction,the knee flexion/extension,the ankle dorsiflexion/plantarflexion,the ankle adduction/abduction,the ankle inversion/eversion,the waist flexion/extension,the waist left/right rotation,and the waist left/right flexion.The reconfigurable mechanism was designed with fully electric adjuster and reconfigurable adaptors deployed on the driving unit,and six training modes were developed,namely,continuous passive motion,active exercise,passive–active exercise,isotonic exercise,isometric exercise and isokinetic exercise.Experiments with knee joint and elbow joint have shown that the developed reconfigurable muscle strength training robot can realize the multi-mode trainings for the 17 joint movements.展开更多
基金Changzhou Applied Basic Research Program(Project No.:CJ20241042)。
文摘Objective:To explore the rehabilitation effect of upper limb rehabilitation robots combined with isokinetic muscle strength training on hemiplegic patients in the recovery phase of stroke,and to provide a more effective intervention plan for clinical rehabilitation treatment.Methods:One hundred and sixty type 2 stroke patients with hemiplegia in recovery phase treated at Jintan First People’s Hospital from May 2020 to May 2025 were selected as the research subjects.They were divided into a control group(n=80)and an observation group(n=80)using a random number table method.The control group received isokinetic muscle strength training,while the observation group received additional upper limb rehabilitation robot-assisted intervention based on the control group’s treatment.The general information(age,gender,course of disease),Brunnstrum staging,Barthel index,FMA score,and facial expression pain score were compared between the two groups.Results:After treatment,the indicators of both groups improved compared to before treatment.The observation group showed significant advantages in improving various indicators.In terms of Brunnstrum staging,the number of patients in stage IV and above was significantly higher than that in the control group;in terms of the Barthel index,the increase was more significant than that of the control group(P=0.000<0.001).In terms of the FMA score,the increase was more pronounced(P=0.000<0.001);and in terms of facial expression pain assessment,the decrease was more evident(P=0.000<0.01).Conclusion:The combination of upper limb rehabilitation robots and isokinetic muscle strength training can significantly improve the recovery of limb function and activities of daily living in hemiplegic patients during the recovery phase of stroke,and reduce pain.Compared with simple isokinetic muscle strength training,the rehabilitation effect is better,and it is worthy of clinical application.
基金supported in part by the Beijing Natural Science Foundation under Grant Nos.3232004 and 3222002in part by the National Natural Science Foundation of China under Grant Nos.62373010 and 52175001.
文摘Muscle strength training can effectively reduce muscle atrophy,activate muscle tissue and promote muscle strength recovery and growth.Based on our previous research,we developed four muscle strength training strategies by further imitating the clinical muscle strength training methods,namely,Isokinetic centriPetal-centriPetal Exercise(IPPE),Isokinetic centriPetal-centriFuge exercise(IPFE),Isokinetic centriFuge-centriPetal Exercise(IFPE)and Isokinetic centriFuge-centriFuge Exercise(IFFE).To quantitatively evaluate the performance of the developed strategies,experiments were carried out with elbow and knee joints as examples,and muscle Endurance Ratio(ER),Flexion and Extension torque ratio(F/E)and the degree of muscle activation were extracted and calculated based on angle/torque and Surface ElectroMyoGraphy(sEMG)signals.Experimental results showed that the ER value of IFFE was significantly reduced compared with IPPE,while the F/E value of IFPE was significantly increased;this suggests that muscle centrifugation corresponds to higher training intensity;In addition,flexor and extensor muscle groups showed different levels of muscle activation in different training strategies.The results reveal that combining different muscle movement characteristics,isokinetic exercise can exert special muscle strength training effects.The study can lay the foundation for exploring subject-specific adaptive muscle strength training strategies to better adapt to different levels of muscle strength.
基金supported in part by the National Key R&D Program of China(No.2018YFB1307004)in part by the National Natural Science Foundation of China(Nos.61903011 and 52175001)。
文摘Different from limb rehabilitation training,the purpose of muscle strength training is to reduce muscle atrophy and increase muscle strength and tolerance through strength training of limb muscles,and then improve the muscle strength level of muscles(groups),mainly for sports fitness and muscle strengthening groups and patients with muscle atrophy or muscle weakness caused by various diseases.In this paper,we developed a new reconfigurable muscle strength training robot,a bionic robot by imitating physicians to conduct muscle strength training for patients,which was developed with six training modes for 17 joint movements,that is,the shoulder flexion/extension,the shoulder internal/external rotation,the shoulder adduction/abduction,the elbow flexion/extension,the wrist supination/pronation,the wrist flexion/extension,the wrist radial/ulnar deviation,the hip flexion/extension,the hip internal/external rotation,the hip adduction/abduction,the knee flexion/extension,the ankle dorsiflexion/plantarflexion,the ankle adduction/abduction,the ankle inversion/eversion,the waist flexion/extension,the waist left/right rotation,and the waist left/right flexion.The reconfigurable mechanism was designed with fully electric adjuster and reconfigurable adaptors deployed on the driving unit,and six training modes were developed,namely,continuous passive motion,active exercise,passive–active exercise,isotonic exercise,isometric exercise and isokinetic exercise.Experiments with knee joint and elbow joint have shown that the developed reconfigurable muscle strength training robot can realize the multi-mode trainings for the 17 joint movements.
