北京大学学报（医学版）2018，Vol.50Issue(2)：207-212,6.DOI:10.3969/j.issn.1671-167X.2018.02.002
机器人辅助脑瘫儿童踝关节康复临床初步研究
Preliminary study of robot-assisted ankle rehabilitation for children with cerebral palsy
摘要
Abstract
Objective:To propose a kind of robotic ankle-foot rehabilitation system for children with cerebral palsy and to preliminarily verify its feasibility in clinical application.Methods:A robot assisted ankle-foot rehabilitation system was specially designed and developed for children with cerebral palsy and a preliminary clinical study was conducted in Department of Rehabilitation Medicine,Peking University First Hospital.Modified Tardieu Scale and joint biomechanical properties (ankle plantar flexion resistance torque under different ankle dorsiflexion angles) were measured to analyze the muscle tone and soft tissue compliance of the ankle plantar flexors pre-and post-robotic training intervention.Six children with cerebral palsy (4 girls and 2 boys,mean age:7 years) were recruited in this study.Each subject received 5 session robotic training and each session included 10-cycle passive stretching and static hold.SPSS 19.0 software was used for data statistical analysis.Results:Both R1 and R2 angles of Modified Tardieu Scale for ankle plantar flexors after training were significantly higher than those before the treatments (Gastrocnemius:PR1 =0.003,PR2 =0.029;Soleus:PR1 =0.002,PR2 =0.034).The difference between R2 and R1 was of no statistical difference before and after the training (P =0.067 and P =0.067,respectively).After training,the ankle plantar flexion resistance torque under different dorsiflexion angles (0°,10°,20°,30°) were significantly reduced than those before training (P =0.001,P =0.001,P =0.014,P =0.002,respectively).Conclusion:The robot assisted ankle-foot rehabilitation system can improve the contracture and soft tissue compliance of cerebral palsy children's ankle plantar flexors.All thc children in the study were well tolerated and interested with the training,easy to accept and cooperate with it.This device may be suitable for application in the rehabilitation of children with cerebral palsy.However,further randomized clinical trials with larger sample size are still needed to verify the long term efficacy of this device.关键词
机器人/运动康复/踝关节/脑性瘫痪/儿童Key words
Robotics/Motor rehabilitation/Ankle joint/Cerebral palsy/Child分类
医药卫生引用本文复制引用
王荣丽,周志浩,席宇诚,王启宁,王宁华,黄真..机器人辅助脑瘫儿童踝关节康复临床初步研究[J].北京大学学报（医学版）,2018,50(2):207-212,6.基金项目
北京市科技计划课题(Z151100003715001)和北京大学医学-工学交叉学科种子基金项目(BMU20140405)资助 Supported by Beijing Municipal Science and Technology Project (Z151100003715001) and Peking University Seed Fund for Medicine-Engineering Interdisciplinary Research Project (BMU20140405) （Z151100003715001）
