康复器械在偏瘫患者肢体功能恢复中的应用

背景：大脑组织的可塑性和功能重组是偏瘫康复治疗的理论基础.偏瘫的多种康复治疗方法中,康复器械的应用具有不可或缺且日益重要的作用.目的：从不同康复器械在偏瘫康复治疗方法中的应用原理、现状、效果和今后的发展趋势角度,探索如何将康复器械更有效地应用于偏瘫的康复治疗中.方法：以＂偏瘫,偏瘫康复方法,偏瘫康复器械,矫形器,电刺激,电针＂为中文关键词,以＂hemiplegia rehabilitation,hemiplegia rehabilitation equipment,rehabilitation engineering,hemiplegia rehabilitation robot＂为英文关键词,采用计算机检索CNKI和Medline数据库1996-01/2011-08有关不同康复器械在偏瘫康复治疗中应用的相关文章,排除重复研究及Meta分析类文章,筛选纳入28篇文献进行评价.结果与结论：传统的康复器械在偏瘫康复治疗中的应用得到了加强和拓展.与此同时,将多种康复手段结合而形成的多功能复合型康复器械、将康复器械与计算机技术、生物反馈技术及趣味电脑游戏程序相结合产生的康复治疗机器人,得到了日益广泛的发展.检索结果显示,将康复器械应用于偏瘫康复治疗中,可明显提高患者患侧肢体功能恢复的速度和质量.

Application of rehabilitation equipment in functional rehabilitation of hemiplegia

BACKGROUND：Brain plasticity and functional restitution are the theoretical basis of hemiplegia rehabilitation.Rehabilitation instrument is important among approaches for hemiplegia rehabilitation.OBJECTIVE：To investigate how to effectively apply rehabilitation equipment in hemiplegia rehabilitation by discussing application theory,current condition,efficacy and future development.METHODS：A computer-based online search of CNKI and Medline database was performed for related articles published between January 1996 and August 2011 with key words ＂hemiplegia rehabilitation,hemiplegia rehabilitation equipment,rehabilitation engineering,hemiplegia rehabilitation robot＂ in English and ＂hemiplegia,hemiplegia rehabilitation,hemiplegia rehabilitation equipment,orthotics,electrostimulation,electro-acupuncture＂ in Chinese.Repetitive articles and Meta analysis were excluded,and 28 articles were included.RESULTS AND CONCLUSION：Traditional hemiplegia rehabilitation equipment has been modified in hemiplegia rehabilitation.In addition,multiple functional rehabilitation equipment by combining various approaches,and rehabilitation robot by combining rehabilitation equipment with computer,biofeedback and interest computer game program have been developed.Results showed that hemiplegia rehabilitation equipment can significantly improve recovery speed and quality of affected limb function.