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題名:Effects of Robot-Assisted Bilateral Arm Training on Upper Extremity Motor Functions in Patients with Stroke: A Literature Review
書刊名:臺灣職能治療研究與實務雜誌
作者:鄭筱儒林庭安李孟達黃玉芬謝妤葳吳菁宜林克忠
作者(外文):Cheng, Hsiao-juLin, Ting-anLee, Meng-taHuang, Yu-fenHsieh, Yu-weiWu, Ching-yiLin, Keh-chung
出版日期:2014
卷期:10:2
頁次:頁115-127
主題關鍵詞:機器輔助治療中風半側偏癱復健雙側上肢訓練Robot-assisted therapyStrokeHemiparesisRehabilitationBilateral arm training
原始連結:連回原系統網址new window
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  • 點閱點閱:18
目的:本研究旨在回顧機器輔助雙側上肢訓練於中風病人動作功能之成效。方法:系統性搜尋四線上資料庫:PubMed、MEDLINE、Cochrane及Web of Science,限2008年1月至2012年12月以英文發表之文獻,並使用美國職能治療學會(American Occupational Therapy Association, AOTA)的證據力層級評估收錄文獻品質,本文呈現各篇文獻之研究設計、受試者基本資料、成效評量及介入內容。結果:本文共收錄八篇文獻(五篇臨床隨機試驗、兩篇單一受試者設計及一篇準實驗設計),其中四篇文獻於機器訓練後結合雙側功能性任務導向練習,一篇結合非侵入性經顱直流電刺激。四篇文獻結果顯示實驗組較控制組於上肢動作功能有較大成效。結論:本文支持機器輔助雙側上肢訓練於動作功能有正向成效,未來研究可進一步評估感覺功能或檢驗機器輔助雙側上肢訓練於日常生活功能及生活品質之成效。
Purpose: This study was to review effects of robot-assisted bilateral arm training on upper extremity motor functions in patients with stroke. Method: A systematic online literature search was conducted in PubMed, MEDLINE, Cochrane, and Web of Science. Studies published in English were collected from January 2008 to December 2012. Included articles were evaluated with the American Occupational Therapy Association levels of evidence. Data related to the study designs, descriptive characteristics of subjects, interventions, and outcome measures were extracted. Results: Eight articles were included: five studies were randomized controlled trials, two were single-subject design, and one was quasi-experimental study. Four studies on upper extremity incorporated bilateral functional tasks training after robotic training. One study combined non-invasive transcranial direct current stimulation to enhance additional gains. Four studies showed the experimental group had larger effects on upper extremity motor functions than the conventional therapy group. Conclusion: This review supports the positive effects of robot-assisted bilateral arm training on upper extremity motor functions. Future research is needed to evaluate sensory functions and to study the effects of robotassisted bilateral arm training on functional outcomes and quality of life.
期刊論文
1.Lieberman, D.、Scheer, J.(2002)。AOTA's evidencebased literature review project: An overview。The American Journal of Occupational Therapy,56(3),344-349。  new window
2.Kwakkel, G.、Kollen, B. J.、Wagenaar, R. C.(2002)。Long term effects of intensity of upper and lower limb training after stroke: A randomized trial。Journal of Neurology, Neurosurgery & Psychiatry,72(4),473-479。  new window
3.Masiero, S.、Celia, A.、Rosati, G.、Armani, M.(2007)。Robotic-assisted rehabilitation of the upper limb after acute stroke。Archives of Physical Medicine and Rehabilitation,88(2),142-149。  new window
4.Aarts, P. B.、Hartingsveldt, M.、Anderson, P. G.、Tillaar, I.、Burg, J.、Geurts, A. C.(2012)。The pirate group intervention protocol: Description and a case report of a modified constraint-induced movement therapy combined with bimanual rraining for young children with unilateral spastic cerebral palsy。Occupational Therapy International,19(2),76-87。  new window
5.Aarts, P. B.、Jongerius, P. H.、Geerdink, Y. A.、van Limbeek, J.、Geurts, A. C.(2011)。Modified Constraint-Induced Movement Therapy combined with Bimanual Training (mCIMT- BiT) in children with unilateral spastic cerebral palsy: How are improvements in arm-hand use established?。Research in Developmental Disabilities,32(1),271-279。  new window
6.Buschfort, R.、Brocke, J.、Hess, A.、Werner, C.、Waldner, A.、Hesse, S.(2010)。Arm studio to intensify the upper limb rehabilitation after stroke: Concept, acceptance, utilization and preliminary clinical results。Journal of Rehabilitation Medicine,42(4),310-314。  new window
7.Chae, J.、Bethoux, F.、Bohinc, T.、Dobos, L.、Davis, T.、Friedl, A.(1998)。Neuromuscular stimulation for upper extremity motor and functional recovery in acute hemiplegia。Stroke,29(5),975-979。  new window
8.Hesse, S.、Waldner, A.、Mehrholz, J.、Tomelleri, C.、Pohl, M.、Werner, C.(2011)。Combined transcranial direct current stimulation and robot-assisted arm training in subacute stroke patients: An exploratory, randomized multicenter trial。Neurorehabilitation and Neural Repair,25(9),838-846。  new window
9.Hsieh, Y. W.、Wu, C. Y.、Liao, W. W.、Lin, K. C.、Wu, K. Y.、Lee, C. Y.(2011)。Effects of treatment intensity in upper limb robot-assisted therapy for chronic stroke: A pilot randomized controlled trial。Neurorehabilitation and Neural Repair,25(6),503-511。  new window
10.Hsu, S. S.、Hu, M. H.、Wang, Y. H.、Yip, P. K.、Chiu, J. W.、Hsieh, C. L.(2010)。Dose-response relation between neuromuscular electrical stimulation and upper-extremity function in patients with stroke。Stroke,41(4),821-824。  new window
11.Hu, X. L.、Tong, K. Y.、Li, R.、Xue, J. J.、Ho, S. K.、Chen, P.(2012)。The effects of electromechanical wrist robot assistive system with neuromuscular electrical stimulation for stroke rehabilitation。Journal of Electromyography and Kinesiology,22(3),431-439。  new window
12.Huang, W. C.、Yang, C. L.、Wu, C. Y.、Lin, K. C.(2009)。Effects of different bilateral arm training in stroke rehabilitation: A literature review。Journal of Taiwan Occupational Therapy Association,27(2),29-48。  new window
13.Kang, Y. J.、Park, H. K.、Kim, H. J.、Lim, T.、Ku, J.、Cho, S.(2012)。Upper extremity rehabilitation of stroke: Facilitation of corticospinal excitability using virtual mirror paradigm。Journal of Neuro Engineering and Rehabilitation,9,71。  new window
14.Latimer, C. P.、Keeling, J.、Lin, B.、Henderson, M.、Hale, L. A.(2010)。The impact of bilateral therapy on upper limb function after chronic stroke: A systematic review。Disability and Rehabilitation,32(15),1221-1231。  new window
15.Liao, W. W.、Wu, C. Y.、Hsieh, Y. W.、Lin, K. C.、Chao, W. Y.(2012)。Effects of robot-assisted upper limb rehabilitation on daily function and real-world arm activity in patients with chronic stroke: A randomized controlled trial。Clinical Rehabilitation,26(2),111-120。  new window
16.Masiero, S.、Armani, M.、Rosati, G.(2011)。Up- per-limb robot-assisted therapy in rehabilitation of acute stroke patients: Focused review and results of new randomized controlled trial。Journal of Rehabilitation Research and Development,48(4),355-366。  new window
17.Mayo, N. E.、Wood-Dauphinee, S.、Ahmed, S.、Gordon, C.、Higgins, J.、McEwen, S.(1999)。Disablement following stroke。Disability and Rehabilitation,21(5/6),258-268。  new window
18.Norouzi-Gheidari, N.、Archambault, P. S.、Fung, J.(2012)。Effects of robot-assisted therapy on stroke rehabilitation in upper limbs: Systematic review and meta-analysis of the literature。Journal of Rehabilitation Research and Development,49(4),479-496。  new window
19.Powell, J.、Pandyan, A. D.、Granat, M.、Cameron, M.、Stott, D. J.(1999)。Electrical stimulation of wrist extensors in poststroke hemiplegia。Stroke,30(7),1384-1389。  new window
20.Rabadi, M. H.、Galgano, M.、Lynch, D.、Akerman, M.、Lesser, M.、Volpe, B. T.(2008)。A pilot study of activity-based therapy in the arm motor recovery post stroke: A randomized controlled trial。Clinical Rehabilitation,22(12),1071-1082。  new window
21.Sanguineti, V.、Casadio, M.、Vergaro, E.、Squeri, V.、Giannoni, P.、Morasso, P. G.(2009)。Robot therapy for stroke survivors: Proprioceptive training and regulation of assistance。Studies in Health Technology and Informatics,145,126-142。  new window
22.Squeri, V.、Casadio, M.、Vergaro, E.、Giannoni, P.、Morasso, P.、Sanguineti, V.(2009)。Bilateral robot therapy based on haptics and reinforcement learning: Feasibility study of a new concept for treatment of patients after stroke。Journal of Rehabilitation Medicine,41(12),961-965。  new window
23.Teasell, R. W.(1992)。Long-term sequelae of stroke。Canadian Family Physician,38,381-382+385-388。  new window
24.Trlep, M.、Mihelj, M.、Puh, U.、Munih, M.(2011)。Rehabilitation robot with patient-cooperative control for bimanual training of hemiparetic subjects。Advanced Robotics,25,1949-1968。  new window
25.Whitall, J.、Waller, S. M.、Sorkin, J. D.、Forrester, L. W.、Macko, R. F.、Hanley, D. F.(2011)。Bilateral and unilateral arm training improve motor function through differing neuroplastic mechanisms: A single-blinded randomized controlled trial。Neurore habilitation and Neural Repair,25(2),118-129。  new window
26.Wu, C. Y.、Yang, C. L.、Chuang, L. L.、Lin, K. C.、Chen, H. C.、Chen, M. D.(2012)。Effect of therapist-based versus robot-assisted bilateral arm training on motor control, functional performance, and quality of life after chronic stroke: A clinical trial。Physical Therapy,92(8),1006-1016。  new window
會議論文
1.Hu, X. L.、Tong, K. Y.、Li, R.、Chen, M.、Xue, J. J.、Ho, S. K.(201008)。Effectiveness of functional electrical stimulation (FES)-ro- bot assisted wrist training on persons after stroke。The Engineering in Medicine and Biology Society, 2010 Annual International Conference of the IEEE。San Diego, CA。  new window
圖書
1.World Health Organization(2001)。International classification of functioning, disability, and health。Geneva:World Health Organization。  new window
其他
1.Ministry of Health and Welfare(2013)。Causes of death in Taiwan, 2012,http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_ no=2747, 2013/06/10。  new window
 
 
 
 
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