康复医学——下肢康复机器人研究简介.pptVIP

NeuroMove Cleared by FDA in 2001 Stroke rehab by muscle re-education Relaxation of muscle spasms (spasticity) Prevention of retardation of disuse atrophy Increase local blood circulation Maintaining or increasing ROM How it works Video: /neuromove-therapy-video/ Detects attempts below where trace movements are visible. Distinguishes between regular muscle activity, muscle tone, and real attempts. When a real attempt is detected, the unit rewards the patient with muscle contraction, visual and sensory feedback serves as an important element in relearning the movement. Very motivating, see they could make a difference, where previously, they had no indication of their attempts. More Info Concentration and focus is the key to achieving better control of motor functions Doesn’t work on confused or cognitively low patients Use 1 - 3 X/day for ~ 20 minutes; longer intervals not common Effective for spastic flaccid extremities International Functional Electrical Stimulation Society Clinical studies Classically backed by biofeedback principals Most of the studies included patients between 6 months and 14 years post-stroke, subjects were motivated and cognitively intact, and the findings were: Improvements were in form of improved strength, range-of-motion, reduced spasticity and tone, flexibility, and motor capability in general. *** Regular therapy and electrical stimulation was less than half as effective! Research resources Electrical Stimulation Driving Functional Improvements and Cortical Changes in Subjects With Stroke. (2003) Teresa J. Kimberley, Scott M. Lewis, Edward J. Auerbach, Lisa L. Dorsey, Jeanne M. Lojovich and James R. Carey, University of Minnesota. “Experimental Brain Research”. These findings suggest that NMES may have an important role in stimulating cortical sensory areas allowing for improved motor function. Electromyographically triggered electric muscle stimulation for chronic hemiplegia. (1987) R.W. Fields, Arch. Phys. Med