双重减重智能步态康复水疗训练系统的设计与研发
摘要
<正>中枢神经系统损伤如脑卒中和脊髓损伤等造成的肌张力过高、姿势异常[1],肌力下降及下肢骨关节病等造成的关节活动受限,严重影响了患者的日常生活尤其是行走功能,大大降低了患者的生活质量和信心。但在医疗资源相对紧张的情况下,较少的康复治疗师的数量与庞大的康复患者群体的需要的矛盾日益突显[2-4]。我国康复医疗器械市场随着康复事业的发展而迅速发展,水疗也是康复医学研究的一大方向,并且对下
引文
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[7]郝重耀,杨发明,齐江敏.艾灸联合水中运动疗法干预脑卒中后偏瘫痉挛状态的临床研究[J].山西医药杂志,2016,45(15):1783-1786.
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[10]罗贤彪.水中运动疗法在大面积烧伤患者运动功能康复的效果[J].世界最新医学信息文摘,2017,17(90):189-190.
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[22]刘畅,郄淑燕,王寒明,等.下肢康复机器人对脑卒中偏瘫患者下肢运动功能与步行能力的效果[J].中国康复理论与实践,2017,23(6):696-700.
[23] Weeks D L,Greer C L,Bray B S,et al. Association of Antidepressant Medication Therapy With Inpatient Rehabilitation Outcomes for Stroke,Traumatic Brain Injury,or Traumatic Spinal Cord Injury[J].Archives of Physical Medicine&Rehabilitation,2011,92(5):683-695.
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[25]王俊,杨振辉,刘海兵,等.下肢康复机器人在脑卒中患者步行障碍中的应用和研究进展[J].中国康复医学杂志,2014,29(8):784-788.
[26]潘德祥,张雯,金海涛.中药熏洗治疗脑卒中后肩手综合征80例[J].中医外治杂志,2010,19(1):32-33.
[27]王志华,冯莉.中药促进透皮吸收作用研究近况[J].天津中医药大学学报,2002,21(1):39-41.
[28]刘林亚,杨光,理同新,等.中药熏洗对运动机体血液流变学的影响[J].中国组织工程研究,2001,5(19):127-127.
[29]金龙,丛芳,司凤山,等.温水浴和热水浴对膝关节活动受限的疗效比较[J].中国康复理论与实践,2012,18(5):461-462.
[30]戴清月,赖靖慧,程熙.减重步行训练对脑卒中偏瘫患者步行能力影响的系统评价[J].按摩与康复医学,2017,8(3):15-17.
[31]沙蕉,顾茜,刘芳,等.早期减重步态训练对前交叉韧带重建术后下肢步行功能的影响[J].中国康复医学杂志,2015,30(2):138-142.
[32]冯杰扬,陈杨葭,郭磊,等.减重步行训练对不完全脊髓损伤大鼠脚桥核可塑性影响的研究[J].中国康复医学杂志,2017,32(6):624-630.
[33] Zhao BL1 Li WT,Zhou XH,et al. Effective robotic assistive pattern of treadmill training for spinal cord injury in a rat model[J]. Experrimental and Therapeutic Medicine,2018,15(4):3283-3294.
[34]冯杰扬,陈杨葭,郭磊,等.减重步行训练对不完全脊髓损伤大鼠脚桥核可塑性影响的研究[J].中国康复医学杂志,2017,32(6):624-630.
[35] Jung T,Lee D,Charalambous C,et al. The influence of applying additional weight to the affected leg on gait patterns during aquatic treadmill walking in people poststroke[J]. Arch Phys Med Rehabil,2010,91(1):129-136.
[36]刘艺,黄敬.脑卒中偏瘫患者3种步行训练方法的效果比较[J].中国康复理论与实践,2014,20(3):272-275.
[37]张昆龙,徐莉.水中运动技术在康复治疗中的新进展[J].中国疗养医学,2013,22(7):577-580.
[2]李建军,杨明亮,王方永,等.我国康复服务的未来发展方向探讨[J].中国康复理论与实践,2008,14(11):1081-1082.
[3]梁娟,林成杰.我国脑卒中患者社区康复探讨[J].中国康复,2012,27(4):316-318.
[4]王洪强.现代综合医院康复医学科发展前景展望[J].中国医学创新,2012,9(17):153-154.
[5]黄长琴,钟艳.脑卒中患者运动功能障碍康复治疗新进展[J].检验医学与临床,2017,14(3):449-451.
[6]卢昌亚.水疗的康复效应、作用机制及其进展[J].中国组织工程研究,2001,5(15):22-23.
[7]郝重耀,杨发明,齐江敏.艾灸联合水中运动疗法干预脑卒中后偏瘫痉挛状态的临床研究[J].山西医药杂志,2016,45(15):1783-1786.
[8] Furnari A,CalabròR S,Gervasi G,et al. Is hydrokinesitherapy effective on gait and balance in patients with stroke? A clinical and baropodometric investigation[J]. Brain Injury,2014,28(8):1109-1114.
[9]周圆,林海丹,何成奇.运动疗法治疗膝骨性关节炎临床研究的国外研究进展[J].中国康复医学杂志,2015,30(12):1306-1309.
[10]罗贤彪.水中运动疗法在大面积烧伤患者运动功能康复的效果[J].世界最新医学信息文摘,2017,17(90):189-190.
[11]吴琼,张通,丛芳,等.健康成人水中平板步行运动分析[J].中国康复理论与实践,2017,23(1):63-67.
[12] Stevens SL,Caputo JL,Fuller DK,et al. Effects of underwater treadmill training on leg strength,balance,and walking performance in adults with incomplete spinal cord injury[J]. J Spinal Cord Med,2015,38(1):91-101.
[13] Lee DG,Jeong SK,Kim YD. Effects of underwater treadmill walking training on the peak torque of the knee in hemiplegic patients[J]. J Phys Ther Sci,2015,27(9):2871-2873.
[14]王莉,戴朝秦.水中强化步行训练对脑卒中偏瘫患者步行能力恢复的影响[J].中国康复医学杂志,2014,29(1):76-78.
[15] Fujishima K,Shimizu T,Ogaki T,et al. Thermoregulatory responses to low-intensity prolonged swimming in water at various temperatures and treadmill walking on land[J]. J Physiol Anthropol Appl Human Sci,2001,20(3):199-206.
[16] Gass EM,Gass GC,Pitetti K. Thermoregulatory responses to exercise and warm water immersion in physically trained men with tetraplegia[J]. Spinal Cord,2002,40(9):474-480.
[17]吴琼,丛芳,周红俊,等.水中平板步行训练在脊髓损伤患者康复中的应用[J].中国康复理论与实践,2010,16(3):216-218.
[18]毛立伟,赵梦飞,潘化平,等.水中平板运动训练对中老年超重患者心肺功能以及运动能力影响的研究[J].中国康复医学杂志,2017,32(9):1021-1025.
[19]刘晓冬,董继革,孙丽.减重平板步行训练对脑卒中偏瘫患者下肢运动功能的影响[J].中国现代医学杂志,2013,23(21):85-88.
[20] Hoyer E,Jahnsen R,Stanghelle JK,et al. Body weight supported treadmill training versus traditional training in patients dependent on walking assistance after stroke:a randomized controlled trial[J]. Disabil Rehabil,2012,34(3):210-219.
[21]郑彭,黄国志.下肢康复机器人在脑卒中患者运动功能障碍中的应用进展[J].中国康复医学杂志,2017,32(6):716-719.
[22]刘畅,郄淑燕,王寒明,等.下肢康复机器人对脑卒中偏瘫患者下肢运动功能与步行能力的效果[J].中国康复理论与实践,2017,23(6):696-700.
[23] Weeks D L,Greer C L,Bray B S,et al. Association of Antidepressant Medication Therapy With Inpatient Rehabilitation Outcomes for Stroke,Traumatic Brain Injury,or Traumatic Spinal Cord Injury[J].Archives of Physical Medicine&Rehabilitation,2011,92(5):683-695.
[24] Ching-yi Wu,Li-ling Chuang,Keh-chung Lin,et al. Responsiveness,minimal detectable change,and minimal clinically important difference of the Nottingham Extended Activities of Daily Living Scale in patients with improved performance after stroke rehabilitation[J]. Archives of Physical Medicine and Rehabilitation,2011,92(8):1281-1287.
[25]王俊,杨振辉,刘海兵,等.下肢康复机器人在脑卒中患者步行障碍中的应用和研究进展[J].中国康复医学杂志,2014,29(8):784-788.
[26]潘德祥,张雯,金海涛.中药熏洗治疗脑卒中后肩手综合征80例[J].中医外治杂志,2010,19(1):32-33.
[27]王志华,冯莉.中药促进透皮吸收作用研究近况[J].天津中医药大学学报,2002,21(1):39-41.
[28]刘林亚,杨光,理同新,等.中药熏洗对运动机体血液流变学的影响[J].中国组织工程研究,2001,5(19):127-127.
[29]金龙,丛芳,司凤山,等.温水浴和热水浴对膝关节活动受限的疗效比较[J].中国康复理论与实践,2012,18(5):461-462.
[30]戴清月,赖靖慧,程熙.减重步行训练对脑卒中偏瘫患者步行能力影响的系统评价[J].按摩与康复医学,2017,8(3):15-17.
[31]沙蕉,顾茜,刘芳,等.早期减重步态训练对前交叉韧带重建术后下肢步行功能的影响[J].中国康复医学杂志,2015,30(2):138-142.
[32]冯杰扬,陈杨葭,郭磊,等.减重步行训练对不完全脊髓损伤大鼠脚桥核可塑性影响的研究[J].中国康复医学杂志,2017,32(6):624-630.
[33] Zhao BL1 Li WT,Zhou XH,et al. Effective robotic assistive pattern of treadmill training for spinal cord injury in a rat model[J]. Experrimental and Therapeutic Medicine,2018,15(4):3283-3294.
[34]冯杰扬,陈杨葭,郭磊,等.减重步行训练对不完全脊髓损伤大鼠脚桥核可塑性影响的研究[J].中国康复医学杂志,2017,32(6):624-630.
[35] Jung T,Lee D,Charalambous C,et al. The influence of applying additional weight to the affected leg on gait patterns during aquatic treadmill walking in people poststroke[J]. Arch Phys Med Rehabil,2010,91(1):129-136.
[36]刘艺,黄敬.脑卒中偏瘫患者3种步行训练方法的效果比较[J].中国康复理论与实践,2014,20(3):272-275.
[37]张昆龙,徐莉.水中运动技术在康复治疗中的新进展[J].中国疗养医学,2013,22(7):577-580.