一种用于脑卒中康复的智能机械臂

Li-Qun Zhang, Hyung‐Soon Park, Y. Ren
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引用次数: 52

摘要

中风后患者的手臂损伤同时涉及肩、肘和腕。患者可能在多个关节出现痉挛和活动范围缩小,多个关节之间和多个自由度(DOF)之间的耦合异常。他们可能会失去对单个关节的独立控制和关节之间的协调。本项目旨在开发一种全臂智能康复机器人,该机器人可以单独控制肩部、肘部和手腕,同时允许躯干运动,具有以下综合功能:1)具有独特的诊断能力,可判断哪些关节、哪些dof的神经力学特性发生了显著变化,哪些关节失去了独立控制,哪些是异常耦合,问题是由于被动肌肉特性的变化还是主动控制能力的变化;2)根据诊断结果,在智能控制下对痉挛/变形关节进行强力拉伸,使特定僵硬关节/自由度松动;3)随着僵硬关节的松动,患者在机器人的帮助下进行自主功能运动,以恢复/提高运动控制能力;4)在单个关节、多个关节/自由度和整个手臂的水平上定量评估结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Developing an Intelligent Robotic Arm for Stroke Rehabilitation
Arm impairments in patients post stroke involve the shoulder, elbow and wrist simultaneously. Patients may develop spasticity and reduced range of motion (ROM) at the multiple joints with abnormal couplings between the multiple joints and between the multiple degrees of freedom (DOF). They may lose independent control of individual joints and coordination among the joints. This project is aimed at developing a whole arm intelligent rehabilitation robot capable of controlling the shoulder, elbow, and wrist individually and simultaneously while allowing trunk motions, with the following integrated features: 1) it has unique diagnostic capabilities to determine which joints and which DOFs have significant changes in the neuromechanical properties, which joints lose independent control, what are the abnormal couplings, and whether the problem is due to changes in passive muscle properties or active control capabilities; 2) based on the diagnosis, it stretches the spastic/deformed joints forcefully under intelligent control to loosen up the specific stiff joints/DOFs; 3) with the stiff joints loosened up, the patients practice voluntary functional movements with assistance from the robot to regain/improve their motor control capability; and 4) the outcome is evaluated quantitatively at the levels of individual joints, multiple joints/DOFs, and the whole arm.
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