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arXiv 2501.03054cs.ROphysics.med-ph
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用于跑步机训练的被动机械附加装置(P-MATE)在卒中康复中的应用

A Passive Mechanical Add-on for Treadmill Exercise (P-MATE) in Stroke Rehabilitation

TU Delft(代尔夫特理工大学);Erasmus MC(伊拉斯姆斯大学医学中心);RWTH Aachen University(亚琛工业大学)

Irene L. Y. Beck, Belle C. Hopmans, Bram Haanen, Levi Kieft, Heike Vallery, Laura Marchal-Crespo, Katherine L. Poggensee

AI总结:

针对卒中康复机器人成本高、设置慢的问题,本文设计并评估低成本被动式跑步机附加装置P-MATE,通过弹性缆索和滑轮耦合双腿运动,并由治疗师与八名健康参与者验证其可用性与改进方向。

摘要:

机器人康复能够提供高剂量步态治疗,并改善卒中后的运动功能。然而,对于许多设备而言,高昂成本和漫长的设置时间限制了其临床应用。因此,我们设计、制造并评估了用于跑步机训练的被动机械附加装置(Passive Mechanical Add-on for Treadmill Exercise,P-MATE),这是一种低成本的跑步机被动末端执行器附加装置,通过由弹性缆索和滑轮组成的往复系统,将患侧腿与非患侧腿的运动耦合起来。研究设计了两种人机机械接口,用于将弹性缆索连接到使用者身上。P-MATE及两种接口原型由一名物理治疗师和八名无损伤参与者进行了测试。研究采集了包括运动学和相互作用力在内的生物力学数据,同时使用标准化问卷评估可用性和用户体验。两种接口都能快速、轻松地安装,但用户体验存在差异,这凸显了个性化的必要性。我们还确定了未来需要改进的方面,包括预张力调节、防止腱索脱轨,以及理解其对用户步态的长期影响。我们的初步发现强调了P-MATE在提供有效、可及且可持续的卒中步态康复方面的潜力。

英文摘要:

Robotic rehabilitation can deliver high-dose gait therapy and improve motor function after a stroke. However, for many devices, high costs and lengthy setup times limit clinical adoption. Thus, we designed, built, and evaluated the Passive Mechanical Add-on for Treadmill Exercise (P-MATE), a low-cost passive end-effector add-on for treadmills that couples the movement of the paretic and non-paretic legs via a reciprocating system of elastic cables and pulleys. Two human-device mechanical interfaces were designed to attach the elastic cables to the user. The P-MATE and two interface prototypes were tested with a physical therapist and eight unimpaired participants. Biomechanical data, including kinematics and interaction forces, were collected alongside standardized questionnaires to assess usability and user experience. Both interfaces were quick and easy to attach, though user experience differed, highlighting the need for personalization. We also identified areas for future improvement, including pretension adjustments, tendon derailing prevention, and understanding long-term impacts on user gait. Our preliminary findings underline the potential of the P-MATE to provide effective, accessible, and sustainable stroke gait rehabilitation.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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