柔性手部康复机器人在脑卒中患者临床和居家上肢康复中的可用性研究
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南京医科大学第一附属医院神经内科

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江苏省重点研发计划重点项目(BE2023023-2)


A usability study of a soft hand rehabilitation robot for in-clinic and home-based upper limb training after stroke
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Department of Neurology, the First Affiliated Hospital of Nanjing Medical University

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the Key Project of Jiangsu Province's Key Research and Development Program (BE2023023-2)

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    摘要:

    目的:探讨一款便携式柔性手部康复机器人在脑卒中患者临床与居家上肢康复中的可用性。方法:招募13名脑卒中偏瘫患者进行手部康复机器的可用性测试。患者首先在医院接受为期2周的学习与训练,随后将设备带回家进行为期6周居家自主康复训练,每次33分钟,每天2次。训练结束后采用系统可用性量表(system usability scale,SUS)及半结构式访谈评估机器的可用性。此外,在干预前后及训练期间通过Fugl-Meyer运动功能量表上肢部分(Fugl-Meyer assessment upper extremity,FMA-UE)、行动研究手臂测试(Action Research Arm Test,ARAT)、日常生活活动量表(activities of daily living,ADL)评估患者的上肢运动功能和日常生活自理能力。结果:13名患者SUS为(85.8±10.5)分,处于“Excellent”水平。半结构式访谈结果显示,该设备操作简便、便于携带,但在连接、硬件稳定性及训练内容丰富度等方面仍有改进空间。干预结束后,部分患者FMA-UE、ARAT、ADL评分较前有所改善,达到最小临床重要差异(mini clinical important difference,MCID)。结论:柔性手部康复机器人在脑卒中偏瘫患者的临床及居家康复中具有良好的可用性和安全性,可作为脑卒中手部康复的一种潜在有效手段。

    Abstract:

    Objective: To evaluate the usability of a portable soft hand rehabilitation robot for upper limb training in patients after stroke. Methods: Thirteen stroke patients with hemiplegia were recruited to participate in a usability evaluation of the hand rehabilitation robot. Participants first received two weeks of supervised in-hospital training to learn device operation, followed by six weeks of unsupervised home-based rehabilitation (33 minutes per session, twice daily). The System Usability Scale (SUS) and semi-structured interviews were used to assess usability after completion of the intervention. Upper limb motor function and activities of daily living were evaluated at baseline and during the intervention using the Fugl-Meyer Assessment for the upper extremity (FMA-UE), the Action Research Arm Test (ARAT), and the Activities of Daily Living Scale (ADL). Results:The mean SUS score of the 13 participants was 85.8 ± 10.5, indicating an “Excellent” level of usability. Semi-structured interviews revealed that the device was easy to operate and portable, while highlighting areas requiring improvement, such as device connectivity, hardware stability, and training module diversity. After the 8-week intervention, several participants demonstrated improvements in FMA-UE, ARAT, and ADL scores compared with baseline, with changes reaching the mini clinical important difference (MCID). Conclusions:The soft hand rehabilitation robot demonstrates high usability and safety for both clinical and home-based upper limb rehabilitation in stroke survivors with hemiparesis, suggesting its potential as a promising tool for post-stroke hand rehabilitation.

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  • 收稿日期:2025-12-01
  • 最后修改日期:2026-02-02
  • 录用日期:2026-03-24
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