ЖУРНАЛ
Роботизированная реабилитация при детском церебральном параличе
Об авторах
Прашант К. Джамвал – Профессор Школы инженерии и цифровых наук Назарбаев Университета, Астана, Казахстан Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.; https://orcid.org/0000-0002-1330-6186
Амна Хаваджа – Научный сотрудник медицинского факультета Назарбаев Университета, Астана, Казахстан Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.
Дилноза Карибжанова – Научный сотрудник медицинского факультета Назарбаев Университета, Астана, Казахстан Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.; https://orcid.org/0000-0003-4285-8585
Резюме
Дети с церебральным параличом (ДЦП) сталкиваются со значительными нарушениями моторики как верхних, так и нижних конечностей, что серьезно ограничивает их способность выполнять повседневные действия. Роботизированные экзоскелеты стали многообещающим инструментом для поддержки реабилитации и улучшения двигательных функций у этой группы населения. В этой статье мы представляем две роботизированные системы, одна из которых предназначена для улучшения параметров походки, а другая - для улучшения общего равновесия у детей с ДЦП. Предполагается, что роботизированная тренировка походки улучшит пространственно-временные параметры походки, а роботизированная тренировка на основе возмущений улучшит общее равновесие (статическое, динамическое и функциональное/ постуральное) и проприоцепцию у детей с ДЦП. Благодаря нашим постоянным исследованиям мы разработали нового гибридного робота GEAR (Gait Exoskeleton-Assisted Rehabilitation), основанного на активно-пассивном механизме, конструкция которого близка к прозрачной и обеспечивает непринужденную естественную ходьбу по беговой дорожке. Мы также разработали роботизированную систему возмущения (RPS) для обучения детей с ДЦП. Мы провели первоначальные клинические испытания с использованием обеих этих роботизированных систем у детей с ДЦП и получили значительные результаты, достигшие более 20% эффекта.
Ключевые слова
Детский церебральный паралич, роботизированная реабилитация, тренировка движений, контроль равновесия, активация мышц, центр масс.
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