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外科研究与新技术(中英文) ›› 2025, Vol. 14 ›› Issue (2): 101-106.doi: 10.3969/j.issn.2095-378X.2025.02.001

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末端牵引式与外骨骼式上肢康复机器人研究进展与临床应用

侍伟伟1, 靳令经2   

  1. 1.上海市养志康复医院(上海市阳光康复中心)采购部,上海 201619;
    2.上海市养志康复医院(上海市阳光康复中心)院部,上海 201619
  • 收稿日期:2025-03-07 出版日期:2025-06-28 发布日期:2025-07-07
  • 通讯作者: 靳令经,电子信箱:lingjingjin@163.com
  • 基金资助:
    中国残联课题(2024CDPFAT-14); 上海市康复医学重中之重研究中心(2023ZZ02027); 上海市级医院示范性研究型病房(SHDC2023CRW018B); 市级医院诊疗技术推广及优化管理项目-上海市级医院康复医学科专科联盟资助(SHDC22023304); 同济大学“医学+X”交叉研究项(2025-0648-YB-08)

Review on research development and clinical application of terminal traction and exoskeleton upper limb rehabilitation robots

SHI Weiwei1, JIN Lingjing2   

  1. 1. Purchasing Department, Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Shanghai 201619, China;
    2. Dean’s Office, Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Shanghai 201619, China
  • Received:2025-03-07 Online:2025-06-28 Published:2025-07-07

摘要: 随着全球老龄化加剧以及中风、创伤性脑损伤等神经系统疾病发病率攀升,上肢康复需求日益迫切。传统康复手段受限于治疗师资源短缺、治疗强度与效果难以量化等问题,而上肢康复机器人为解决这些难题提供了新方向。本文系统综述了末端牵引型和外骨骼型上肢康复机器人的研究进展与临床应用现状。通过对相关文献的深入分析,梳理了两类机器人的技术特点、临床疗效及应用场景。研究发现,上肢康复机器人在改善上肢运动功能障碍患者的肢体功能、提升日常生活活动能力方面展现出积极潜力,在短期和长期康复治疗中均取得一定成效,但仍缺乏可与传统康复方法进行对比的大规模、长期研究数据支撑。目前,该领域面临设备成本高昂、操作复杂、临床验证不足等挑战。未来,亟须通过人工智能、生物力学与传感器技术的交叉融合,提升康复机器人的智能化水平、适应性和经济性,开发更贴合患者需求的人性化产品,从而推动其在临床实践中的广泛应用,切实提高上肢功能障碍患者的生活质量 。

关键词: 上肢康复机器人, 末端牵引式, 外骨骼式, 研究进展, 临床应用

Abstract: With the aggravation of global aging and the increase of incidence rate of stroke, traumatic brain injury, and other neurological diseases, the need for upper limb rehabilitation is increasingly urgent. Traditional rehabilitation methods are limited by the shortage of therapist resources and the difficulty in quantifying treatment intensity and effectiveness. However, upper limb rehabilitation robots provide a new direction to solve these problems. This article systematically reviewed the research progress and clinical application status of terminal traction and exoskeleton upper limb rehabilitation robots. Through in-depth analysis of relevant literature, the technical characteristics, clinical efficacy, and application scenarios of these two types of robots were summarized. Research has found that upper limb rehabilitation robots have shown positive potential in improving limb function and enhancing daily living activities in patients with upper limb motor dysfunction, and have achieved certain results in both short-term and long-term rehabilitation treatments, but there is still a lack of large-scale, long-term research data support to compare with traditional rehabilitation methods. At present, this field is facing challenges such as high equipment costs, complex operations, and insufficient clinical validation. In the future, there is an urgent need to enhance the intelligence, adaptability, and cost-effectiveness of rehabilitation robots through the integration of artificial intelligence, biomechanics, and sensor technology, and to develop user-friendly products that better meet the needs of patients. This will promote the widespread application of rehabilitation robots in clinical practice and effectively improve the quality of life of patients with upper limb dysfunction.

Key words: Upper limb rehabilitation robot, Terminal traction, Exoskeleton, Research progress, Clinical application

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