Author/Editor		Groleger Sršen, Katja
Title		Učinkovitost robotsko podprte vadbe za izboljšanje funkcije roke pri otroku z okvaro osrednjega živčevja
Translated title		Efficiency of robot-assisted training for improving hand and arm function in a child with brain impairment
Type		članek
Source		In: Moderne tehnologije v rehabilitaciji : zbornik predavanj : proceedings Ljubljana : Univerzitetni rehabilitacijski inštitut Republike Slovenije - Soča
Vol. and No.		Letnik 21, št. supl. 1
Publication year		2022
Volume		str. 88-95
Language		slv
Abstract		Izhodišča: Za izboljšanje funkcije roke pri otroku s hemiparetično obliko cerebralne paralize je na voljo več terapevtskih metod, od terapije z omejevanjem funkcije neokvarjene roke in vadbe soročnih aktivnosti do uporabe toksina botulina in ortoz. V zadnjem času se uveljavlja tudi robotsko podprta vadba v navideznem okolju, ki omogoča večje število ponovitev usmerjenih gibov roke, kar naj bi prispevalo k izboljšanju funkcije. S pregledom literature smo želeli preveriti, koliko so stari otroci, ki jih po svetu vključujejo v vadbo na tej napravi, s katerimi diagnozami, kakšen je protokol dela in katere teste uporabljajo za oceno izboljšanja funkcije roke. Metode: V zbirki PubMed smo s pomočjo ključnih besed »otrok«, »roka«, »robotsko podprta vadba«, »Armeo«, »rehabilitacija« poiskali vse članke, ki so bili objavljeni do 31. 1. 2022. Dodatne članke smo iskali na spletni strani proizvajalca. Rezultati: Našli smo 65 različnih člankov, vendar jih je le osem ustrezalo vključitvenim merilom. Na spletni strani proizvajalca smo našli še šest člankov o rabi naprave pri otrocih, od tega so bili glede na prvo iskanje novi trije. V raziskave vključeni otroci so bili večinoma najstniki, mlajši pa stari vsaj pet ali šest let. Prevladovala je diagnoza cerebralna paraliza. Posamezna vadba na robotski napravi večinoma traja do 45 minut, od 2x do 5x/teden, štiri tedne. Za oceno vpliva na funkcijo roke so avtorji novejših raziskav najpogosteje uporabili Melbournski test za oceno enostranske funkcije roke in Test za oceno kakovosti funkcije zgornjega uda. Avtorji vključenih raziskav so potrdili učinkovitost robotsko podprte vadbe. Zaključek: Vadba na napravi Armeo Spring Pediatric se vedno bolj uveljavlja v programih rehabilitacije otrok z enostransko okvaro funkcije roke v sklopu cerebralne paralize, pa tudi po nezgodni poškodbi in drugih okvarah možganov. Avtorji večine raziskav so poročali o pomembnem izboljšanju funkcije roke. Izboljšanje so ugotovili tudi na področju izvedbe izbranih ciljev in zadovoljstva z izvedbo.Background: Several therapeutic methods are available to improve hand function in a child with hemiparetic cerebral palsy, from constraint- induced manual therapy and bimanual therapy, to the use of botulinum toxin and orthoses. Recently, robot-assisted exercise in virtual environment has also become popular. It enables a high number of repetitions of directed hand movements, which should contribute to improving function. By reviewing the literature, we wanted to check what is the age of children included in the exercise on the ArmeoSpring Pediatric device, what are their diagnoses, what is the work protocol and what tests are used to assess the improvement of hand function. Methods: We searched the PubMed database for all articles that were published until 31st January 2022 using the with keywords »child«, »arm«, »robot-supported exercise«, »Armeo« and »rehabilitation«. Additional articles were found on the manufacturer's website. Results: We found 65 articles, but only eight of them met the inclusion criteria. On the manufacturer's website, we found six additional articles, three of which were new with respect to the first search. The included children were mostly teenagers, and the younger ones were at least five or six years old. The diagnosis of cerebral palsy was predominant. Individual training on a robotic device mostly lasts up to 45 minutes, from 2 to 5 times per week, for four weeks. To assess the impact on arm function, the authors of the most recent studies mainly used the Melbourne Assessment of Unilateral Lateral Hand Function and the Quality of Upper Extremity Skills Test. The authors of the included studies confirmed the effectiveness of robot-assisted exercise. Conclusion: Training on the Armeo Spring Pediatric device is gaining ground in rehabilitation programs for children with unilateral hand dysfunction as part of cerebral palsy, as well as after traumatic brain injury and other brain impairments. The authors of most studies have reported significant improvements in arm function. Improvements were also observed in the implementation of selected objectives and satisfaction with the implementation.
Descriptors		Child Robotics rehabilitation rehabilitation
Keywords		otrok hemipareza roka funkcija robotsko podprta vadba ArmeoSpring child hemiparesis hand function robot-supported exercise ArmeoSpring