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雙和醫院提供中風復健的新選擇「邊玩邊復健」

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  雙和醫院提供中風復健的新選擇「邊玩邊復健」 雙和醫院日前引進義大利進口的「Gloreha」,機器連接纜線手 套,配合螢幕 3D 動畫中的遊戲畫面,使患者增加抓握練習以及 提升練習的趣味性,結合多種治療模式,包括單側或雙側被動抓握、主動抓握。 復健醫學部黃士瑋說明,使用手臂支撐架可協助個案手 臂抬高以利抓放動作;而被動協助模式,患者可輕易抓 放積木;雙側訓練模式可藉由好手動作帶動患側手抓放 骰子。他表示,一般人中風後導致上肢功能受損,其症 狀包含半側偏癱、異常張力、體感覺受損等,造成日常 生活需要他人協助。隨著科技的進步,有越來越多的中 風復健治療以及日常生活的協助運用上肢機器手臂來訓練其動作。 【右圖:雙和醫院復健部黃士瑋醫師】 【下左圖:雙側訓練模式可藉由好手動作帶動患側手抓放骰子】 【下右圖:使用手臂支撐架協助個案手臂抬高以利抓放動作】

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  李欣潔、郭芬伶職能治療師也指出,過去的機器手臂多著重在肩膀、手肘等大動作 上的輔助訓練,較少針對手指動作的訓練,這使得上肢功能嚴重損傷的患者難以促 進其抓握能力。現在上肢功能受損者可以透過機器手臂輔助完成所需的動作,使用 患側練習,結合視覺、身體感覺、心像練習等要素,使得大腦動作皮質獲得正向回 饋,增加大腦損傷區域再重組,同時輔以虛擬實境復健,增加復健中的娛樂性及患 者本身復健意願性,讓復健治療不再一成不變。(文/雙和醫院)  

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