人工智能赋能脑卒中精准康复:评估、干预与远程管理
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国家卫生健康委员会“数智护理康复机器人系统研究”项目(SZ2024HL010)


Artificial intelligence empowers precision rehabilitation for stroke: assessment, intervention, and remote management
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    摘要:

    本文梳理了人工智能(AI)在卒中康复领域的关键应用进展,内容覆盖评估量化、个体化处方制定与闭环训练等方面,并针对临床转化提出了路径建议。基于近年来的高质量工程与临床研究证据,围绕评估诊断、治疗干预和远程管理这一主线,整合了计算机视觉、脑机接口(BCI)、外骨骼、虚拟/增强现实与边缘-云平台等多种技术手段,强调算法、工程与临床3个层面证据的贯通与协同。在评估环节,AI借助多模态传感技术与影像分析方法,实现了功能量表评估的自动化和预后预测的精准化。在治疗环节,AI为BCI和外骨骼等康复设备赋能,通过对患者运动意图的解码以及自适应调节机制,为患者提供高度个体化的闭环训练,从而最大程度激发神经可塑性。在远程管理方面,由AI驱动的可穿戴设备与远程平台相结合,实现了对患者居家训练过程的连续监测以及对训练质量的有效控制。尽管目前AI在卒中康复应用中面临临床证据质量欠佳、算法泛化能力有限及潜在安全风险等诸多挑战,但它在推动康复与管理的深度融合、实现个体化精准治疗方面已展现出巨大的潜力。

    Abstract:

    This paper reviews the key advances in the application of artificial intelligence (AI) for stroke rehabilitation, including quantitative assessment, personalized treatment prescription, and closed-loop training, and proposes pathways for clinical translation. Based on recent high-quality engineering and clinical evidence, we centered on assessment/diagnosis, therapeutic intervention, and remote management, integrating computer vision, brain-computer interfaces, exoskeletons, virtual/augmented reality, and edge-to-cloud platforms. We emphasized the alignment of "algorithm-engineering-clinical" evidence. On the assessment side, AI leverages multimodal sensing and imaging analytics to automate functional scale scoring and enhance prognostic precision. On the treatment side, AI empowers brain-computer interfaces and exoskeletons through intent decoding and adaptive control to deliver highly individualized closed-loop training that maximizes neuroplasticity. On the remote management side, AI-driven wearables combined with remote platforms enable continuous home-based monitoring and quality control. Despite challenges-including variable evidence quality, limited algorithmic generalization, and potential safety risks-AI shows substantial promise for deeper integration of rehabilitation care and management and for achieving individualized precision therapy.

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  • 收稿日期:2025-09-30
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  • 在线发布日期: 2026-02-12
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