腦中風在台灣及其他國家是造成個案長期失能的主要疾病之一。中風後約有2/3 的病人有上肢動作困難的問題，導致困難的原因，包含不正常的肌肉活化、異常協調、痙攣、肌肉無力，降低中風患者的職能表現及生活參與。腦中風的高發生率及低死亡率，促使近年來逐漸發展新式的復健治療，雖已有足夠研究證實機器輔助治療具有療效，但樣本數仍多存有異質性，且使用肌電訊號作為生物性回饋的研究報告較為缺乏，因此本篇個案報告敘述一名年輕的慢性中風患者，接受肌電驅動的機器輔助訓練後，在動作功能、日

常生活功能的改變。方法：一名 34 歲男性慢性中風患者於 105 年中風導致右側偏癱，於地區醫院進行每天 60 分鐘藉由肌電驅動之機器輔助訓練，輔以 30 分鐘功能性訓練，提供以日常生活為導向之上肢活動。結果：經過 20 次機器輔助訓練後，動作功能、患側活動執行層面均有所提升，個案生活品質亦獲得改善。結論：此案例中，可發現肌電驅動的機器輔助訓練提供大量的動作學習機會，促進個案患側動作功能及日常生活參與。未來建議可擴大樣本，進一步探討肌電驅動之機器訓練治療對於慢性中風患者之療效。

Stroke is the main causes of adult disability in Taiwan and many other countries. It is also a common and serious problem in health care. Several systematic reviews showed robot-assisted therapy (RT) providing repetitive, task-specific, intensive, and multisensory stimulation. Previous research showed statistically significant improvements in impairments at trained joint. However, lack of reports describe using Electromyography (EMG) as biological feedback. This case report illustrate a young stroke patient who receive EMG-driven robot-assisted therapy relative treatment effects considering motor ability, daily functions, quality of life. Method: A 34-year-old men suffered a left hemispheric stroke with right hemiplegia in 2016. He participated in 90-minutes occupational therapy, involving 60-minutes EMG-driven robot-assisted training and 30-minutes functional training. Result: After 20 sessions, the motor function and performance using affected side of patient improved. The patient’s quality of life showed positive changes. Conclusion: In this case, we found using EMG-driven robot-assisted training provide a lot of chance to motor learning. It could facilitated motor function of patient’s affected side and participation of daily life. We need large sample size and focus on treatment modifiers of EMG-driven robot-assisted therapy in chronic stroke patients in the future.