摘要
目的:观察下肢智能康复机器人训练对脑卒中偏瘫患者下肢运动功能、平衡功能及步行能力的影响。方法:将80例脑卒中偏瘫患者随机分成对照组和干预组,各40例。2组均采用常规康复治疗,干预组在此基础上加用下肢智能康复机器人训练。采用简式Fugl-Meyer评分法(FMA)、Berg平衡量表(BBS)、功能性步行分级(FAC)、10 m最大步行速度、改良Barthel指数(MBI)、胫骨前肌表面肌电积分(iEMG)进行结局指标评价。结果:治疗12周后,2组患者BBS、FMA、MBI和iEMG评分均较治疗前明显升高(P=0.000),治疗后干预组评分明显高于对照组(P=0.000)。治疗后干预组FAC步行功能分级3级及以上者所占比例、10 m最大步行速度均优于对照组。结论:下肢智能康复机器人结合常规康复训练能明显提高脑卒中偏瘫患者的下肢运动功能、平衡功能及步行能力。
Objective: To explore the effects of lower limb robot rehabilitation on motor function, balance function, and walking ability in hemiplegia patients after stroke. Methods: A total of 80 stroke patients with hemiplegia were randomly divided into the control group and intervention group with 40 cases in each group.Both groups received conventional rehabilitation training, and in addition, the intervention group received lower limb rehabilitation robot training. Fugl-Meyer assessment(FMA), Berg balance scale(BBS), Functional Ambulation Category(FAC), 10 minutes maximum walking speed, modified Barthel index(MBI), and integrated electromyography(iEMG) were used to evaluate the outcome. Results: The scores of BBS, FMA, MBI, and iEMG significantly increased after 12 weeks of treatment in both groups(P=0.000), and the scores were significantly improved in the intervention group compared to the control group(P=0.000). After treatment, the percentage of patients with an FAC score of 3 or higher and the 10 minutes maximum walking speed were better in the intervention group than in the control group. Conclusion: The lower limb rehabilitation robot combined with conventional rehabilitation training is effective in improving the motor function, balance function, and walking ability of stroke patients with hemiplegia.
作者
胡坤
刘辉辉
张晓武
HU Kun;LIU Hui-hui;ZHANG Xiao-wu(Department of Rehabilitation,Ningguo People’s Hospital,Anhui 242300,China)
出处
《神经损伤与功能重建》
2019年第1期22-25,共4页
Neural Injury and Functional Reconstruction
关键词
康复机器人
脑卒中
偏瘫
下肢运动功能
rehabilitation robot
stroke
hemiplegia
lower limb motor function
