摘要
目的观察下肢康复机器人训练联合心理干预对脑卒中后抑郁及下肢功能恢复的影响。方法采用随机数字表法将60例脑卒中偏瘫患者分为治疗组及对照组，每组30例。对照组给予常规康复治疗及心理干预，治疗组在此基础上辅以下肢康复机器人训练，每次训练10～20min，每周训练6次，共持续训练8周。于入选时及治疗2，4，8周时分别采用汉密尔顿抑郁量表（HAMD）、简式Fugl—Meyer运动功能量表（FMA）及功能性步行分级（FAC）对2组患者抑郁程度及下肢运动功能进行评定。结果人选时及治疗2周后，发现2组患者HAMD、FMA评分及FAC分级组间差异均无统计学意义（P〉0．05）；治疗4周后，发现治疗组HAMD评分[（10．43±5．66）分]、FMA评分[（23．64±4．52）分]、FAC分级及对照组HAMD评分[（14．57±5．82）分]、FMA评分[（20．45±5．12）分]、FAC分级均较入选时明显改善（P〈0．05），并且治疗组上述指标均显著优于对照组水平（P〈0．05）；治疗8周后，发现治疗组患者HAMD评分[（6．54±5．04）分]、FMA评分[（27．82±4．56）分]及FAC分级较治疗4周时及对照组进一步改善（P〈0．05）；而对照组治疗8周时上述指标与治疗4周时其间差异无统计学意义（P〉0．05）。结论下肢康复机器人训练联合心理干预可显著改善脑卒中后抑郁及下肢运动功能，该联合疗法值得临床推广、应用。
Objective To observe the effects of a lower-limb rehabilitation robot plus psychological intervention on depression and lower limb motor function of the stroke patients. Methods Sixty stroke patients were randomly divided into a treatment group （ n = 30） and a control group （ n = 30）. The patients of control group were treated with routine rehabilitation and psychological intervention, while the treatment group were treated with lowerlimb rehabilitation robot, in addition to the interventions of the control group, for 10-20 minutes daily,6 days per week for 8 weeks. Both groups were assessed with Hamilton Depression Scale （HAMD） , Simplified Fugl-Meyer assessment （FMA） and Functional Ambulation Category （FAC） before and at the end of 2, 4 and 8 weeks of treatment. Results There was no significant difference between the 2 groups in all the assessment parameters before and after 2 weeks of treatment. At the end of 4 weeks of treatment, both groups improved significantly with regard to the scores of HAMD, FMA and FAC classification, and the treatment group improved to a significantly greater extent than the control group （P 〈 0.05 ）. At the end of 8 weeks of treatment the scores of HAMD, FMA and FAC classification were further improved significantly in treatment groups when compared with values obtained at the end of 4 weeks after treatment, but the scores of the control group was not significantly improved at the end of 8 weeks when compared with those at the end of 4 weeks of treatment. Conclusion Lower-limb rehabilitation robot plus psychological intervention can significantly help relieve the post-stroke depression and improve lower motor function of stroke patients.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2013年第8期630-633,共4页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
下肢康复机器人
心理干预
脑卒中
抑郁
运动功能
Lower-limb rehabilitation robot
Psychological intervention
Stroke
Depression
Motor function
