摘要
目的观察下肢康复机器人训练对脑卒中偏瘫患者下肢运动功能的影响。方法采用随机数字表法将40例脑卒中偏瘫患者（病程〈12周）分为治疗组及对照组。对照组患者给予常规康复干预，治疗组患者在常规康复干预基础上辅以下肢康复机器人步行训练，每天治疗1次，共连续治疗6周。于治疗前、治疗6周后分别采用简式Fugl-Meyer运动功能量表（FMA）下肢评分及上田敏式偏瘫下肢功能量表对2组患者下肢运动功能进行评定，同时采用功能性步行分级（FAC）评价2组患者步行能力改善情况。结果治疗前2组患者下肢FMA评分、上田敏式分级及FAC评分组间差异均无统计学意义（P〉0．05）；治疗6周后发现2组患者下肢FMA评分、上田敏式分级及FAC评分均较治疗前明显改善（P〈0．05），并且治疗组患者下肢FMA评分[（28．14±3．37）分]、上田敏式分级[（10．29±1．69）级]及FAC评分[（3．86±0．77）分]均显著优于对照组水平[分别为（24．62±3．69）分、（8．85±1．73）级和（2．92±0．86）分]，组间差异均具有统计学意义（P〈0．05）。结论在常规康复干预基础上辅以下肢康复机器人步行训练，能进一步提高脑卒中偏瘫患者下肢运动功能，该疗法值得临床推广、应用。
Objective To evaluate the effects of robot-assisted gait training on the lower limb motor func- tions of in hemiplegic stroke patients. Methods Forty stroke patients with hemiplegia were randomly divided into a treatment group and a control group. Both groups were treated with routine rehabilitation therapies for 60 rain daily in 6 weeks. The patients in the treatment group were given robot-assisted gait training for 30 rain daily for 6 weeks. The lower limb part of Fugl-Meyer assessment （FMA） , the Ueda Satoshi standardized hemiplegic function scale and the functional ambulation categories （FAC） were used to evaluate the lower limb motor function before and after the six- weeks of therapies. Results There were no significant difference between the two groups before treatment with re- gard to all the three assessment measurements. After 6 weeks of treatment, both groups significantly improved in terms of the scores with FMA, the grade of Ueda Satoshi standardized hemiplegic function scale and the FAC （ P 〈 0.05 ）. But the treatment group had significantly greater improvement than the control group （P 〈 0.05）. Conclu- sions The robot-assisted gait training can supplement the routine rehabilitation therapies in improving lower limb mo- tor function in stroke patients.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2015年第9期674-677,共4页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
下肢康复机器人
脑卒中
偏瘫
下肢运动功能
Robot-assisted gait training
Stroke
Hemiplegia
Lower limb motor functions
