摘要
目的:探讨上肢康复机器人辅助训练对脑卒中偏瘫患者上肢运动功能及日常活动能力的影响。方法:将44例符合入组标准的患者随机分成治疗组(n=22)和对照组(n=22),对所有患者进行为期4周的康复治疗,对照组患者采用传统作业训练40min/次,1次/天,6天/周;治疗组每天在20min传统作业训练的基础上增加上肢机器人辅助训练20min/次,1次/天,6天/周。采用简式Fugl-Meyer量表上肢部分(FMA-UE)、香港手功能评估(FTHUE-HK)和改良Barthel指数(MBI)分别于治疗前和治疗后对两组患者进行评估。结果:两组患者治疗前后的FMA-UE、FTHUE-HK评分和MBI评分比较均有显著性差异(P<0.01);治疗后两组间对比无显著性差异(P>0.05)。结论:上肢康复机器人辅助治疗对脑卒中偏瘫患者上肢运动功能及ADL能力的提高和传统的作业治疗一样有效。
Objective： To explore the effect of the upper limb rehabilitation robot on the upper extremities function recov- ery and the abilities of daily living for the patients after stroke. Method： Forty-four patients meeting the criteria were randomly assigned into treatment group （n=22） and con- trol group （n=22）. Both groups had been given occupational therapy for 4 weeks. The control group was given once 40 minutes routine occupational exercises training per day, 6 days/week; The treatment group was given 20 minutes routine occupational exercises plus more 20 minutes for upper limb rehabilitation robot training （1 time/day, 6 days/week）. Use simplified Fugl-Meyer index of upper extremity （FMA-UE）, functional test for the hemiplegic upper extremity-Hong Kong version （FTHUE-HK） and modified Barthel index （MBI） to evaluate the patients in each group at the time before and after treatment separately. Result： There were significant differences in FMA-UE, FTHUE-HK and MBI score between at the time before with after treatment in each group （P〈0.01）. But there were no differences between the two groups after treat- ment （P 〉 0.05）. Conclusion： Upper limb rehabilitation robot therapy can improve the upper limb function and the ADL of the hemiplegic patients suffered stroke.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2015年第10期1013-1016,共4页
Chinese Journal of Rehabilitation Medicine
基金
江苏省医学重点学科(XK201110)
关键词
脑卒中
偏瘫
上肢功能
上肢康复机器人
日常生活活动
stroke
hemiplegic
upper limb function
upper limb rehabilitation robot
activities of daily living
