摘要
目的:观察下肢康复机器人训练对早期脑卒中偏瘫患者下肢肌力及运动功能的影响。方法:将50例发病6个月内的脑卒中患者随机分为试验组和对照组,每组25例。在常规康复训练的基础上,对照组给予MOTOmed智能运动系统训练,每次30min,每周5次,共治疗8周;试验组给予下肢康复机器人训练,每次30min,每周5次,共治疗8周。治疗前及治疗8周后采用徒手肌力量表(MMT)评估下肢肌力,采用简式Fugl-Meyer运动量表(FMA)评估下肢运动功能,采用下肢康复机器人数据反馈系统评估下肢肌力。结果:治疗前两组患者的一般资料、MMT评估、Fugl-Meyer评估、机器人客观数据评估差异均无显著性意义(P>0.05),治疗后两组MMT评估、Fugl-Meyer评估、机器人客观数据评估差异均有显著性意义(P<0.05),且试验组均优于对照组(P<0.01)。结论:下肢康复机器人结合常规康复治疗能有效地改善早期脑卒中偏瘫患者下肢肌力及运动功能障碍。
Objective： To observe effects of lower-limb rehabilitation robots on the lower limb muscle strengm anu motor function of hemiplegic patients after stroke. Method： Fifty hemiplegic patients were randomly allocated to treatment and control groups （n=25 in each）. The treatment group received training assisted by a lower-limb rehabilitation robot for 30 min once daily, 5 days per week for 8 weeks in addition to conventional treatments. The control group was given MOTOmed training and conventional treatments once daily, 5 days strength and motor function were assessed with a manual per week for 8 weeks. Their lower limbs muscle muscle testing （MMT）, a simplified Fugl-Meyer as- sessment （FMA） and the lower limb rehabilitation robot＇s data before and after training. Result： There were no significant differences in general information, muscle strength and motor function before training. After training, both groups showed significant improvements in terms of MMT, FMA results and ro- bot＇s data. The treatment group showed significantly better improvements in lower limb muscle strength and motor function compared with the control group. Conclusion： The lower-limb rehabilitation robot combined with conventional treatments could improve hemiple- gic patients after stroke in lower limb muscle strength and motor function. It was worthy of clinical promotion.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2016年第9期955-959,共5页
Chinese Journal of Rehabilitation Medicine
关键词
下肢康复机器人
脑卒中
肌力
运动功能
lower-limb rehabilitation robots
stroke
muscle strength
motor function
