摘要
目的:探讨上肢康复机器人对脑卒中早期患者上肢功能的影响。方法:将受试者随机分为上肢康复机器人(RT)组(n=23)及常规康复(CR)组(n=22)。所有受试者均接受常规康复治疗,2次/d,30min/次,持续2周。此外,RT组接受上肢康复机器人训练,2次/d,30min/次,持续2周。分别使用上肢Fugl-Meyer评估量表(FMA)、改良的Ashworth分级量表(MAS)、功能独立性量表(FIM)和Barthel指数(BI)、运动力指数(MI)评估患者的治疗前(T0),治疗后2周(T1)和1个月后(T2)随访的各项指标分值。结果:两组患者经训练后上肢运动功能方面(FMA和MI,P<0.001)和日常生活活动(FIM和BI,P<0.001)均有显著改善,但RT和CR组经过训练,肌张力未有明显的改善(MAS,P>0.05)。与CR组相比,RT组在T1和T2时上肢运动功能和日常生活活动均有改善(FMA、MI、FIM、BI,P<0.05)。两组的肌张力在各时段改变对比无明显差异(MAS,P>0.05)。结论:上肢康复机器人是脑卒中早期患者上肢功能康复的有效治疗方法。
Objective:To examine the effects of upper limb robot-assisted therapy(RT)on the rehabilitation of sub-acute stroke patients.Methods:Subjects were assigned randomly to RT group(n=23)or conventional rehabilitation(CR)group(n=22).All subjects received conventional rehabilitation therapy for 30 minutes twice a day for 2 weeks.In addition,the RT group received robot-assisted therapy for 30 minutes twice a day for 2 weeks.The outcomes before treatment(T0)and at 2 weeks(T1)and 1 month after treatment(T2)of follow-up were evaluated in the patients using the upper limb motor function test of the Fugl-Meyer assessment(FMA),the Motricity Index(MI),the Modified Ashworth grading scale(MAS),the function independence measure(FIM),and the Barthel Index(BI).Results:There were significant improvements in motor function scales(P<0.001 for FMA and MI)and activities of daily living(P<0.001 for FIM and BI),but without muscle tone(MAS,P>0.05)in the RT and CR groups.Compared with the CR group,the RT group showed improvements in motor function and activities of daily living(P<0.05 for FMA,MI,FIM,BI)at T1 and T2.There was no significant difference between the two groups in muscle tone(MAS,P>0.05).Conclusion:RT may be a useful tool for sub-acute stroke patient rehabilitation.
作者
蒋尚融
尤红
赵玮婧
张敏
JIANG Shangrong;YOU Hong;ZHAO Weijing(Sino-French Department of Neurological Rehabilitation,Gansu Provincial Hospital,Lanzhou City,Gansu Province 730000)
出处
《医学理论与实践》
2020年第19期3145-3147,共3页
The Journal of Medical Theory and Practice
基金
兰州市科技计划项目(2016-2-59)。
