摘要
目的探讨机器人辅助步态训练促进痉挛型脑瘫患儿运动和步行功能恢复的疗效。方法2020年10月至2021年4月,北京博爱医院儿童物理疗法科收治的34例痉挛型脑瘫患儿,随机分为对照组(n=17)和试验组(n=17)。对照组行常规物理治疗60 min,试验组行常规物理治疗30 min和机器人辅助步态训练30 min。训练前、训练8周后、训练结束后随访1个月,采用10米步行测试(10MWT)、6分钟步行距离(6MWD)、生理消耗指数、粗大运动功能测试D区和E区、压力中心包络面积、步行功能分级进行评定。结果脱落4例。试验组训练后各项指标均有改善(|t|>3.219,P<0.05),1个月随访时除10MWT明显降低外(|t|>3.491,P<0.01),其他指标没有显著变化(|t|<1.565,P>0.05);训练后和随访时,除6MWD外,其他指标试验组优于对照组(|t|>2.108,P<0.05)。结论在传统物理治疗的基础上进行机器人辅助步态训练,可进一步改善痉挛型脑瘫患儿的运动、平衡和步行,疗效可持续至少1个月。
Objective To investigate the effect of robotic-assisted gait training on the motor function and walking ability for children with spastic cerebral palsy.Methods From October,2020 to April,2021,34 children with spastic cerebral palsy were randomly divided into control group(n=17)and experimental group(n=17).The control group received conventional physical therapy 60 minutes a day,while the experimental group received physical therapy and robotic-assisted gait training,30 minutes a day respectively.They were assessed with 10-meter walk test(10 MWT),6-minute walk distance(6 MWD),Physiological Consumption Index,Gross Motor Functional Measure(D and E dimensions),center of pressure envelope area,and Functional Ambulation Categories before training,eight weeks after training,and one-month follow-up.Results Four cases dropped out.All the indexes improved in the experimental group after training(|t|>3.219,P<0.05),and they were stable as follow-up(|t|<1.565,P>0.05),except 10 MWT(|t|>3.491,P<0.01);while they were better than those in the control group(|t|>2.108,P<0.05),except 6 MWD.Conclusion Robotic-assisted gait training can promote the recovery of motor,balance and walking for children with spastic cerebral palsy based on conventional physical therapy,and remain at least one month.
作者
马婷婷
张皓
MA Ting-ting;ZHANG Hao(Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China;Department of Paediatric Physical Therapy,Beijing Bo'ai Hospital,China Rehabilitation Research Centre,Beijing 100068,China;Department of Neurology,Beijing Bo'ai Hospital,China Rehabilitation Research Centre,Beijing 100068,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2021年第11期1260-1265,共6页
Chinese Journal of Rehabilitation Theory and Practice
