摘要
目的研究下肢悬吊机器人联合常规康复治疗对老年脑卒中患者下肢功能的影响。方法2022年9月-2023年9月,40例上海健康医学院附属周浦医院康复医学科脑卒中住院患者,采用随机数字法将40例脑卒中患者分为观察组(n=20)和对照组(n=20)。对照组采取常规康复训练,观察组增加智能下肢悬吊机器人训练。比较2组训练前后的下肢功能、躯体平衡及日常生活能力。治疗前后采用Berg平衡量表(BBS)、Fugl-Meyer下肢运动功能量表(FMA)、改良Barthel指数(MBI)进行评估。结果观察组和对照组训练前各项评估指标比较,差异无统计学意义(P>0.05);观察组训练后较对照组BBS评分[(37.90±8.37)vs(27.05±7.60)]有显著提升,差异具有统计学意义(P<0.05);观察组训练后较对照组下肢FMA评分[(25.40±4.90)vs(21.90±5.27)]有显著提升,差异具有统计学意义(P<0.05)。观察组训练后较对照组MBI评分[(53.00±13.90)vs(33.50±13.49)]有显著提升,差异具有统计学意义(P<0.05)。结论下肢悬吊机器人联合常规康复治疗有助于促进脑卒中患者下肢功能恢复及改善日常生活能力。
Objective To study the effects of lower limb sling robot combined with routine rehabilitation therapy on lower limb function in elderly stroke patients.Methods From September 2022 to September 2023,40 inpatients with stroke treated in Department of Rehabilitation Medicine,Zhoupu Hospital Affiliated to Shanghai University of Medicine&Health Sciences were selected and divided into observation group(n=20)and control group(n=20)by random number method.The control group took routine rehabilitation training,and the observation group added intelligent lower limb sling robotic training on the basis of the control group.The lower limb function,body balance and daily living ability of the two groups were compared before and after training.Berg Balance Scale(BBS),lower-limb Fugl-Meyer Assessment(FMA),and Modified Barthel Index(MBI)were used to evaluate the lower limb function,body balance and living ability of patients before and after treatment.Results There was no statistically significant difference in various evaluation indicators between the observation group and the control group before training(P>0.05).After training,compared with the control group,the observation group showed significant improvements in BBS score[(37.90±8.37)vs(27.05±7.60)],lower limb FMA score[(25.40±4.90)vs(21.90±5.27)],and MBI score[(53.00±13.90)vs(33.50±13.49)],with statistical significances(P<0.05).Conclusion The combination of lower limb sling robots and routine rehabilitation therapy can promote the recovery of lower limb function and improve daily living ability of elderly stroke patients.
作者
吴季春
李倩
李凯
颜凯
袁美
李瑛
涂平安
毕霞
Wu Jichun;Li Qian;Li Kai;Yan Kai;Yuan Mei;Li Ying;Tu Ping an;Bi Xia(Department of Rehabilitation Medicine,Zhoupu Hospital Affiliated to Shanghai University of Medicine&Health Sciences,Shanghai,201318,P.R.China)
出处
《老年医学与保健》
CAS
2024年第2期358-361,共4页
Geriatrics & Health Care
基金
上海市医院协会医院管理研究基金(X2023047)
上海市浦东新区卫生健康委员会新兴交叉学科建设项目(PWXx2020-02)
上海健康医学临床研究中心(22MC2022002)。
