| 摘要: |
| 目的探讨运用骨盆辅助式康复机器人对脑卒中偏瘫患者下肢运动功能恢复的影响。方法选取进行康复的脑卒中偏瘫患者40例，按照随机数字表法分为治疗组和对照组各20例。两组均进行常规神经内科药物治疗和传统的康复训练。对照组给予常规步行功能训练，治疗组给予骨盆辅助式康复机器人训练，治疗频率为6次/周，20min/次，共8周。两组分别于康复训练前及训练8周后采用简化Fugl-Meyer运动功能量表（FMA）评定下肢运动功能，采用Berg平衡量表（BBS）评定平衡功能，采用BiodexGaitTrainer-2步态分析系统评定患者的步长、步宽、步频和步速，比较两组下肢运动功能、平衡功能和步行功能。结果治疗前两组患者下肢FMA评分、BBS评分、健侧步长、患侧步长、步宽、步频和步速比较，差异均无统计学意义（均P＞0.05）；治疗后两组患者下肢FMA评分、BBS评分、健侧步长、患侧步长、步宽、步频和步速比治疗前均有明显改善（均P＜0.05），且治疗组效果优于对照组（均P＜0.05）。结论骨盆辅助式康复机器人能改善脑卒中偏瘫患者的下肢运动功能，提高步行功能和平衡功能。 |
| 关键词: 脑卒中 骨盆 机器人 运动功能 康复 |
| DOI：10.12056/j.issn.1006-2785.2017.39.16.2017-487 |
| 分类号: |
| 基金项目:浙江省卫生厅医药卫生平台骨干人才计划（2013RCA043，2104RCA030）；浙江省科技厅公益技术项目（2014C33278） |
|
| Effect of pelvic-assisted rehabilitation robot on recovery of lower-limb motor function in hemiplegic patients after stroke |
|
HU Shuzhen, WU Hua, GU Xudong, FU Jianming, ZENG Ming, LI Liang, SHEN Fang
|
|
the Second Clinical Medical College，Zhejiang Chinese Medical University
|
| Abstract: |
| Objective To assess the effects of pelvic-assisted rehabilitation robot on the recovery of lower-limb motor function in hemiplegic patients after stroke. Methods Forty patients with hemiplegia after stroke were randomly divided into study group ( 20 cases) and control group ( 20 cases ) . Both groups were treated with conventional neurological medications and rehabilitation training. The control group received given routine walking function training, and the study group received pelvic-assisted rehabilitation robot training, 20min/d, 6d/week for 8 weeks. The motor function was evaluated with Fugl-Meyer assessment(FMA), the balance function was evaluated with Berg balance scale (BBS), and the step length, step width, step frequency, step pace were measured with Biodex Gait Trainer-2 gait analysis system before and 8 weeks after treatment. Results There were no significant differences in FMA scores, BBS scores, step length of normal side and involved side, step width, step frequency and step pace between the two groups before treatment (all P ＞0.05). After 8 weeks of treatment, the FMA scores, BBS scores, normal sidestep length, abnormal sidestep length, step width, step frequency and step pace were significantly improved in both group(all P＜0.05), and the improvement of study group was more marked than that of control group (all P＜0.05). Conclusion Pelvic-assisted rehabilitation robots can improve the lower-limb motor function, walking function and balance function in
hemiplegic patients after stroke. |
| Key words: Stroke Pelvis Robot Motor function Rehabilitation |
