《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

下肢康复机器人训练对脑卒中偏瘫患者运动能力和日常生活活动能力的影响①

卢利萍，桑德春，季淑凤   

  1. 1. 首都医科大学康复医学院，北京市100068；2. 中国康复研究中心北京博爱医院，北京市100068。
  • 出版日期:2016-10-25 发布日期:2016-12-05

Effect of Leg Rehabilitation Robot Training on Motor and Activities of Daily Living in Hemiplegic Patients after Stroke

LU Li-ping, SANG De-chun, JI Shu-feng   

  1. 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Published:2016-10-25 Online:2016-12-05

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摘要： 目的探讨下肢康复机器人训练对脑卒中偏瘫患者运动能力及日常生活活动能力的影响。方法2015 年6 月~2016 年7 月，本院40 例首次脑卒中偏瘫患者随机分为对照组(n=20)和实验组(n=20)。两组均予常规康复治疗，实验组另行下肢康复机器人训练。共6 周。治疗前后采用简式Fugl-Meyer 下肢运动量表、Fugl-Meyer 平衡量表、Holden 步行功能分级和改良Barthel 指数评定法对两组运动功能、平衡功能、步行能力及日常生活活动能力进行评定。结果治疗后，两组Fugl-Meyer 下肢运动量表评分、Fugl-Meyer 平衡量表评分、Holden 步行功能分级和改良Barthel 指数较治疗前明显升高(χ2>8.980, t>3.902, P<0.01)，且实验组高于对照组(χ2=7.632, t>2.075, P<0.05)。结论下肢康复机器人训练有助于提高脑卒中偏瘫患者下肢运动功能、平衡功能、步行能力及生活自理能力。

关键词: 脑卒中, 偏瘫, 下肢康复机器人, 运动功能, 平衡功能, 步行能力, 日常生活活动能力

Abstract: Objective To explore the effect of leg rehabilitation robot training on motor and activities of daily living in hemiplegic patients after stroke. Methods From June, 2015 to July, 2016, 40 hemiplegic patients were randomly divided into control group (n=20) and experimental group (n=20). Both groups received routine rehabilitation, and the experimental group received leg rehabilitation robot training in addition for six weeks. The Fugl-Meyer Assessment-Lower Limb (FMA-L), the Fugl-Meyer Assessment-Balance (FMA-B), Holden walking function classification and modified Barthel Index (MBI) were used to access the motor function, balance function, walking ability and activities of daily living (ADL), respectively. Results After treatment, the scores of FMA-L, FMA-B, Holden walking function classification and MBI improved (χ2>8.980, t>3.902, P<0.01), and were higher in the experimental group than in the control group (χ2=7.632, t>2.075, P< 0.05). Conclusion Leg rehabilitation robot could facilitate to improve lower extremity motor function, balance function, walking ability and ADL in hemiplegic patients after stroke.

Key words: stroke, hemiplegia, leg rehabilitation robot, motor function, balance function, walking ability, activities of daily living