康复机器人结合镜像疗法对脑卒中偏瘫患者上肢功能的效果

doi:10.3969/j.issn.1006-9771.2019.06.016

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (6): 709-713.doi: 10.3969/j.issn.1006-9771.2019.06.016

康复机器人结合镜像疗法对脑卒中偏瘫患者上肢功能的效果

荣积峰¹, 丁力², 张雯¹, 王卫宁³, 邓梅葵¹, 熊莉¹, 贾杰²

1.上海市第一康复医院康复治疗中心，上海市 200090;
2.复旦大学附属华山医院康复医学科，上海市 200040;
3.上海体育学院运动科学学院，上海市 200438

收稿日期:2019-01-09 修回日期:2019-02-21 发布日期:2019-06-25
通讯作者: 贾杰，E-mail: shannonjj@126.com
作者简介:荣积峰(1982-)，男，汉族，安徽合肥市人，硕士，主管治疗师，主要研究方向：神经康复。
基金资助:
上海市科学技术委员会生物医药领域科技支撑项目(No. 15441901603)

Effects of Robot-assisted Therapy Combined with Mirror Therapy on Upper Limbs Rehabilitation in Patients with Hemiplegia after Stroke

RONG Ji-feng¹, DING Li², ZHANG Wen¹, WANG Wei-ning³, DENG Mei-kui¹, XIONG Li¹, JIA Jie²

1.Center of Rehabilitation Therapy, the First Rehabilitation Hospital of Shanghai, Shanghai 200090, China;
2.Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China;
3.School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China

Received:2019-01-09 Revised:2019-02-21 Online:2019-06-25
Contact: JIA Jie, E-mail: shannonjj@126.com
Supported by:
Shanghai Science and Technology Commission Project (No. 15441901603 )

摘要/Abstract

摘要： 目的研究上肢机器人结合镜像疗法对脑卒中偏瘫患者上肢功能的效果。方法 2017年1月至2018年6月，将56例脑卒中患者按随机数字表法分为对照组(n = 28)和观察组(n = 28)。对照组给予常规康复治疗，观察组在此基础上增加上肢康复机器人结合镜像疗法治疗。治疗前和治疗4周后分别采用Fugl-Meyer评定量表上肢部分(FMA-UE)、Wolf运动功能评价量表(WMFT)、功能独立性评定量表(FIM)和改良Barthel指数(MBI)对患者进行康复评定。结果治疗4周后，两组FMA-UE、WMFT和MBI评分均优于治疗前(t > 2.959, P < 0.05)，观察组显著优于对照组(t > 4.732, P < 0.001)。结论上肢机器人结合镜像疗法可以改善脑卒中患者的上肢运功功能和日常生活活动能力。

关键词: 脑卒中, 偏瘫, 机器人辅助训练, 镜像疗法, 上肢

Abstract: Objective To explore the effects of robot-assisted therapy combined with mirror therapy (MT) on upper limbs in patients with hemiplegia after stroke.Methods From January, 2017 to June, 2018, 56 patients with hemiplegia after stroke were randomly divided into control group (n = 28) and observation group (n = 28). The control group received conventional therapy, and the treatment group received robot-assisted therapy combined with MT, additionally. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Wolf Motor Function Test (WMFT), Functional Independence Measure (FIM) and modified Barthel Index (MBI) before and four weeks after treatment.Results Four weeks after treatment, the scores of FMA-UE, WMFT and MBI were better in both groups (t > 2.959, P < 0.05), and were better in the observation group than in the control group (t > 4.732, P < 0.001).Conclusion Robot-assisted therapy combined with MT could improve the function of upper limb and activities of daily living in patients with hemiplegia after stroke.

Key words: stroke, hemiplegia, robot-assisted therapy, mirror therapy, upper limbs

中图分类号:

R743.3

荣积峰, 丁力, 张雯, 王卫宁, 邓梅葵, 熊莉, 贾杰. 康复机器人结合镜像疗法对脑卒中偏瘫患者上肢功能的效果[J]. 《中国康复理论与实践》, 2019, 25(6): 709-713.

RONG Ji-feng, DING Li, ZHANG Wen, WANG Wei-ning, DENG Mei-kui, XIONG Li, JIA Jie. Effects of Robot-assisted Therapy Combined with Mirror Therapy on Upper Limbs Rehabilitation in Patients with Hemiplegia after Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(6): 709-713.

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康复机器人结合镜像疗法对脑卒中偏瘫患者上肢功能的效果

Effects of Robot-assisted Therapy Combined with Mirror Therapy on Upper Limbs Rehabilitation in Patients with Hemiplegia after Stroke

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