康复机器手辅助下任务导向训练对脑卒中手功能的效果

doi:10.3969/j.issn.1006-9771.2017.03.020

Abstract

Abstract: ObjectiveTo study the effects of the rehabilitation robot-assisted task-oriented training on the hand function in patients after stroke. MethodsFrom June, 2015 to September, 2016, 35 inpatients suffering from stroke were randomly allocated to control group (n=17) and trial group (n=18). Based on the routine rehabilitation, the trial group accepted robot-assisted task-oriented training, while the control group accepted therapist-assisted task-oriented training, for two weeks. They were measured the active range of motion (AROM) of fingers, assessed with fingers motor of Fugl-Meyer Assessment (FMA) and modified Barthel Index (MBI) invovled with hands before and after training. ResultsThe inpatients dropped three in the control group, two in the trial group. AROM of extension and flexion of all the fingers, the AROM of extension and total of three fingers of thumb, index and middle, and the total AROM of each finger improved in the trial group after training (t>2.937, P<0.05), while the AROM of extension and flexion of all the fingers, AROM of extension, flexion and total of the fingers of thumb, index and middle, total AROM of the fingers of thumb, index and little improved in the control group after training (t>2.528, P<0.05); the AROM of extension and total of the fingers of thumb, index and middle, and the total AROM of fingers of thumb and index improved more in the trial group than in the control group (t>2.535, P<0.05). The scores of mass flexion, mass extension, opposition, cylinder grip, spherical grip and total score of FMA improved in the trial group after training (Z>2.000, P<0.05), while the scores of mass extension, opposition and the total score of FMA improved in the control group after training (Z>2.000, P<0.05). There was no significant difference between the two groups on the items and total scores after training (P>0.05). The scores of feeding, dressing, toilet transfers, bathing, grooming of MBI and the total score of them improved in the trial group after training (Z>2.041, P<0.05), while the total score of MBI improved in the control group after training (Z=-2.527, P<0.05). There was no significant difference between the two groups in the items and total scores after training (P>0.05). ConclusionThe rehabilitation robot-assisted task-oriented training can improve AROM of hemiplegic fingers and grip function.

Key words: stroke, hand function, rehabilitation robot, assistant task-oriented training, rehabilitation

CLC Number:

R743.3

FU Zhen, JIANG Rong-rong, PAN Cui-huan, CHEN Yan, YE Zheng-mao, HU Nan, LUO Li-juan, XIAO Chang-lin, LIU Yuan-wen. Effects of Robot-assisted Task-oriented Training on Hand Function after Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(3): 338-344.

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Effects of Robot-assisted Task-oriented Training on Hand Function after Stroke

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