基于运动想象的手部机器人辅助训练对脑卒中患者上肢运动功能的疗效

doi:10.3969/j.issn.1006-9771.2019.01.010

Abstract

Abstract: Objective To investigate the effect of hand robot-assisted training based on motor imagery on upper limb function of stroke patients.
Methods From November, 2016 to May, 2018, 55 hemiplegic patients with upper limb dysfunction were randomly assigned to control group (n = 25) and experimental group (n = 30). The control group received routine hand motor training, while the experimental group received hand robot-assisted training, for four weeks. They were assessed with simplified Fugl-Meyer Assessment-Upper Extremity (FMA-UE), Wolf Motor Function Test (WMFT) and Modified Barthel Index (MBI) before treatment (t0), one week of treatment (t1), immediately after treatment (t2) and 2 months after treatment (t3).
Results The score of WMFT improved in the experimental group at t1 (P < 0.05), with no significant difference be-tween groups (Z = -0.901, P > 0.05). The scores of FMA, WMFT and MBI improved in both groups at t2 and t3 (P < 0.05), and the scores of FMA and MBI improved more in the experimental group than in the control group (Z > -2.073, t > 2.034, P < 0.05).
Conclusion Hand robot-assisted training based on motor imagery can promote recovery of upper limb function in stroke patients more effective than routine hand function training.

Key words: stroke, upper limb function, motor imagery, hand robot, robot-assisted training, rehabilitation

CLC Number:

R743.3

HOU Ying, GAO Lin, CHEN Miao-miao, ZHANG Ru-jiao, WANG Qing-juan. Effects of Hand Robot-assisted Training Based on Motor Imagery on Upper Limb Function of Stroke Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(1): 81-85.

References

[1] 姜荣荣,陈艳,潘翠环. 脑卒中后上肢和手运动功能康复评定的研究进展[J]. 中国康复理论与实践, 2015, 21(10): 1173-1177.
[2] Franceschini M, La Porta F, Agosti M, et al.Is health-related-quality of life of stroke patients influenced by neurological impairments at one year after stroke?[J]. Eur J Phys Rehabil Med, 2010, 46(3): 389-399.
[3] Morris J, van Wijck F, Joice S, et al. Predicting health related quality of life 6 months after stroke: the role of anxiety and up-per limb dysfunction[J]. Disabil Rehabil, 2013, 35(4): 291-299.
[4] Balamurugan J, Raja P A, Mahil A, et al.Bilateral object explo-ration training to improve the hand function in stroke subjects[J]. Int J Med Res Health Sci, 2013, 2(3): 479.
[5] Jiang C, Yang S, Tao J, et al.Clinical efficacy of acupuncture treatment in combination with RehaCom cognitive training for improving cognitive function in stroke: a 2 × 2 factorial design randomized controlled trial[J]. J Am Med Dir Assoc, 2016, 17(12): 1114-1122.
[6] 张桃,杨帮华,段凯文,等. 基于运动想象脑机接口的手功能康复系统设计[J]. 中国康复理论与实践, 2017, 23(1): 4-9.
[7] Lotze M, Cohen L.Volition and imagery in neurorehabilitation[J]. Cogn Behav Neurol, 2006, 19(3): 135-140.
[8] Jeannerod M.Motor Cognition: What Actions Tell the Self [M]. New York: Oxford University Press, 2006: 16-20.
[9] 倪俊杰,杨万章,向云. 脑卒中病人上肢功能康复的研究进展[J]. 中西医结合心脑血管病杂志, 2016, 14(8): 859-862.
[10] 何斌,张超,刘璇. 上肢机器人辅助疗法对急性期脑卒中患者上肢运动功能的效果[J]. 中国康复理论与实践, 2016, 22(6): 688-692.
[11] 中华神经科学会,中华神经外科学会. 各类脑血管疾病诊断要点[J]. 中华神经科杂志, 1996, 29(6): 379-380.
[12] Bohannon R, Smith M.Interrater reliability of a modified Ashworth scale of muscle spasticity[J]. Phys Ther, 1987, 67(2): 206-207.
[13] Folstein M, Folstein S, McHugh P. "Mini-Mental State". A practical method for grading the cognitive state of patients for the clinician[J]. J Psychiatr Res, 1975, 12(3): 189-198.
[14] Gladstone D, Danells C, Black S.The Fugl-Meyer Assessment of motor recovery after stroke: a critical review of its measurement properties[J]. Neurorehabil Neural Repair, 2002, 16(3): 232-240.
[15] Wolf S, Catlin P, Ellis M, et al.Assessing Wolf Motor Function Test as outcome measure for research in patients after stroke[J]. Stroke, 2001, 32(7): 1635-1639.
[16] Shah S, Vanclay F, Cooper B.Predicting discharge status at commencement of stroke rehabilitation[J]. Stroke, 1989, 20: 766-769.
[17] Sharma N, Pomeroy V, Baron J.Motor imagery: a backdoor to the motor system after stroke?[J]. Stroke, 2006, 37(7): 1941-1952.
[18] Rizzolatti G, Craighero L.The mirror-neuron system[J]. An-nu Rev Neurosci, 2004, 27(1): 169-192.
[19] 崔尧,丛芳,刘霖. 镜像神经元系统的基本理论及其在运动功能康复中的意义[J]. 中国康复理论与实践, 2012, 18(3): 239-243.
[20] 梁明,窦祖林,王清辉,等. 虚拟现实技术在脑卒中患者偏瘫上肢功能康复中的应用[J]. 中国康复医学杂志, 2013, 28(2): 114-118.
[21] 贾杰. “中枢-外周-中枢”闭环康复——脑卒中后手功能康复新理念[J]. 中国康复医学杂志, 2016, 31(11): 1180-1182.
[22] Veerbeek J, Langbroek-Amersfoort A, van Wegen E, et al. Ef-fects of robot-assisted therapy for the upper limb after stroke[J]. Neurorehabil Neural Repair, 2017, 31(2): 107-121.
[23] 梁天佳,吴小平,莫明玉. 上肢康复机器人在脑卒中单侧空间忽略康复中的作用[J]. 中国康复理论与实践, 2012, 18(4): 369-371.
[24] 刘霖,朱琳,单桂香,等. 神经康复机器手对慢性期卒中偏瘫患者上肢功能康复的疗效分析[J]. 中国脑血管病杂志, 2016, 13(11): 579-582.
[25] 侯红,范亚蓓,吴玉霞,等. 康复机器人辅助训练对偏瘫患者上肢功能及日常生活活动能力的影响[J]. 中国康复医学杂志, 2015, 30(10): 1013-1016.
[26] Colombo R, Pisano F, Delconte C, et al.Comparison of exer-cise training effect with different robotic devices for upper limb rehabilitation: a retrospective study[J]. Eur J Phys Rehabil Med, 2017, 53(2): 240-248.

Effects of Hand Robot-assisted Training Based on Motor Imagery on Upper Limb Function of Stroke Patients

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