机器人辅助步态训练对痉挛型脑性瘫痪患儿运动和步行功能的效果

doi:10.3969/j.issn.1006-9771.2021.11.004

Abstract

Abstract:

Objective To investigate the effect of robotic-assisted gait training on the motor function and walking ability for children with spastic cerebral palsy.Methods From October, 2020 to April, 2021, 34 children with spastic cerebral palsy were randomly divided into control group (n = 17) and experimental group (n = 17). The control group received conventional physical therapy 60 minutes a day, while the experimental group received physical therapy and robotic-assisted gait training, 30 minutes a day respectively. They were assessed with 10-meter walk test (10MWT), 6-minute walk distance (6MWD), Physiological Consumption Index, Gross Motor Functional Measure (D and E dimensions), center of pressure envelope area, and Functional Ambulation Categories before training, eight weeks after training, and one-month follow-up.Results Four cases dropped out. All the indexes improved in the experimental group after training (|t| > 3.219, P < 0.05), and they were stable as follow-up (|t| < 1.565, P > 0.05), except 10MWT (|t| > 3.491, P < 0.01); while they were better than those in the control group (|t| > 2.108, P < 0.05), except 6MWD.Conclusion Robotic-assisted gait training can promote the recovery of motor, balance and walking for children with spastic cerebral palsy based on conventional physical therapy, and remain at least one month.

Key words: cerebral palsy, spastic, robotic-assisted gait training, motor, balance, walking

MA Ting-ting,ZHANG Hao. Effect of Robotic-assisted Gait Training on Motor and Walking for Children with Spastic Cerebral Palsy[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1260-1265.

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References 26

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项目	对照组 (n = 17)	试验组 (n = 17)	t值	P值
性别(男/女, n)^a	9/8	7/10		0.732
年龄(岁)	9.82±2.68	8.27±2.74	1.418	0.162
身高(cm)	139.94±14.46	129.60±17.32	1.621	0.119
体质量(kg)	34.53±7.87	30.27±11.00	1.109	0.277
下肢长度(cm)	66.97±10.20	63.07±9.74	1.063	0.297
FAC	3.35±0.86	3.12±0.86	0.798	0.431

时间	对照组(n = 15)	试验组(n = 15)	t值	P值
训练前	0.61±0.32	0.61±0.31	0.014	0.989
训练后	0.67±0.31	1.04±0.41	-2.296	0.034
随访时	0.62±0.31	0.95±0.39	-2.108	0.049
t值^a	-6.304	-9.036
P值^a	< 0.001	< 0.001
t值^b	6.530	3.491
P值^b	< 0.001	0.007

时间	对照组(n = 15)	试验组(n = 15)	t值	P值
训练前	0.86±0.46	0.93±0.42	-0.358	0.725
训练后	0.86±0.45	1.38±0.44	-2.638	0.017
随访时	0.85±0.44	1.34±0.44	-2.455	0.024
t值^a	0.190	-8.295
P值^a	0.853	< 0.001
t值^b	0.502	11.529
P值^b	0.627	< 0.001

时间	对照组(n = 15)	试验组(n = 15)	t值	P值
训练前	193.35±89.49	193.08±100.82	0.006	0.995
训练后	198.91±88.97	265.83±106.56	-1.525	0.145
随访时	193.43±86.10	263.79±108.89	-1.603	0.126
t值^a	-13.959	-9.880
P值^a	< 0.001	< 0.001
t值^b	3.107	1.565
P值^b	0.013	0.152

时间	对照组(n = 15)	试验组(n = 15)	t值	P值
训练前	3.33±0.90	3.20±0.87	0.414	0.682
训练后	3.67±0.90	4.40±0.74	-2.442	0.021
随访时	3.40±0.91	4.33±0.82	-2.956	0.006
t值^a	-2.646	-8.290
P值^a	0.019	< 0.001
t值^b	2.256	1.000
P值^b	0.041	0.334

Effect of Robotic-assisted Gait Training on Motor and Walking for Children with Spastic Cerebral Palsy

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时间	对照组(n = 15)	试验组(n = 15)	t值	P值
训练前	99.00±79.09	98.90±76.33	0.003	0.998
训练后	65.40±36.38	33.20±18.10	2.506	0.022
随访时	83.30±67.92	31.30±14.15	2.370	0.029
t值^a	2.247	3.219
P值^a	0.051	0.010
t值^b	-1.415	0.772
P值^b	0.191	0.460

时间	对照组(n = 15)	试验组(n = 15)	t值	P值
训练前	75.20±12.07	70.30±19.48	0.676	0.508
训练后	78.00±11.04	88.20±6.86	-2.482	0.023
随访时	74.60±10.86	87.90±7.17	-3.231	0.005
t值^a	-5.715	-4.110
P值^a	< 0.001	0.003
t值^b	6.815	1.964
P值^b	< 0.001	0.081

时间	对照组(n = 15)	试验组(n = 15)	t值	P值
训练前	63.30±16.83	58.10±18.35	0.661	0.517
训练后	63.50±16.60	78.80±11.23	-2.414	0.027
随访时	61.30±16.16	78.50±11.64	-2.731	0.014
t值^a	-1.500	-5.098
P值^a	0.168	0.001
t值^b	6.128	0.896
P值^b	< 0.001	0.394

时间	对照组(n = 15)	试验组(n = 15)	t值	P值
训练前	153.43±28.97	139.90±42.99	0.825	0.420
训练后	163.19±28.10^a	216.25±52.47^c	-2.819	0.011
随访时	155.59±28.49^b	214.62±51.36^d	-3.179	0.005
t值^a	-6.696	-6.543
P值^a	< 0.001	< 0.001
t值^b	5.675	1.348
P值^b	< 0.001	0.211

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