上肢机器人启动训练后双侧上肢训练对脑卒中重度偏瘫上肢功能的效果

doi:10.3969/j.issn.1006-9771.2025.11.003

Abstract

Abstract:

Objective To compare the effect between unilateral and bilateral upper limb training on motor function of severely hemiplegic upper limbs in subacute stroke patients after priming robot-assisted training.

Methods From September, 2023 to December, 2024, 60 inpatients with hemiplegia after stroke were recruited from Guangdong Work Injury Rehabilitation Hospital, and randomly divided into control group (n = 30) and experimental group (n = 30). Both groups first received 30 minutes of upper limb robot-assisted training. Subsequently, the control group received movement-based unilateral upper limb training for 30 minutes, while the experimental group received activity-based bilateral upper limb training for 30 minutes, for three weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Hong Kong version of the Functional Test for the Hemiplegic Upper Extremity (FTHUE-HK) and modified Barthel Index (MBI) before and after treatment.

Results The scores of FMA-UE, FTHUE-HK and MBI improved in both groups after treatment (t > 4.020, P < 0.01), and all the scores were better in the experimental group than in the control group (t > 2.456, P < 0.05).

Conclusion Activity-based bilateral upper limb training after priming robot-assisted training is more effective on motor function of severely hemiplegic upper limbs in stroke patients.

Key words: stroke, hemiplegia, upper limb, motor function, robot-assisted training, bilateral upper limb training

CLC Number:

R743.3

HE Aiqun, LI Jingbo, LIU Hai'ou, SONG Qiushuang, HE Maoli, LIN Rumin. Effect of bilateral upper limb training after priming upper limb robot training on upper limb function in stroke patients with severe hemiplegia[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(11): 1265-1270.

Figures/Tables 4

Table 1

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References 40

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组别	n	性别(男/女)/n	年龄/岁	病程/d	卒中类型(出血/梗死)/n	偏瘫侧(左/右)/n	利手(左/右)/n
对照组	30	18/12	55.90±11.66	50.57±21.83	13/17	11/19	0/30
试验组	30	21/9	51.80±13.06	44.93±24.43	10/20	10/20	1/29
χ²/t值		0.659	0.652	0.871	0.635	0.073
P值		0.417	0.205	0.350	0.426	0.787	0.500^a

组别	n	测试	$\bar{x}±s$	t值	P值
对照组	30	前测	10.57±6.06	4.020	0.001
对照组	30	后测	17.20±12.36	4.020	0.001
试验组	30	前测	11.13±5.99	6.435	< 0.001
试验组	30	后测	26.93±15.25	6.435	< 0.001
治疗前两组均值差			10.85±5.98	0.343	0.732
治疗后两组均值差			22.07±14.61	3.049	0.002

组别	n	测试	$\bar{x}±s$	t值	P值
对照组	30	前测	1.97±0.76	4.130	< 0.001
对照组	30	后测	2.63±1.22	4.130	< 0.001
试验组	30	前测	2.00±0.72	6.435	< 0.001
试验组	30	后测	3.43±1.30	6.435	< 0.001
治疗前两组均值差			1.98±0.75	0.171	0.865
治疗后两组均值差			3.03±1.31	2.456	0.017

组别	n	测试	$\bar{x}±s$	t值	P值
对照组	30	前测	46.30±18.32	6.313	< 0.001
对照组	30	后测	58.00±19.65	6.313	< 0.001
试验组	30	前测	50.57±18.26	6.652	< 0.001
试验组	30	后测	71.23±16.92	6.652	< 0.001
治疗前两组均值差			48.43±18.26	0.903	0.370
治疗后两组均值差			64.62±19.36	2.795	0.007

Effect of bilateral upper limb training after priming upper limb robot training on upper limb function in stroke patients with severe hemiplegia

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