机器人辅助训练对脑卒中患者上肢功能的效果

doi:10.3969/j.issn.1006-9771.2021.07.010

Abstract

Abstract:

Objective To observe the effects of a self-developed wearable intelligent upper limb rehabilitation robot system on upper limb motor function and activities of daily living of stroke patients.

Methods From August, 2018 to October, 2020, 61 stroke patients with hemiplegia from Beijing Bo'ai Hospital were randomly divided into control group (n = 30) and observation group (n = 31). The control group accepted routine rehabilitation training twice a day, while the observation group accepted routine rehabilitation training once a day and robot-assisted training once a day, for four weeks. All the patients were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE) and modified Barthel Index (MBI) before and after training, while the active range of motion (aROM) of affected shoulder, elbow and forearm was measured.

Results A case dropped out in the observation group. The scores of FMA-UE and MBI improved in both groups after training (|t| > 4.372, P < 0.001), and the improvement of MBI was more in the observation group than in the control group (t = 2.393, P < 0.05). The aROM of flexion/extension, internal/external rotation and abduction of shoulder, flexion of elbow, and supination/pronation of forearm increased in both groups (|t| > 3.050, P < 0.01), and the improvement of flexion and external rotation of shoulder was more in the observation group than in the control group (|t| > 2.160, P < 0.05).

Conclusion Robot-assisted training based on routine rehabilitation may promote the recovery of upper-limb function for stroke patients.

Key words: stroke, robot, upper limb, rehabilitation

CLC Number:

R743.3

HE Yan,ZHANG Tong. Effect of Robot-assisted Training on Upper-limb Function for Stroke Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 797-801.

Figures/Tables 4

References 21

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组别	n	性别 (男/女, n)	年龄(岁)	偏瘫侧 (左/右, n)	病程(月)	MMSE	病变类型 (出血/梗死, n)
对照组	30	26/4	57.67±12.98	17/13	2.33±1.69	26.27±2.60	7/23
观察组	30	26/4	57.53±14.61	13/17	2.93±2.43	26.13±2.86	10/20
χ²／t值		0	0.037	1.669	-1.109	0.189	0.341
P值		1.000	0.970	0.196	0.272	0.851	0.559

指标	训练前	训练后	t值	P值
FMA-UE	21.1±3.4	27.4±4.2	-4.372	< 0.001
MBI	54.3±3.8	63.2±3.7	-6.445	< 0.001
肩屈曲(°)	83.0±8.7	105.7±9.8	-4.610	< 0.001
肩伸展(°)	22.3±3.6	33.3±3.7	-5.904	< 0.001
肩内旋(°)	28.6±5.6	42.0±5.2	-4.556	< 0.001
肩外旋(°)	22.0±5.7	29.5±4.5	-3.302	0.003
肩外展(°)	58.3±10.0	88.0±8.4	-4.559	< 0.001
肘屈曲(°)	81.8±7.7	105.5±7.4	-5.859	< 0.001
前臂旋前(°)	26.2±5.8	49.8±6.1	-4.092	< 0.001
前臂旋后(°)	20.3±4.9	43.2±5.6	-4.512	< 0.001

指标	训练前	训练后	t值	P值
FMA-UE	23.0±3.3	29.3±3.3	-5.853	< 0.001
MBI	39.8±5.0	57.9±4.2	-6.372	< 0.001
肩屈曲(°)	75.3±11.6	114.2±10.6	-6.884	< 0.001
肩伸展(°)	21.0±3.5	28.0±3.7	-3.404	0.002
肩内旋(°)	46.8±6.2	59.7±5.9	-3.760	0.001
肩外旋(°)	20.5±4.2	42.5±5.1	-7.047	< 0.001
肩外展(°)	64.2±11.1	91.5±10.9	-5.626	< 0.001
肘屈曲(°)	87.5±11.5	110.8±10.0	-3.688	0.001
前臂旋前(°)	27.0±6.5	41.8±7.2	-3.050	0.005
前臂旋后(°)	21.2±5.3	38.0±6.5	-4.185	< 0.001

指标	对照组(n = 30)	观察组(n = 30)	t值	P值
FMA-UE	6.3±1.4	6.3±1.1	-0.018	0.985
MBI	8.8±1.4	16.2±2.7	2.393	0.020
肩屈曲(°)	22.7±4.9	38.8±5.6	-2.160	0.035
肩伸展(°)	11.0±1.9	7.0±2.0	1.441	0.155
肩内旋(°)	13.4±2.9	12.8±3.4	0.126	0.900
肩外旋(°)	7.5±2.3	22.0±3.1	-3.756	< 0.001
肩外展(°)	29.7±6.5	27.3±4.9	0.287	0.775
肘屈曲(°)	23.7±4.0	23.3±6.3	0.044	0.965
前臂旋前(°)	23.7±5.8	14.8±4.9	1.169	0.247
前臂旋后(°)	22.8±5.1	16.8±4.0	0.928	0.357

Effect of Robot-assisted Training on Upper-limb Function for Stroke Patients

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