机器人辅助的双侧任务导向性训练对脑卒中患者上肢功能的效果

doi:10.3969/j.issn.1006-9771.2023.10.011

Abstract

Abstract:

Objective To investigate the effect of robot-assisted bilateral task-oriented upper limb training on upper limb function of patients with stroke.
Methods From January, 2021 to June, 2022, 52 patients with stroke in the Second Hospital of Jiaxing were enrolled and randomized into control group (n = 26) and experimental group (n = 26). Both groups received routine treatment. The control group added conventional bilateral upper limb training, while the experimental group added robot-assisted bilateral task-oriented upper limb training, for six weeks. Before and after treatment, the upper limb motor function and activities of daily living were assessed with Fugl-Meyer Assessment-Upper Extremity (FMA-UE) and modified Barthel Index (MBI). The upper limb proprioception test system was used to measure the average trace error (ATE) and test execution time of the upper limb.
Results Before treatment, there was no significant difference in the scores of FMA-UE and MBI, and ATE and test execution time between two groups (P > 0.05). After treatment, all the indexes improved significantly in both groups (|t| > 5.400, P < 0.001), and were better in the experimental group than in the control group (|t| > 2.123, P < 0.05).
Conclusion Robot-assisted bilateral task-oriented upper limb training could facilitate to improve the upper limb motor function and activities of daily living of stroke patients.

Key words: stroke, robot, bilateral task-oriented training, upper limb

CLC Number:

R743.3

SUN Ya, LI Yan, FU Jianming, LU Jingjing, JIN Xin, LIN Zailong. Effect of robot-assisted bilateral task-oriented upper limb training on upper limb function of patients with stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(10): 1195-1200.

Figures/Tables 5

References 38

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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	脑病变侧别(左/右)/n
对照组	26	17/9	58.23±9.61	39.73±18.80	12/14	13/13
试验组	26	16/10	56.15±8.01	40.50±17.84	10/16	17/9
χ²/t值		0.083	0.848	-0.152	0.315	1.261
P值		0.773	0.401	0.880	0.575	0.262

组别	n	治疗前	治疗后	t值	P值
对照组	26	23.50±15.04	29.35±14.72	-14.123	< 0.001
试验组	26	24.85±15.18	37.92±14.22	-12.843	< 0.001
t值		-0.321	-2.137
P值		0.749	0.038

组别	n	治疗前	治疗后	t值	P值
对照组	26	41.58±14.62	48.73±12.59	-8.681	< 0.001
试验组	26	41.92±14.91	56.31±12.54	-13.319	< 0.001
t值		-0.085	-2.174
P值		0.933	0.034

组别	n	治疗前	治疗后	t值	P值
对照组	26	70.38±11.72	49.42±12.77	5.400	< 0.001
试验组	26	69.92±12.05	42.31±11.36	8.252	< 0.001
t值		0.140	2.123
P值		0.889	0.039

组别	n	治疗前	治疗后	t值	P值
对照组	26	69.88±11.74	46.08±9.04	12.339	< 0.001
试验组	26	70.42±11.72	39.69±10.19	16.036	< 0.001
t值		-0.166	2.390
P值		0.869	0.021

Effect of robot-assisted bilateral task-oriented upper limb training on upper limb function of patients with stroke

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