下肢康复机器人配合康复训练在脑卒中偏瘫患者中应用观察
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摘要
目的探究下肢康复机器人配合康复训练在脑卒中偏瘫患者中应用效果。方法将2016年1月‐2016年10月该院收治的90例脑卒中偏瘫患者纳入研究,将所有患者按随机数字表法分为两组,对照组45例采用常规康复训练,观察组45例采用下肢康复机器人配合康复训练,比较两组下肢运动功能、平衡功能、日常生活能力及步行能力。结果干预后,与对照组相比,观察组下肢Fugl-Meyer运动评分、下肢Berg平衡评分较高,差异具有统计学意义(P <0.05);干预后,两组日常生活能力量表(ADL)各维度评分均明显提高,与对照组相比,观察组ADL各维度评分较高,差异具有统计学意义(P <0.05);干预后,两组功能性步行分级法(FAC)评分、6 min步行距离均明显提高,与对照组相比,观察组FAC评分、6 min步行距离较高,差异具有统计学意义(P <0.05)。结论脑卒中偏瘫患者采用下肢康复机器人配合康复训练可有效促进其下肢运动功能恢复,改善患者步行及平衡能力,提高其日常生活能力。
【Objective】To investigate the application effect of lower limbs rehabilitative robot and rehabilitation training in patients with stroke hemiplegia.【Methods】Ninety patients with stroke hemiplegia admitted to our hospital from January 2016 to October 2016 were divided into two groups by random number table, 45 cases in each group. Control group was given routine rehabilitation training, while observation group was given lower limbs rehabilitative robot and rehabilitation training. The lower limb movement function, balance function, activity of daily living(ADL), and walking ability were compared between the two groups. 【Results】After intervention, the scores of lower limb Fugl-Meyer movement and Berg balance in observation group were higher than those in control group(P <0.05); after intervention, the scores of ADL in two groups increased, and the scores of observation group were higher than those of control group(P <0.05); after intervention, the functional ambulation category(FAC) scale score and 6 min walking distance of two groups increased, and observation group was higher than control group(P <0.05). 【Conclusion】Lower limbs rehabilitative robot and rehabilitation training in patients with stroke hemiplegia can promote recovery of lower limb movement function, improve walking and balance ability and increase activity of daily living.
【Objective】To investigate the application effect of lower limbs rehabilitative robot and rehabilitation training in patients with stroke hemiplegia.【Methods】Ninety patients with stroke hemiplegia admitted to our hospital from January 2016 to October 2016 were divided into two groups by random number table, 45 cases in each group. Control group was given routine rehabilitation training, while observation group was given lower limbs rehabilitative robot and rehabilitation training. The lower limb movement function, balance function, activity of daily living(ADL), and walking ability were compared between the two groups. 【Results】After intervention, the scores of lower limb Fugl-Meyer movement and Berg balance in observation group were higher than those in control group(P <0.05); after intervention, the scores of ADL in two groups increased, and the scores of observation group were higher than those of control group(P <0.05); after intervention, the functional ambulation category(FAC) scale score and 6 min walking distance of two groups increased, and observation group was higher than control group(P <0.05). 【Conclusion】Lower limbs rehabilitative robot and rehabilitation training in patients with stroke hemiplegia can promote recovery of lower limb movement function, improve walking and balance ability and increase activity of daily living.
引文
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[10]王会才,赵凯,葛玥.康复机器人训练对脑卒中偏瘫上肢功能及神经电生理的影响[J].安徽医药,2014,18(9):1690-1694.
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[12]张秀芳,高晓盟,赵娜,等.上肢康复机器人训练对脑卒中偏瘫患者上肢功能恢复的影响[J].中华物理医学与康复杂志,2016,38(3):180-182.
[13]王大武,白定群,邵岚,等.下肢康复机器人训练对脑卒中偏瘫侧膝关节本体感觉的影响[J].中国康复医学杂志,2016,31(9):950-954.
[14]纪雯,王建辉,方晓柯,等.脑卒中康复训练智能方法及实现[J].系统仿真学报,2014,26(4):836-842.
[15]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.
[2]翟宏伟,陈伟,孙洁,等.下肢康复机器人对脑卒中偏瘫患者运动功能恢复及体感诱发电位的影响[J].中华物理医学与康复杂志,2014,36(10):784-786.
[3]郑彭,黄国志,彭生辉.下肢康复机器人对改善脑卒中偏瘫患者下肢肌力及运动功能障碍的临床研究[J].中国康复医学杂志,2016,31(9):9555-959.
[4]Bradai N,Andriantsifanetra C,Charlanes A,et al.Rehabilitation of a hemiplegic patient with cardiac assistive device[J].Annals of Physical&Rehabilitation Medicine,2014,57(2):138-142.
[5]刘畅,郄淑燕,王寒明,等.下肢康复机器人对脑卒中偏瘫患者下肢运动功能与步行能力的效果[J].中国康复理论与实践,2017,23(6):696-700.
[6]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):89-90.
[7]田强元,齐鹏,刘洪恩,等.Lokohelp康复机器人在脑卒中偏瘫患者下肢运动功能恢复中的应用[J].山东医药,2016,56(18):64-65.
[8]贝宁,贝筝,陈怡,等.康复机器人对中老年脑卒中下肢功能康复影响[J].中国热带医学,2015,15(10):1246-1248.
[9]范亚霞,赵雅宁,郝正玮,等.下肢康复训练机器人对脑梗死偏瘫病人步行功能与P300影响[J].齐鲁医学杂志,2015,30(2):167-169.
[10]王会才,赵凯,葛玥.康复机器人训练对脑卒中偏瘫上肢功能及神经电生理的影响[J].安徽医药,2014,18(9):1690-1694.
[11]Hariohm K,Prakash V.Deep flexion activity training in a patient with stroke using task-oriented exercise:a case report[J].Physiotherapy Practice,2014,30(3):196-201.
[12]张秀芳,高晓盟,赵娜,等.上肢康复机器人训练对脑卒中偏瘫患者上肢功能恢复的影响[J].中华物理医学与康复杂志,2016,38(3):180-182.
[13]王大武,白定群,邵岚,等.下肢康复机器人训练对脑卒中偏瘫侧膝关节本体感觉的影响[J].中国康复医学杂志,2016,31(9):950-954.
[14]纪雯,王建辉,方晓柯,等.脑卒中康复训练智能方法及实现[J].系统仿真学报,2014,26(4):836-842.
[15]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.