CAJ | 학술논문

目的：观察MOTOmed智能运动训练治疗脑卒中患者下肢运动功能以及对表面肌电的影响。方法：将60例脑卒中所致偏瘫侧肢体痉挛患者随机分为MOTOmed组和对照组，各30例。对照组应用综合康复治疗，MOTOmed组在对照组治疗的基础上采用MOTOmed智能运动训练治疗，治疗前后进行运动功能评定，并采集治疗前后股直肌和胫前肌的iEMG和RMS值。结果：经过MOTOmed治疗后，患者表面肌电iEMG和RMS值均高于常规治疗组，P＜0．05，差异有显著性意义，运动功能方面：BBS、FAC、MSA各值与常规治疗组比较，P＜0．05差异有显著性意义。结论：智能运动训练系统可提高患者下肢运动功能，sEMG信号可反映偏瘫患者下肢在康复治疗前后的运动功能改善情况，sEMG信号可作为偏瘫病人运动功能恢复的评价指标。
목적：관찰MOTOmed지능운동훈련치료뇌졸중환자하지운동공능이급대표면기전적영향。방법：장60례뇌졸중소치편탄측지체경련환자수궤분위MOTOmed조화대조조，각30례。대조조응용종합강복치료，MOTOmed조재대조조치료적기출상채용MOTOmed지능운동훈련치료，치료전후진행운동공능평정，병채집치료전후고직기화경전기적iEMG화RMS치。결과：경과MOTOmed치료후，환자표면기전iEMG화RMS치균고우상규치료조，P＜0．05，차이유현저성의의，운동공능방면：BBS、FAC、MSA각치여상규치료조비교，P＜0．05차이유현저성의의。결론：지능운동훈련계통가제고환자하지운동공능，sEMG신호가반영편탄환자하지재강복치료전후적운동공능개선정황，sEMG신호가작위편탄병인운동공능회복적평개지표。
Objective:To study on observation of MOTOmed intelligent exercise training on stroke patients with lower extremity motor function and influence on the surface EMG .Methods:60 patients in stroke patients with hemiplegia limb spasm were randomly divided into MOTOmed group and control group , each of 30 cases.The control group used the comprehensive rehabilitation treatment , MOTOmed group with MOTOmed intelligent exercise therapy based on the treatment in control group , motor function were evaluated before and after treat-ment, and the acquisition of rectus femoris and tibialis anterior muscle of iEMG and RMS before and after treatment .Result After MO-TOmed treatment, patients of surface EMG iEMG and RMS were higher in the conventional treatment group , and there were significant differences in P<0.05, BBS, FAC:motor function, the value of MSA compared with routine treatment group , and there were significant differences in P <0.05.Conclusion:MOTOmed Intelligent training system could improve the patients with lower limb motor function , sEMG signal could be reflected in the motor function of lower extremity of hemiplegic patients before and after rehabilitation treatment to improve the situation , the evaluation index of sEMG signal could be used as motor function of hemiplegia patients recovery .