CAJ | 학술논문

　　目的探讨MOTOmed智能运动训练系统训练对脑卒中偏瘫患者平衡功能及下肢运动功能的影响。方法脑卒中患者120例按随机数字表法随机分为观察组和对照组各60例。两组均采用常规康复训练方法，观察组在此基础上，增加MOTOmed智能运动训练系统训练。治疗前，治疗后4、8、12周时分别采用简式Fugl-Meyer评定法(FMA)进行下肢评定，功能性步行分级量表(FAC)进行步行能力评定， Barthel指数(BI)进行日常生活活动能力评定、Motricity指数(MI-L)进行下肢肌力评定、改良Ashworth量表(MAS)进行肌张力评定， Berg平衡量表(BBS)进行平衡功能评定。结果治疗前两组患者的FMA、BI、MI-L、BBS、MAS、FAC评分及最大步行速度、步长和步频等参数均无显著性差异(P>0.05)。治疗4周、8周及12周后，观察组FMA、BI、MI-L、BBS、FAC评分及最大步行速度、步长和步频等参数均较治疗前提高，且呈上升趋势(P<0.05)；观察组MAS得分较治疗前降低，且呈下降趋势(P<0.05)；观察组各指标均优于对照组(P<0.05)。结论 MOTOmed训练系统配合常规康复训练能够提高脑卒中偏瘫患者的平衡功能及下肢运动功能。
　　목적탐토MOTOmed지능운동훈련계통훈련대뇌졸중편탄환자평형공능급하지운동공능적영향。방법뇌졸중환자120례안수궤수자표법수궤분위관찰조화대조조각60례。량조균채용상규강복훈련방법，관찰조재차기출상，증가MOTOmed지능운동훈련계통훈련。치료전，치료후4、8、12주시분별채용간식Fugl-Meyer평정법(FMA)진행하지평정，공능성보행분급량표(FAC)진행보행능력평정， Barthel지수(BI)진행일상생활활동능력평정、Motricity지수(MI-L)진행하지기력평정、개량Ashworth량표(MAS)진행기장력평정， Berg평형량표(BBS)진행평형공능평정。결과치료전량조환자적FMA、BI、MI-L、BBS、MAS、FAC평분급최대보행속도、보장화보빈등삼수균무현저성차이(P>0.05)。치료4주、8주급12주후，관찰조FMA、BI、MI-L、BBS、FAC평분급최대보행속도、보장화보빈등삼수균교치료전제고，차정상승추세(P<0.05)；관찰조MAS득분교치료전강저，차정하강추세(P<0.05)；관찰조각지표균우우대조조(P<0.05)。결론 MOTOmed훈련계통배합상규강복훈련능구제고뇌졸중편탄환자적평형공능급하지운동공능。
Objective To investigate the effect of MOTOmed intelligent training system training on balance and lower limb motor func-tion in stroke patients. Methods 120 stroke patients were randomly divided into observation group (n=60) and control group (n=60) accord-ing to the random number table. Both groups were treated with routine rehabilitation training, the observation group received MOTOmed in-telligent training system in addition. They were evaluated with Fugl-Meyer assessment (FMA), Functional Ambulation Category (FAC), Bar-thel index (BI), Motricity index (MI-L), modified Ashworth scale (MAS) and Berg balance scale (BBS) before and 4, 8, 12 weeks after treat-ment. Results There was no difference in the score of FMA, BI, MI-L, BBS, MAS, FAC and the maximum walking speed, stride length and stride frequency between 2 groups before treatment (P>0.05). The scores of FMA, BI, MI-L, BBS, FAC and the maximum walking speed stride length and stride frequency increased in the observation group and there was a uptrend 4 weeks, 8 weeks and 12 weeks after treatment (P<0.05). The score of MAS decreased in the observation group and there was a downtrend after treatment (P<0.05). All the indexes were better in the observation group than in the control group (P<0.05). Conclusion MOTOmed training system combined with routine rehabilita-tion training can improve the balance and lower limb motor function in stroke patients.