CAJ | 학술논문

目的探讨下肢康复机器人训练对急性脑卒中患者下肢运动功能的影响.方法将42例急性脑卒中患者按随机数字表法分为治疗组和对照组,每组21例,对照组给予常规康复治疗,治疗组在此基础上辅以下肢康复机器人训练,每次10 ～ 20 min,每周6次,共8周.分别于治疗前和治疗8周后(治疗后)采用简化Fugl-Meyer运动功能量表(FMA)评定下肢运动功能,采用Berg平衡量表(BBS)评定平衡功能,采用Rivermead运动指数(RMI)评定日常生活活动(ADL)能力,以及采用功能性步行分级(FAC)评定患者步行能力,并进行统计学比较分析.结果治疗前2组患者FMA、BBS和RMI评分的组间比较,差异均无统计学意义(P＞0.05)；治疗后2组患者FMA、BBS和RMI评分均优于组内治疗前水平(P＜0.05),且治疗组均明显优于对照组(P＜0.05).治疗前,对照组和治疗组患者能独立步行(FAC分级≥3级)的患者分别为5例(23.8％)和8例(38.1％),组间差异无统计学意义(P＞0.05)；治疗后,对照组和治疗组独立步行患者分别增加到12例(57.1％)和18例(85.7％),经统计学分析比较,治疗后2组患者步行功能均较组内治疗前有明显提高(P＜0.05),且治疗后治疗组患者步行功能明显优于同期对照组(P＜0.05).结论下肢康复机器人训练可进一步改善急性脑卒中偏瘫患者的下肢运动功能.
목적 탐토하지강복궤기인훈련대급성뇌졸중환자하지운동공능적영향.방법 장42례급성뇌졸중환자안수궤수자표법분위치료조화대조조,매조21례,대조조급여상규강복치료,치료조재차기출상보이하지강복궤기인훈련,매차10 ～ 20 min,매주6차,공8주.분별우치료전화치료8주후(치료후)채용간화Fugl-Meyer운동공능량표(FMA)평정하지운동공능,채용Berg평형량표(BBS)평정평형공능,채용Rivermead운동지수(RMI)평정일상생활활동(ADL)능력,이급채용공능성보행분급(FAC)평정환자보행능력,병진행통계학비교분석.결과 치료전2조환자FMA、BBS화RMI평분적조간비교,차이균무통계학의의(P＞0.05)；치료후2조환자FMA、BBS화RMI평분균우우조내치료전수평(P＜0.05),차치료조균명현우우대조조(P＜0.05).치료전,대조조화치료조환자능독립보행(FAC분급≥3급)적환자분별위5례(23.8％)화8례(38.1％),조간차이무통계학의의(P＞0.05)；치료후,대조조화치료조독립보행환자분별증가도12례(57.1％)화18례(85.7％),경통계학분석비교,치료후2조환자보행공능균교조내치료전유명현제고(P＜0.05),차치료후치료조환자보행공능명현우우동기대조조(P＜0.05).결론 하지강복궤기인훈련가진일보개선급성뇌졸중편탄환자적하지운동공능.
Objective To investigate the effects of robot-assisted lower limb rehabilitation on the lower limb motor function of hemiplegic patients in the acute stage.Methods Forty-two hemiplegic patients in the acute stage were randomly divided into a treatment group and a control group with 21 in each.Both groups were treated with routine rehabilitation interventions,but the treatment group also undertook robot-assisted lower limb rehabilitation training.The training lasted for 10 to 20 min/d,6 d/week for 8 weeks.Lower limb motor function,balance,ability in the activities of daily living and walking ability were assessed with a simplified Fugl-Meyer assessment,the Berg balance scale,the Rivermead motility index (RMI) and functional ambulation categories (FACs).Results Before the intervention there was no significant difference between the two groups in any of the assessments.After training,both groups showed significant improvements in terms of their FMA,BBS,RMI and FAC results.The treatment group showed significantly better improvements in lower limb motor function,balance,ability in daily living and walking ability compared with the control group.Conclusions Robot-assisted lower limb rehabilitation can significantly improve the lower limb motor function of hemiplegic patients in the acute stage.