CAJ | 학술논문

目的探讨应用下肢康复机器人系统对卒中偏瘫患者运动功能的影响.方法选取浙江省嘉兴市第二医院康复医学中心住院2010年1月至2012年1月间确诊的48例卒中偏瘫患者,随机数字表法分为治疗组(24例)和对照组(24例),对照组给予神经促通技术,治疗组在此基础上给予下肢机器人系统训练,每次10 ～ 20 min,每周6次,共8周,治疗前后采用下肢Fugl-Meyer评分(FMA)、10 m最大步行速度(MWS)、功能性步行能力分级(FAC)及改良Barthel指数(MBI)对2组患者进行评定.结果治疗前2组患者下肢FMA评分、MWS、FAC分级及MBI评分组间差异均无统计学意义(均P＞0.05).治疗8周后治疗组患者FMA评分(25.7±3.5)、MWS(52±16)、FAC分级(4.3±1.4)及MBI评分(82±17)较对照组FMA评分(22.8±3.7)、MWS(40±17)、FAC分级(3.4±1.3)及MBI评分(72±14)均有明显改善(P＜0.05),且治疗组上述评分优于对照组(P＜0.05).结论下肢康复机器人系统可以更有效地改善卒中偏瘫患者的下肢运动功能,提高步行能力及日常生活活动能力.
목적 탐토응용하지강복궤기인계통대졸중편탄환자운동공능적영향.방법 선취절강성가흥시제이의원강복의학중심주원2010년1월지2012년1월간학진적48례졸중편탄환자,수궤수자표법분위치료조(24례)화대조조(24례),대조조급여신경촉통기술,치료조재차기출상급여하지궤기인계통훈련,매차10 ～ 20 min,매주6차,공8주,치료전후채용하지Fugl-Meyer평분(FMA)、10 m최대보행속도(MWS)、공능성보행능력분급(FAC)급개량Barthel지수(MBI)대2조환자진행평정.결과 치료전2조환자하지FMA평분、MWS、FAC분급급MBI평분조간차이균무통계학의의(균P＞0.05).치료8주후치료조환자FMA평분(25.7±3.5)、MWS(52±16)、FAC분급(4.3±1.4)급MBI평분(82±17)교대조조FMA평분(22.8±3.7)、MWS(40±17)、FAC분급(3.4±1.3)급MBI평분(72±14)균유명현개선(P＜0.05),차치료조상술평분우우대조조(P＜0.05).결론 하지강복궤기인계통가이경유효지개선졸중편탄환자적하지운동공능,제고보행능력급일상생활활동능력.
Objective To explore the effects of rehabilitation robot for lower-limb on motor function in hemiplegic patients after stroke.Methods Forty-eight hemiplegic patients were divided randomly into treatment (n =24) and control (n =24) group.The neuro-facilitation technique was applied for both groups.But the treatment group had also rehabilitation robot for lower-limb training of 10-20 min/d,6 d/week for 8 weeks.All patients were assessed with the Fugl-Meyer lower limb (FMA),10 m maximum walking speed (MWS),function ambulation category (FAC)classification and the modified Barthel index (MBI) at the time of beginning and 8 weeks later.Results Prior to intervention,no significant differences in any parameter existed between two groups.Eight weeks later,all assessment scores of FMA (25.7 ±3.5),MWS(52 ± 16),FAC(4.3 ± 1.4)and MBI(82 + 17)were significantly better in the treatment group than those FMA (22.8 ± 3.7),MWS (40 ± 17),FAC (3.4 ± 1.3) and MBI (72 ± 14) in the control group.Conclusion The application of rehabilitation robot for lower-limb may markedly improve the motor function of lower limb,walking ability and activity of daily living.