中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
Chinese Journal of Physical Medicine and Rehabilitation
2015年
9期
674-677
,共4页
下肢康复机器人%脑卒中%偏瘫%下肢运动功能
下肢康複機器人%腦卒中%偏癱%下肢運動功能
하지강복궤기인%뇌졸중%편탄%하지운동공능
Robot-assisted gait training%Stroke%Hemiplegia%Lower limb motor functions
目的 观察下肢康复机器人训练对脑卒中偏瘫患者下肢运动功能的影响.方法 采用随机数字表法将40例脑卒中偏瘫患者(病程＜12周)分为治疗组及对照组.对照组患者给予常规康复干预,治疗组患者在常规康复干预基础上辅以下肢康复机器人步行训练,每天治疗1次,共连续治疗6周.于治疗前、治疗6周后分别采用简式Fugl-Meyer运动功能量表(FMA)下肢评分及上田敏式偏瘫下肢功能量表对2组患者下肢运动功能进行评定,同时采用功能性步行分级(FAC)评价2组患者步行能力改善情况.结果 治疗前2组患者下肢FMA评分、上田敏式分级及FAC评分组间差异均无统计学意义(P＞0.05);治疗6周后发现2组患者下肢FMA评分、上田敏式分级及FAC评分均较治疗前明显改善(P＜0.05),并且治疗组患者下肢FMA评分[(28.14±3.37)分]、上田敏式分级[(10.29±1.69)级]及FAC评分[(3.86±0.77)分]均显著优于对照组水平[分别为(24.62 ±3.69)分、(8.85±1.73)级和(2.92±0.86)分],组间差异均具有统计学意义(P＜0.05).结论 在常规康复干预基础上辅以下肢康复机器人步行训练,能进一步提高脑卒中偏瘫患者下肢运动功能,该疗法值得临床推广、应用.
目的 觀察下肢康複機器人訓練對腦卒中偏癱患者下肢運動功能的影響.方法 採用隨機數字錶法將40例腦卒中偏癱患者(病程＜12週)分為治療組及對照組.對照組患者給予常規康複榦預,治療組患者在常規康複榦預基礎上輔以下肢康複機器人步行訓練,每天治療1次,共連續治療6週.于治療前、治療6週後分彆採用簡式Fugl-Meyer運動功能量錶(FMA)下肢評分及上田敏式偏癱下肢功能量錶對2組患者下肢運動功能進行評定,同時採用功能性步行分級(FAC)評價2組患者步行能力改善情況.結果 治療前2組患者下肢FMA評分、上田敏式分級及FAC評分組間差異均無統計學意義(P＞0.05);治療6週後髮現2組患者下肢FMA評分、上田敏式分級及FAC評分均較治療前明顯改善(P＜0.05),併且治療組患者下肢FMA評分[(28.14±3.37)分]、上田敏式分級[(10.29±1.69)級]及FAC評分[(3.86±0.77)分]均顯著優于對照組水平[分彆為(24.62 ±3.69)分、(8.85±1.73)級和(2.92±0.86)分],組間差異均具有統計學意義(P＜0.05).結論 在常規康複榦預基礎上輔以下肢康複機器人步行訓練,能進一步提高腦卒中偏癱患者下肢運動功能,該療法值得臨床推廣、應用.
목적 관찰하지강복궤기인훈련대뇌졸중편탄환자하지운동공능적영향.방법 채용수궤수자표법장40례뇌졸중편탄환자(병정＜12주)분위치료조급대조조.대조조환자급여상규강복간예,치료조환자재상규강복간예기출상보이하지강복궤기인보행훈련,매천치료1차,공련속치료6주.우치료전、치료6주후분별채용간식Fugl-Meyer운동공능량표(FMA)하지평분급상전민식편탄하지공능량표대2조환자하지운동공능진행평정,동시채용공능성보행분급(FAC)평개2조환자보행능력개선정황.결과 치료전2조환자하지FMA평분、상전민식분급급FAC평분조간차이균무통계학의의(P＞0.05);치료6주후발현2조환자하지FMA평분、상전민식분급급FAC평분균교치료전명현개선(P＜0.05),병차치료조환자하지FMA평분[(28.14±3.37)분]、상전민식분급[(10.29±1.69)급]급FAC평분[(3.86±0.77)분]균현저우우대조조수평[분별위(24.62 ±3.69)분、(8.85±1.73)급화(2.92±0.86)분],조간차이균구유통계학의의(P＜0.05).결론 재상규강복간예기출상보이하지강복궤기인보행훈련,능진일보제고뇌졸중편탄환자하지운동공능,해요법치득림상추엄、응용.
Objective To evaluate the effects of robot-assisted gait training on the lower limb motor functions of in hemiplegic stroke patients.Methods Forty stroke patients with hemiplegia were randomly divided into a treatment group and a control group.Both groups were treated with routine rehabilitation therapies for 60 min daily in 6 weeks.The patients in the treatment group were given robot-assisted gait training for 30 min daily for 6 weeks.The lower limb part of Fugl-Meyer assessment (FMA) , the Ueda Satoshi standardized hemiplegic function scale and the functional ambulation categories (FAC) were used to evaluate the lower limb motor function before and after the sixweeks of therapies.Results There were no significant difference between the two groups before treatment with regard to all the three assessment measurements.After 6 weeks of treatment, both groups significantly improved in terms of the scores with FMA, the grade of Ueda Satoshi standardized hemiplegic function scale and the FAC (P ＜0.05).But the treatment group had significantly greater improvement than the control group (P ＜ 0.05).Conclusions The robot-assisted gait training can supplement the routine rehabilitation therapies in improving lower limb motor function in stroke patients.
