朱建周,袁华,毛利,等.末端驱动型下肢机器人对脑卒中患者步态的影响[J].中华物理医学与康复杂志,2021,43(7):631-634
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| 末端驱动型下肢机器人对脑卒中患者步态的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2021.07.012 |
| 中文关键词: 脑卒中 机器人 下肢 步态 |
| 英文关键词: Stroke Robots Lower limb Gait |
| 基金项目:军事医学创新工程（16CXZ022）；空军军医大学第一附属医院学科助推计划（XJZT19ML29） |
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| 中文摘要: |
| 目的 探讨末端驱动型下肢康复机器人训练对脑卒中患者下肢步行能力、下肢运动功能、步态及平衡功能的影响。 方法 将2018年8月至2019年8月在空军军医大学第一附属医院住院治疗的、符合纳入标准的39例脑卒中患者，按照随机数字表法将其分为训练组(21例)和对照组(18例)。2组患者均接受常规康复治疗，包括偏瘫肢体综合训练、中频脉冲电刺激等，对照组在此基础上接受减重平板步行训练，训练组接受末端驱动的下肢康复机器人训练，每日1次、每次20 min、每周6 d、持续4周。治疗前，治疗4周后（治疗后），采用功能性步行分级(FAC)、Fugl-Meyer运动功能评分下肢部分(FMA-LE)、威斯康星步态量表(WGS)及Berg平衡量表(BBS)进行评定。 结果 治疗前，2组患者FAC、FMA-LE、WGS及BBS评分比较，差异无统计学意义(P>0.05)。治疗后，2组患者各项指标均较组内治疗前显著改善(P<0.05)，且训练组治疗后FAC分级［(2.61±0.70)级］、WGS［(23.29±3.85)分］及BBS评分［(35.40±8.41)分］较对照组显著提高(P<0.05)。 结论 末端驱动型下肢康复机器人训练较传统康复治疗，能更好地改善脑卒中患者的步行能力、步态及平衡功能。 |
| 英文摘要: |
| Objective To observe the effect of gait training assisted by an end-effector-based robot on the gait, balance, walking and general lower limb motor functioning of stroke survivors. Methods Thirty-nine stroke survivors were randomized into a training group (n=21) and a control group (n=18). In addition to routine hemiplegia rehabilitation, the control group was given medium frequency electrical stimulation while the training group underwent 20 minutes of gait training assisted by an end-effector-based robot six days a week for 4 weeks. Before and after the intervention, both groups were evaluated using the functional ambulatory categories (FAC), the Fugl-Meyer lower extremity assessment, the Wisconsin Gait Scale and the Berg balance scale (BBS). Results There were no significant differences between the groups before the intervention. Afterward significant improvement was observed in both groups in all measurements, with the training group scored better in terms of FAC and BBS. Conclusion Using an end-effector-based robot in gait training might be more advantageous for improving the gait, balance, walking and general lower limb functioning of stroke survivors. |
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