施爱梅,郑琦,顾旭东,等.骨盆辅助式康复机器人训练对急性期脑梗死患者躯干控制及步行功能的影响[J].中华物理医学与康复杂志,2022,44(8):695-699
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| 骨盆辅助式康复机器人训练对急性期脑梗死患者躯干控制及步行功能的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2022.08.005 |
| 中文关键词: 康复机器人 脑梗死 躯干控制 步行 |
| 英文关键词: Robotics Cerebral infarction Trunk control Walking |
| 基金项目:浙江省医药卫生科技计划项目（2020KY954） |
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| 中文摘要: |
| 目的 观察骨盆辅助式康复机器人训练对急性期脑梗死患者躯干控制及步行功能的影响。 方法 采用随机数字表法将40例急性期脑梗死偏瘫患者分为观察组及对照组，每组20例。2组患者均给予常规药物治疗及康复训练，观察组患者在此基础上给予骨盆辅助式康复机器人训练，每天训练1次，每周训练5 d，连续干预4周。于治疗前、治疗4周后（治疗后）分别采用简式Fugl-Meyer运动功能量表（下肢部分）、功能性步行分级量表（FAC）、躯干控制测试（TCT）及机器人检测系统对2组患者下肢运动功能、步行能力、躯干控制能力和骨盆运动情况进行评估。 结果 治疗后，2组患者下肢FMA评分、FAC分级、TCT评分及骨盆运动参数均较治疗前明显改善（P＜0.05），并且观察组下肢FMA评分［（19.35±2.54）分］、FAC分级［（2.85±0.67）级］、TCT评分［（74.65±7.86）分］及骨盆侧向位移［（10.05±1.54）cm］、高度位移［（14.25±1.94）cm］、旋转角度［（9.15±1.72）°］、侧倾角度［（21.35±2.18）°］均显著优于同期对照组水平，组间差异均具有统计学意义（P＜0.05）。 结论 骨盆辅助式康复机器人训练能显著改善急性期脑梗死患者躯干控制及步行功能，且疗效明显优于常规康复训练。 |
| 英文摘要: |
| Objective To explore any effect of training assisted by a pelvic rehabilitation robot on trunk control and walking after cerebral infarction. Methods Forty cerebral infarction survivors with hemiplegia were randomly divided into an experimental group and a control group, each of 20. Both groups were given routine neurological medication and rehabilitation training, while the experimental group was additionally provided with 20 minutes of robot-assisted gait training daily, five times a week, for 4 weeks. Before and after the intervention, the motor function, walking function, trunk control and pelvic movement were assessed using a simplified version of the Fugl-Meyer assessment (FMA-LL), functional ambulation categories (FAC) and the trunk control test (TCT). Results After the treatment, significant improvement was observed in all of the above measurements in both groups. The average FMA-LL, FAC and TCT results of the experimental group as well as their average pelvic lateral displacement, height displacement, rotation angle and roll angle were all significantly superior to the control group′s averages. Conclusions Robot-assisted training can effectively improve lower limb motor functioning, trunk control, walking and pelvic motion after cerebral infarction, with better curative effect than routine rehabilitation training alone. |
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