张兰,何建华,杨振,等.可穿戴机器人改善脑卒中患者平衡及步行功能的疗效观察[J].中华物理医学与康复杂志,2024,46(6):529-533
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| 可穿戴机器人改善脑卒中患者平衡及步行功能的疗效观察 |
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| DOI：10.3760/cma.j.issn.0254-1424.2024.06.008 |
| 中文关键词: 可穿戴机器人 脑卒中 平衡功能 步态 |
| 英文关键词: Wearable robots Robots Stroke Balance Gait Walking |
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| 中文摘要: |
| 目的 探讨可穿戴机器人改善脑卒中患者平衡及步行功能的临床疗效。 方法 将符合条件的脑卒中患者80例按随机数字表法分为观察组和对照组，每组40例。对照组予以常规康复联合可穿戴机器人无助力治疗，观察组予以常规康复联合可穿戴机器人助力治疗，可穿戴机器人治疗为1次/日，每次20 min，6次/周。分别于治疗前和治疗4周后（治疗后），采用Berg平衡量表(BBS)评分和功能性步行分级(FAC)评分对2组患者的平衡能力及步行能力进行评估，用Prokin平衡仪测定2组患者的运动轨迹长度和面积，利用可穿戴机器人系统测定患侧步长和步速。 结果 治疗后，2组患者的BBS评分、FAC评分、运动轨迹长度、运动轨迹面积以及步长和步速等各项指标均较组内治疗前显著改善（P<0.05）；观察组治疗后的BBS评分、FAC评分、运动轨迹长度、运动轨迹面积、患侧步长和患侧步速分别为（43.31±2.21）分、（4.63±0.50）分、（372.51±95.41）mm、(625.31±127.97)mm2、(0.54±0.04)m、（0.70±0.05）m/s，明显改善优于对照组治疗后［(39.63±2.49）分、（3.97±0.28）分、（455.18±104.50）mm、(763.37±132.91)mm2、(0.41±0.02)m、(0.48±0.03)m/s］，且组间差异均有统计学意义(P<0.05)。 结论 常规康复联合可穿戴机器人助力治疗可显著改善脑卒中患者平衡及步行功能，且较单独使用常规康复治疗的疗效好。 |
| 英文摘要: |
| Objective To explore the clinical efficacy of a wearable robot for improving the balance and walking function of stroke survivors. Methods Eighty stroke survivors were randomly divided into an observation group and a control group, each of 40. Both groups were given routine rehabilitation, but the observation group additionally received 20 minutes of training assisted by a wearable robot six days a week for 4 weeks. Before and after the experiment, both groups were evaluated using the Berg Balance Scale (BBS) and functional ambulation categories (FACs). Their movement distance and ellipse area were measured using a Prokin balance instrument, and their step length and pace on the affected side were recorded. Results Significant improvement in the average BBS and FAC scores, exercise length, ellipse area, and step length and speed on the affected side was observed in both groups. On average, the experimental group′s results were significantly better than those of the control group. Conclusion Supplementing conventional rehabilitation with wearable robot assistance can significantly improve the balance and walking function of stroke survivors. |
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