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顾旭东,吴 华,郭 帅,胡淑珍,傅建明,姚云海,时美芳,申纯太.骨盆辅助步行康复机器人对脑卒中偏瘫患者运动功能及日常生活能力的影响[J].中国康复医学杂志,2020,(5):556~559
骨盆辅助步行康复机器人对脑卒中偏瘫患者运动功能及日常生活能力的影响    点此下载全文
顾旭东  吴 华  郭 帅  胡淑珍  傅建明  姚云海  时美芳  申纯太
浙江省嘉兴市第二医院康复医学中心,嘉兴,314000
基金项目:嘉兴市科技计划项目(2017AY33033)
DOI:10.3969/j.issn.1001-1242.2020.05.009
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摘要:
      摘要 目的:探讨应用骨盆辅助步行康复机器人对卒中偏瘫患者运动功能及日常生活能力的影响。 方法:选取嘉兴市第二医院康复医学中心2016年1月—2017年1月间住院确诊的40例脑卒中偏瘫患者,随机数字表法分为治疗组(20例)和对照组(20例),对照组给予常规康复训练,治疗组还给予骨盆辅助步行康复机器人训练,每次10—20min,每周6次,共8周。对两组患者进行康复评定,治疗前后采用下肢Fugl-Meyer评分(FMA)、Berg平衡测试(BBS)、功能性步行能力分级(FAC)及改良Barthel指数(MBI)。 结果:治疗前两组患者下肢FMA评分、BBS评分、FAC分级及MBI评分组间差异均无显著性意义(P>0.05)。治疗8周后治疗组患者FMA评分、BBS评分、FAC分级及MBI评分较对照组均有明显改善(P<0.05),且治疗组FMA评分、BBS评分、FAC分级优于对照组(P<0.05)。但MBI评分与对照组比较无显著性差异(P>0.05)。 结论:骨盆辅助步行康复机器人训练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。
关键词:机器人  脑卒中  功能恢复  日常生活能力
Effects of pelvic assisted walking rehabilitation robot on motor function and daily living ability in hemiplegic patients after stroke    Download Fulltext
The Second Hospital of Jiaxing Rehabilitation Medical Center,Zhejiang, 314000
Fund Project:
Abstract:
      Abstract Objective:To explore the effects of pelvic assisted walking rehabilitation robot on motor function and walking ability in hemiplegic patients after stroke. Method:Forty hemiplegic patients were divided randomly into treatment(n=20) and control(n=20) group.Both groups were treated with neuro-facilitation technique,the treatment group also was added with the pelvic assisted walking rehabilitation robot training,training lasted for 20min/d,6d/week for 8 weeks.All patients were assessed with the Fugl-Meyer lower limb(FMA),Berg Balance Scale(BBS),function ambulation category(FAC)classification and the modified Barthel index(MBI)at the time of beginning and eight weeks later. Result:Before intervention,there were no significant differences between the two groups in any of the assessment.Eight weeks later,all the assessment scores obtained with the FMA,BBS,FAC in the treatment group were significantly better than those in the control group. Conclusion:The application of the pelvic assisted walking rehabilitation robot can distinctly improve the motor function of lower limb and walking ability.
Keywords:robotics  stroke  recovery of function  walking ability
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