中国康复理论与实践2016，Vol.22Issue(12)：1365-1370,6.DOI:10.3969/j.issn.1006-9771.2016.12.001
上肢机器人辅助疗法对恢复期脑卒中患者上肢运动功能及日常生活活动能力的效果
Effects of Upper Limb Robot-assisted Therapy on Motor Function and Activities of Daily Living in Patients with Convalescent Stroke
张超 1刘璇 2侯增广 1彭龙 2杨昊 3彭亮 3张皓 1洪毅2
作者信息
- 1. 首都医科大学康复医学院，北京市100068
- 2. 中国康复研究中心北京博爱医院，作业疗法科，北京市100068
- 3. 中国科学院自动化研究所，复杂系统管理与控制国家重点实验室，北京市100190
- 折叠
摘要
Abstract
Objective To explore the effects of upper limb robot-assisted therapy on motor function and activities of daily living in con-valescent stroke patients. Methods From June to September, 2016, 12 chronic stroke patients at their first-ever stroke were enrolled and ran-domized into experimental group (n=6) and control group (n=6). Both groups received routine rehabilitation. Additional robot-assisted thera-py was provided to the experimental group, and additional repetitive movement training was provided to the control group, 20 minutes a day, five days a week for four weeks. Fugl-Meyer Assessment-Upper Extremities (FMA-UE), modified Ashworth Scale (MAS) and Func-tional Independent Measure (FIM) were used to assess the motor function of the upper limbs and hands, the muscular tension of shoulder and elbow, and activities of daily living (ADL) before and after treatment. Results After treatment, the scores of FMA-UE and FIM were bet-ter in both groups (Z>2.032, P<0.05), and no significant difference was found between two groups (t<0.723, P>0.05), however, the scores were a little bit higher in the experimental group than in the control group. After treatment, for the experimental group, the MAS scores of shoulder abduction/adduction and elbow flexion/extension improved (Z>2.121, P<0.05);for the control group, the MAS scores of shoulder abduction/adduction improved (Z>2.000, P<0.05), but the MAS scores of elbow flexion/extension were not significantly different (Z<1.890,P>0.05). There was no significant difference in the MAS scores of shoulder abduction/adduction and elbow flexion/extension between two group (Z<1.734, P>0.05). The moving trail recorded by the computer, gradually became a regular pattern from the mass, saying the motor control ability became better. Conclusion Upper limb robot-assisted therapy can promote the recovery of the motor function of upper limbs and ADL in convalescent stroke patient, similar to the repetitive movement training.关键词
脑卒中/上肢/机器人/重复性运动训练/康复/运动功能/日常生活活动能力Key words
stroke/upper limb/robotics/repetitive movement training/rehabilitation/motor function/activities of daily living分类
医药卫生引用本文复制引用
张超,刘璇,侯增广,彭龙,杨昊,彭亮,张皓,洪毅..上肢机器人辅助疗法对恢复期脑卒中患者上肢运动功能及日常生活活动能力的效果[J].中国康复理论与实践,2016,22(12):1365-1370,6.
