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太极云手联合机器人辅助训练对脑卒中患者手功能的影响OA

Effects of Body Weight Support-Tai Chi Yunshou Training on Upper Limb Motor Function in Stroke Patients

中文摘要英文摘要

目的:探讨太极云手结合机器人辅助训练对脑卒中患者手功能的康复效果.方法:将60例脑卒中患者随机分为治疗组(n=30)和对照组(n=30),两组均接受常规康复治疗,治疗组接受太极云手训练结合结合机器人辅助训练,对照组接受机器人辅助训练.两组的训练频率为60min/天,5天/周,持续治疗8周.于治疗前、治疗4周后、治疗8周后采用Fugl-Meyer运动功能量表(Fugl-Meyer motor assessment,FMA)腕手部分、Wolf运动功能量表(Wolf motor function test,WMFT)、箱块测试(Box and Block test,BBT)、握力和捏力来评估受试者的手功能.结果:两组患者治疗后与治疗前比较,差异具有统计学意义(P<0.001).治疗4周后组间比较差异不具有统计学意义(P>0.05);治疗8周后组间比较,WMFT差异具有统计学意义(P<0.05),FMA腕手部分、BBT、握力和捏力不具有统计学差异(P>0.05).结论:太极云手结合机器人辅助训练能够改善脑卒中患者的手功能.

Objective:To explore the rehabilitation effect of Tai Chi Yunshou combined with robot-assisted training on hand function of stroke pa-tients.Method:A total of 60 stroke patients were selected and randomly divided into a treatment group(n=30)and a control group(n=30).Both groups received conventional rehabilitation therapy.The treatment group received Tai Chi Yunshou training combined with robot-assisted training,the control group received robot-assisted training.The training frequency of the two groups was 60min/day,5 days/week,and the treatment continued for 8 weeks.Before treatment,after 4 weeks of treatment,and after 8 weeks of treatment,the Fugl-Meyer motor function scale(FMA)wrist-hand part,the Wolf motor function test(WMFT),Box and Block Test(BBT),grip strength and pinch strength to assess the hand function.Result:The dif-ference between the two groups of patients after treatment and before treatment was statistically significant(P<0.001).There was no statistically sig-nificant difference between the groups after 4 weeks of treatment(P>0.05).After 8 weeks of treatment,the difference in WMFT between the groups was statistically significant(P>0.05).FMA wrist-hand part,BBT,grip strength and pinch strength were not statistically different(P>0.05).Conclu-sion:Tai Chi Yunshou combined with robot-assisted training can improve hand function in stroke patients.

张丽英;王杰宁;于小明;陆琰

上海中医药大学市七临床医学院,上海,201203上海中医药大学市七临床医学院,上海,201203||上海中医药大学附属第七人民医院康复医学科,上海,200137上海中医药大学附属第七人民医院康复医学科,上海,200137

临床医学

脑卒中太极云手机器人辅助训练手功能康复

strokeTai Chi Yunshourobot assistant traininghand functionrehabilitation

《中医康复》 2024 (001)

17-20 / 4

浦东新区"国家中医药发展综合改革试验区"建设项目(NO.PDZY-2022-0702);上海市卫健委中医药科研项目(NO.2020LP004)

10.19787/j.issn.2097-3128.2024.01.004

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