康复学报2024，Vol.34Issue(2)：117-123,7.DOI:10.3724/SP.J.1329.2024.02004
MOTOmed智能运动反馈训练联合精细化康复训练对脑梗死后偏瘫患者的影响
Clinical Effect of MOTOmed Intelligent Motion Feedback Training Combined with Refined Rehabilitation Training on Patients with Hemiplegia after Cerebral Infarction
摘要
Abstract
Objective To observe the clinical effect of MOTOmed intelligent motion feedback training combined with refined rehabilitation training on neurological function,balance function,limb motor function and quality of life of patients with hemiplegia after cerebral infarction.Methods A total of 148 patients with hemiplegia after cerebral infarction in the rehabilitation center of Nantong Third People's Hospital from January to October 2022 were randomly divided into control group and observation group,with 74 cases in each group.The control group received refined rehabilitation training in addition to the routine treatment.According to the degree of limb motor dysfunction(bedridden,sit upright,stand upright with assistive devices,and stand upright without assis-tive devices),the patients with hemiplegia after cerebral infarction were provided with corresponding exercise rehabilitation training(such as limb joint training,body transfer training,balance training and walking training)five days a week for 12 weeks.The obser-vation group received MOTOmed intelligent motion feedback training in addition to the training of the control group(upper/lower limb motor rehabilitation training with passive movement,assistive movement and active training modes),once a day,45 minutes a time,five days a week for 12 weeks.Before and after treatment,the National Institutes of Health stroke scale(NIHSS)score was used to evaluate the neurological deficits.Berg balance scale(BBS)was used to evaluate balance function.Fugl-Meyer assessment(FMA)scale was used to evaluate limb motor function;modified Barthel index(MBI)was used to evaluate activities of daily living.The world health organization quality of life-BREF(WHOQOL-BREF)scale was used to evaluate quality of life.Blood flow velocity changes of the middle cerebral artery(MCA)and anterior cerebral artery(ACA),levels of serum nerve growth factor(NGF)and brain-derived neurotrophic factor(BDNF)were compared.Results Compared with that before treatment,NIHSS score of the con-trol group and the observation group after treatment decreased significantly,while FMA score of the upper or lower limbs,BBS score,MBI score,WHOQOL-BREF score,MAC and ACA blood flow velocity and serum NGF and BDNF level increased signifi-cantly,and the differences were statistically significant(P<0.05).Compared with the control group,NIHSS score of the observation group after treatment was lower,while FMA score of the upper or lower limbs,BBS score,MBI score,WHOQOL-BREF score,MAC and ACA blood flow velocity and serum NGF and BDNF level were higher,and the differences were statistically significant(P<0.05).Conclusion MOTOmed intelligent motion feedback training combined with refined rehabilitation training can improve neurological function,balance function,limb motor function and quality of life of patients with hemiplegia after cerebral infarction,which is recommended for clinical application.关键词
脑梗死/偏瘫/MOTOmed智能运动反馈训练/精细化康复训练/神经功能/运动功能/平衡功能/生活质量Key words
cerebral infarction/hemiplegia/MOTOmed intelligent motion feedback training/refined rehabilitation training/neurological function/motor function/balance function/quality of life引用本文复制引用
王斌,高松年,刘巧云,董新春..MOTOmed智能运动反馈训练联合精细化康复训练对脑梗死后偏瘫患者的影响[J].康复学报,2024,34(2):117-123,7.基金项目
江苏省基层卫生发展与全科医学教育研究中心项目(2022B02) （2022B02）
南通市科技局指导性项目(MSZ20197) （MSZ20197）
