机器人外科学杂志（中英文）2024，Vol.5Issue(2)：158-165,8.DOI:10.12180/j.issn.2096-7721.2024.02.008
老年缺血性脑卒中患者溶栓后采用手功能康复机器人干预对上肢功能及握力的改善效果
Effect of hand function rehabilitation robot on upper limb function and grip strength in elderly patients with ischemic stroke after thrombolysis
摘要
Abstract
Objective:To explore the effect of hand function rehabilitation robot-assisted training on upper limb function and grip strength in elderly patients with ischemic stroke after thrombolysis.Methods:The clinical data of 86 elderly patients with ischemic stroke treated in the First People's Hospital of Kunshan from August 2020 to August 2023 were prospectively analyzed,and all patients were divided into the control group and the observation group by random number table method.The control group received routine rehabilitation,while the observation group received hand function rehabilitation robot-assisted training.The therapeutic effect was compared after 4 weeks of treatment.Results:Forearm supination,forearm pronation,elbow flexion,shoulder adduction,shoulder abduction,wrist dorsiflexion,and elbow eversion range of motion in the observation group were all better than those in the control group(P<0.05).The Modified Barthel Index(MBI)score,Fugl Meyer Assessment of Upper Extremity(FMA-UE)score,Functional Independence Measure(FIM)score,and grip strength of affected upper limb in T2,T3 and T4 were higher than those in the control group(P<0.05).Meanwhile,the improvement of modified Ashworth Scale(MAS)grading in the observation group was better than that in the control group at 2 and 4 weeks after treatment(P<0.05),and the total response rate in the observation group was higher than that in the control group(P<0.05).Conclusion:The robot-assisted training of hand function rehabilitation has a significant effect in elderly patients with ischemic stroke after thrombolysis,which could improve upper limb function,restore elbow motion and improve grip strength of patients.关键词
缺血性脑卒中/溶栓治疗/手功能康复机器人/上肢功能/握力Key words
Ischemic Stroke/Thrombolysis Treatment/Hand Functional Rehabilitation Robot/Upper Limb Function/Grip Strength分类
医药卫生引用本文复制引用
隋意,李爱仙,蔡鹤,张丽,纪雪娇,刘妲..老年缺血性脑卒中患者溶栓后采用手功能康复机器人干预对上肢功能及握力的改善效果[J].机器人外科学杂志（中英文）,2024,5(2):158-165,8.基金项目
上海市科技计划项目(22DZ2302900) Science and Technology Plan Project of shanghai(22DZ2302900) （22DZ2302900）
