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下肢康复机器人联合悬吊运动训练对脑卒中患者下肢运动功能影响的临床研究OA

Clinical Study on the Impact of Lower Limb Rehabilitation Robot Combined with Suspension Exercise Training on Lower Limb Motor Function in Stroke Patients

中文摘要英文摘要

目的:分析下肢康复机器人联合悬吊运动训练对脑卒中患者下肢功能和日常生活能力的影响.方法:将 2022 年 1 月—2023 年 7 月清远市人民医院收治的脑卒中患者 90 例作为本次观察对象,采取随机数字表法分成三组:A组(下肢康复机器人)、B组(悬吊运动训练)、C组(下肢康复机器人联合悬吊运动训练),每组 30 例.比较三组训练后下肢Fugl-Meyer评估表(Fugl-Meyer assessment scale,FMA)评分、伯格平衡量表(Berg balance scale,BBS)评分、Holden功能性步行量表(functional amby iation category scale,FAC)评分、6 分钟步行试验(6 min walk test,6MWT)及改良Barthel指数(modified Barthel index,MBI)、美国国立卫生研究院卒中量表(national institutes of health stroke scale,NIHSS)评分.结果:训练前,三组下肢FMA、BBS、FAC评分、6MWT、MBI、NIHSS评分比较,差异均无统计学意义(P>0.05);训练后,C组下肢FMA、BBS、FAC、MBI评分均明显更高于A组、B组,6MWT长于A组、B组,NIHSS评分低于A组、B组,差异均有统计学意义(P<0.05);A组、B组各项指标比较,差异均无统计学意义(P>0.05).结论:在脑卒中后对患者采取下肢康复机器人联合悬吊运动训练,可提高患者下肢运动功能与步行能力,增强患者平衡与下肢运动功能,并改善神经功能,提高生活质量,促进身体康复.

Objective:To analyze the effects of lower limb rehabilitation robot combined with suspension exercise training on lower limb function and daily living ability of stroke patients.Method:A total of 90 stroke patients admitted to Qingyuan People's Hospital from January 2022 to July 2023 were divided into three groups by random number table method:group A(lower limb rehabilitation robot),group B(suspension exercise training)and group C(lower limb rehabilitation robot combined suspension exercise training),with 30 cases in each group.The lower extremity Fugl-Meyer assessment scale(FMA)score,Berg balance scale(BBS)score,Holden functional amby iation category scale(FAC)score,6 mine walk test(6MWT),modified Barthel index(MBI),and national institutes of health stroke scale(NIHSS)score were compared among the three groups after training respectively.Result:Before training,there were no statistically significant differences in the lower limb FMA,BBS,FAC scores,6MWT,MBI,and NIHSS scores among the three groups(P>0.05);after training,the lower limb FMA,BBS,FAC,and MBI scores of group C were significantly higher than those of group A and group B;the 6MWT was longer than that of group A and group B,and the NIHSS score was lower than that of group A and group B,the differences were statistically significant(P<0.05);there were no statistically significant differences in indices between group A and group B(P>0.05).Conclusion:Lower limb rehabilitation robot combined with suspension exercise training for patients after stroke can improve their lower limb motor function and walking ability,enhance their balance and lower limb motor function,improve neurological function,enhance quality of life,and promote physical recovery.

康斌辉;廖源;钟流;王磊;叶志方

清远市人民医院康复医学科 广东 清远 511518

下肢康复机器人悬吊运动训练脑卒中

Lower limb rehabilitation robotSuspension exercise trainingStroke

《中国医学创新》 2024 (011)

140-144 / 5

清远市社会发展领域自筹经费科技技术项目(211114124561925)

10.3969/j.issn.1674-4985.2024.11.031

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