早期悬吊保护下智能助行训练对脑卒中后运动和行走功能的效果OA北大核心CSTPCD

Objective To explore the effect of early intelligent assisted walking under suspension protection on lower limb motor function in stroke patients with hemiplegia. Methods From October,2020 to March,2023,42 early stroke inpatients with hemiplegia from Beijing Bo'ai Hospital were randomly divided into control group(n = 21)and experimental group(n = 21).Both groups received rou-tine rehabilitation,and the control group received routine walking training under sky rail suspension protection,while the experimental group received walking training wearing an intelligent assistive walking device under sus-pension protection,for four weeks.They were assessed with Fugl-Meyer Assessment(FMA),FMA-Balance(FMA-B),and wireless sensing 3D gait analysis before and after treatment. Results The scores of FMA and FMA-B of affected limb improved in both groups,as well as the stride frequency,stride speed,affected step length,support phase of the affected limb,maximum hip joint flexion angle and maximum knee joint flexion angle of the affected limb(|t|>2.230,P<0.05),and they were better in the experimental group than in the control group(|t|>2.140,P<0.05). Conclusion Early intervention of intelligent assisted walking training under suspension protection can improve motor and balance function,as well as walking in stroke patients with hemiplegia.