机器人外科学杂志（中英文）2025，Vol.6Issue(2)：260-265,6.DOI:10.12180/j.issn.2096-7721.2025.02.013
康复机器人辅助训练在脑卒中后上肢功能障碍患者中的应用分析
Application analysis of rehabilitation robot-assisted training in patients with upper limb dysfunction after stroke
摘要
Abstract
Objective:To explore the effect of rehabilitation robot-assisted training on rehabilitation of patients with upper limb dysfunction after stroke.Methods:90 patients with upper limb dysfunction after stroke who were treated in Beijing Rehabilitation Hospital of Capital Medical University from December 2021 to December 2023 were selected and divided into the control group(task-oriented training,n=45)and the observation group(task-oriented training combined with rehabilitation robot-assisted training,n=45)using the random number table method.The upper limb and hand function,motion range of affected limb joint,affected limb surface electromyography,and brain functional connectivity status were compared between the two groups of patients.Results:In the observation group,the Fugl-Meyer Motor Scale(FMA)scores after training,the mobility of palmar flexion,dorsiflexion,ulnar deviation,and radial deviation of the wrist joint,the electromyographic values during elbow flexion and extension,and the concentration of hemoglobin oxytocopherol(HbO2)in the primary motor cortical area(M1),premotor cortical area(PMC),and supplementary motor area(SMA)of the affected side were higher than those of the control group(P＜0.05),and the Jebsen Taylor hand function test(JTT)time was shorter than the control group(P＜0.05).Conclusion:Rehabilitation robot-assisted training combined with task-oriented training can promote the rehabilitation of upper limb and hand function,enhance joint mobility,and improve the reorganization of brain function in patients with upper limb dysfunction after stroke,which is worth applying.关键词
康复机器人/任务导向训练/脑卒中/上肢功能障碍Key words
Rehabilitation Robot/Task-oriented Training/Stroke/Upper Limb Dysfunction分类
医药卫生引用本文复制引用
王凤双,杨杰,杨帆..康复机器人辅助训练在脑卒中后上肢功能障碍患者中的应用分析[J].机器人外科学杂志（中英文）,2025,6(2):260-265,6.基金项目
国家重点研发计划(2020YFC2004303) National Key R&D Plan Project(2020YFC2004303) （2020YFC2004303）
