机器人外科学杂志（中英文）2025，Vol.6Issue(3)：392-397,6.DOI:10.12180/j.issn.2096-7721.2025.03.008
下肢康复机器人与动态等速肌力训练系统对胸腰段脊髓损伤患者的康复效果研究
Application effect of lower limb rehabilitation robot combined with dynamic isokinetic muscle strength training system in the rehabilitation of patients with thoracolumbar spinal cord injury
摘要
Abstract
Objective:To explore the effect of applying lower limb rehabilitation robot combined with dynamic isokinetic muscle strength training system in the rehabilitation of patients with thoracolumbar spinal cord injury.Methods:100 patients with thoracolumbar spinal cord injury Who were treated in Shaanxi KangFu Hospital from April 2020 to April 2024 were selected.They were divided into the study group(lower limb rehabilitation robot combined with dynamic isokinetic muscle strength training system,n=50)and the control group(conventional nursing,n=50)using a random number table.Both groups were treated for 3 months,and the differences in ASIA spinal cord injury grading,balance ability,comprehensive motor function ability,lower limb muscle strength,and walking ability were compared.Results:Compared with that before treatment,the ASIA grading in both groups was improved after 3 months of treatment,and it was better in the study group than that in the control group(P<0.05).There were significant differences in the time,inter-group,and interaction of SCIM scores and BBS scores between the two groups(P<0.05).Compared with that before treatment,the SCIM scores and BBS scores of the two groups were increased after 1 month and 3 months of treatment,and they were higher in the study group than those in the control group(P<0.05).The peak moment and moment acceleration energy of extensor and flexor muscles,the proportion of hamstring and quadriceps muscle strength,and gluteus maximus muscle strength were increased in both groups after 3 months of treatment,and they were higher in the study group than those in the control group(P<0.05).The results of the WISCI Ⅱ and 6-min walk test were elevated,and the 10-m walking time was reduced in both groups after 3 months of treatment,and the they were better in study group than those in the control group(P<0.05).Conclusion:The application of lower limb rehabilitation robot combined with dynamic isokinetic muscle strength training system in patients with thoracolumbar spinal cord injury has a good effect on their rehabilitation,which can effectively improve ASIA grading,enhance limb muscle strength and lower limb walking ability.关键词
胸腰段脊髓损伤/下肢康复机器人/动态等速肌力训练系统Key words
Thoracolumbar Spinal Cord Injury/Lower Limb Rehabilitation Robot/Dynamic Isokinetic Muscle Strength Training System分类
医药卫生引用本文复制引用
袁旭芳,杜晓泽,雷磊,张洁,杨磊..下肢康复机器人与动态等速肌力训练系统对胸腰段脊髓损伤患者的康复效果研究[J].机器人外科学杂志（中英文）,2025,6(3):392-397,6.基金项目
国家重点研发计划项目(2018YFC2002300)National Key R&D Plan Project(2018YFC2002300) （2018YFC2002300）
