中国伤残医学2025，Vol.33Issue(1)：29-35,7.DOI:10.13214/j.cnki.cjotadm.2025.001.007
下肢康复机器人辅助步行功能训练联合中药口服对不完全脊髓损伤患者下肢表面肌电信号及步行功能改善的疗效观察
摘要
Abstract
Objective:To investigate the clinical effect of lower limb rehabilitation robot assisted walking function training combined with orally traditional Chinese medicine on the improvement of lower limb surface electromyography signal and walking function in patients with incomplete spinal cord injury(SCI).Methods:A total of 42 patients with incomplete SCI treated in Zhejiang Rehabilitation Medical Center from March 2023 to January 2024 were selected,and they were randomly divided into group A and group B,with 21 cases each.Group A was treated with Buyang Huanwu decoction combined with lower limb rehabilitation robot assisted walking function training,group B was treated with conventional walking function training.Both groups were treated for 12 weeks.The surface EMG data,walking speed,walking function,motor function and balance ability of the two groups were compared.Results:After treatment,the surface EMG data of femoris rectus,tibialis anterior muscle and gastrocnemius muscle in group A were higher than those in group B,and the differences were statistically significant(P<0.05).After treatment,the 10-meter walking test time in group A was shorter than that in group B,and the difference was statistically significant(P<0.05).After treatment,Holden walking function classification in group A was better than that in group B,and the difference was statistically significant(P<0.05).After treatment,the scores of motor function assessment items in American SCI Association injury scale in group A were higher than those in group B,and the difference was statistically significant(P<0.05).After treatment,the Berg Balance Scale score of group A was higher than that of group B,and the difference was statistically significant(P<0.05).The incidence of adverse reactions between the two groups was 9.52%and 0.00%,respectively,with no statistical significance(P>0.05).Conclusion:Buyang Huanwu Decoction combined with lower limb rehabilitation robot assisted walking function training can improve the lower limb walking ability of patients with incomplete SCI,and the rehabilitation effect is better than that of conventional walking function training,which has application value.关键词
不完全脊髓损伤/补阳还五汤/下肢康复机器人/步行功能Key words
Incomplete spinal cord injury/Buyang Huanwu Decoction/Lower limb rehabilitation robot/Walking function分类
医药卫生引用本文复制引用
李宁,龚怡辰..下肢康复机器人辅助步行功能训练联合中药口服对不完全脊髓损伤患者下肢表面肌电信号及步行功能改善的疗效观察[J].中国伤残医学,2025,33(1):29-35,7.基金项目
浙江省医药卫生科技计划项目(2023RC255) （2023RC255）
