中国康复理论与实践2025，Vol.31Issue(5)：505-512,8.DOI:10.3969/j.issn.1006-9771.2025.05.002
肌电感知机器人辅助训练联合成对关联刺激对脑卒中偏瘫患者上肢功能的影响
Effect of electromyographic perception-assisted robotic training combined with paired association stimulation on upper limb function in hemiplegic patients after stroke
摘要
Abstract
Objective To explore the effect of electromyographic perception-assisted robotic training combined with paired associa-tion stimulation on upper limb function in hemiplegic patients after stroke. Methods From December,2023 to December,2024,120 hemiplegic patients after stroke in Nanjing Pukou People's Hos-pital(Liangjiang Hospital,Southeast University)were randomly assigned to control group(n=60)and experi-mental group(n=60)using random envelope method.Both groups received medication and routine rehabilita-tion training,the control group received traditional muscle strength training combined with paired associative stimulation,and the experimental group received electromyographic perception robot-assisted training combined with paired association stimulation.Fugl-Meyer Assessment-Upper Extremities(FMA-UE),modified Barthel In-dex(MBI),and modified Ashworth Scale(MAS)were conducted before and four weeks after treatment.The sur-face electromyography(sEMG)was used to detect the root mean square(RMS)and integrated electromyography(iEMG)of the biceps and triceps brachii,and to calculate the corresponding co-activation ratio(CR). Results Nine cases in the control group and four cases in the experimental group dropped down.After treatment,RMS of triceps,CR of flexion elbow,the scores of FMA-UE and MBI increased in both groups(|t|>2.219,P<0.001),and were better in the experimental group than in the control group(|t|>2.084,P<0.05);the biceps RMS and CR of elbow extension significantly increased in experimental group(|t|>3.863,P<0.001),and were better in the experimental group than in the control group(|t|>2.498,P<0.05).The MAS score of biceps improved in experi-mental group after treatment(Z=-4.097,P<0.001),and was better in the experimental group than in the con-trol group(Z=-3.459,P<0.01). Conclusion Electromyographic perception robot-assisted training combined with paired association stimulation can im-prove the upper limb motor function and the ability of daily living in hemiplegic patients after stroke.关键词
脑卒中/肌电感知机器人辅助训练/成对关联刺激/上肢功能Key words
stroke/electromyographic perception-assisted robotic training/paired association stimulation/upper extremity function分类
医药卫生引用本文复制引用
柏敏,曹丽华,叶子琦,周定杰,李雪萍..肌电感知机器人辅助训练联合成对关联刺激对脑卒中偏瘫患者上肢功能的影响[J].中国康复理论与实践,2025,31(5):505-512,8.基金项目
1.江苏卫生健康职业学院面上项目(No.JKC2022084) （No.JKC2022084）
2.浦口区社会事业科技发展指导性项目(No.S2024-7) （No.S2024-7）
3.江苏省卫健委医学科研项目(No.Z2021047) （No.Z2021047）
4.江苏省卫生健康发展研究中心项目(No.JSHD2022034) Supported by Jiangsu Health Vocational College Project(General)(No.JKC2022084),Guidance Project for Social and Technological Development in Pukou District(No.S2024-7),Medical Research Project of Jiangsu Provincial Health Commission(No.Z2021047),and Jiangsu Provincial Health and Development Research Center Project(No.JSHD2022034) （No.JSHD2022034）
