机器人外科学杂志（中英文）2025，Vol.6Issue(5)：729-734,6.DOI:10.12180/j.issn.2096-7721.2025.05.006
神经康复机器人训练联合作业疗法对脑卒中偏瘫患者肌力恢复效果及心理状况的影响
Effects of neurorehabilitation robot-assisted training combined with occupational therapy on muscle strength recovery and psychological status in stroke patients with hemiplegia
摘要
Abstract
Objective:To explore the effects of neurorehabilitation robot-assisted training combined with occupational therapy on muscle strength recovery and psychological status in stroke patients with hemiplegia.Methods:100 stroke patients with hemiplegia admitted to Wujin Hospital of Traditional Chinese Medicine from June 2020 to June 2023 were selected.They were randomly divided into the control group(n=50,receiving occupational therapy)and the observation group(n=50,receiving neurorehabilitation robot-assisted training combined with occupational therapy)using the envelope lottery method.Muscle recovery,motor function,psychological states,quality of life,and adverse reactions during treatment were compared between the two groups of patients before and after treatment.Results:After treatment,the effective rate of muscle strength recovery in the observation group was higher than that in the control group(P<0.05).The Berg Balance Scale(BBS)score,Holden Functional Ambulation Classification(HFAC)score,and Tinetti Gait Assessment(TGA)score in the observation group were significantly higher than those in the control group(P<0.05).At 2 and 4 weeks after treatment,the Mental Status Scale in Non-psychiatric Settings(MSSNS)and Hospital Anxiety and Depression Scale(HADS)scores in the observation group were lower than those in the control group(P<0.05).The scores of all dimensions of the Short Form-36(SF-36)in the observation group were higher than those in the control group(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusion:Neurorehabilitation robot-assisted training combined with occupational therapy can significantly benefit muscle strength recovery and improve psychological status in stroke patients with hemiplegia.关键词
神经康复机器人/作业疗法/脑卒中偏瘫/肌力恢复/心理状况Key words
Neurorehabilitation Robot Occupational Therapy/Post-stroke Hemiplegia/Muscle Strength Recovery/Psychological States分类
医药卫生引用本文复制引用
王伟锋,张白慧,蒋娟愉..神经康复机器人训练联合作业疗法对脑卒中偏瘫患者肌力恢复效果及心理状况的影响[J].机器人外科学杂志（中英文）,2025,6(5):729-734,6.基金项目
江苏省自然科学基金(BK20211088)Natural Science Foundation of Jiangsu Province(BK20211088) （BK20211088）
