周天添 1张通 2张琦 1梁艳华 1张燕庆 1岳青 1李思佳1
作者信息
- 1. 首都医科大学康复医学院,北京市 100068||中国康复研究中心北京博爱医院儿童物理疗法科,北京市 100068
- 2. 首都医科大学康复医学院,北京市 100068||中国康复研究中心北京博爱医院神经康复科,北京市 100068
- 折叠
摘要
Abstract
Objective To explore the effect of Lokomat robotic-assisted gait training on lower limb motor function in children with hemiplegia.
Methods From October,2023 to January,2025,a total of 52 children with hemiplegia admitted to Beijing Bo'ai Hospital were randomly divided into control group(n=26)and observation group(n=26).Both groups received conven-tional rehabilitation therapy,while the observation group additionally received Lokomat robotic-assisted gait training,for four weeks.Before and after intervention,the self-selected walking speed(SWS)and maximum walking speed(MWS)of 10-meter Walk Test,6-minute walking distance(6MWD),Physiological Cost Index(PCI),as well as gait line length asymmetry ratio,single support line asymmetry ratio,stance phase asymmetry ratio and step length ratio were compared.
Results After intervention,SWS,MWS and 6MWD improved in both groups(|Z|>2.910,P<0.01),and were better in the the observation group than in the control group(|Z|>2.069,P<0.05);PCI significantly decreased in both groups(|Z|>4.458,P<0.001),and was lower in the observation group than in the control group(Z=-2.435,P<0.05);the gait line length asymmetry ratio,single support line asymmetry ratio and stance phase asymmetry ratio improved in both groups(Z=3.398,|t|>2.211,P<0.05),and were better in the observation group than in the control group(Z=2.802,|t|>2.107,P<0.05).
Conclusion Lokomat robotic-assisted gait training can effectively improve walking speed and endurance in children with hemiplegia,reduce energy expenditure,enhance walking efficiency,and promote gait symmetry,thereby fa-cilitating symmetrical gait patterns.关键词
偏瘫/儿童/机器人辅助步行训练/下肢/运动功能Key words
hemiplegia/children/robotic-assisted gait training/lower limb/motor function分类
医药卫生
