中国康复理论与实践2025，Vol.31Issue(11)：1265-1270,6.DOI:10.3969/j.issn.1006-9771.2025.11.003
上肢机器人启动训练后双侧上肢训练对脑卒中重度偏瘫上肢功能的效果
Effect of bilateral upper limb training after priming upper limb robot training on upper limb function in stroke patients with severe hemiplegia
摘要
Abstract
Objective To compare the effect between unilateral and bilateral upper limb training on motor function of severely hemi-plegic upper limbs in subacute stroke patients after priming robot-assisted training. Methods From September,2023 to December,2024,60 inpatients with hemiplegia after stroke were recruited from Guangdong Work Injury Rehabilitation Hospital,and randomly divided into control group(n=30)and experi-mental group(n=30).Both groups first received 30 minutes of upper limb robot-assisted training.Subsequently,the control group received movement-based unilateral upper limb training for 30 minutes,while the experimental group received activity-based bilateral upper limb training for 30 minutes,for three weeks.They were assessed with Fugl-Meyer Assessment-Upper Extremities(FMA-UE),Hong Kong version of the Functional Test for the Hemiplegic Upper Extremity(FTHUE-HK)and modified Barthel Index(MBI)before and after treatment. Results The scores of FMA-UE,FTHUE-HK and MBI improved in both groups after treatment(t>4.020,P<0.01),and all the scores were better in the experimental group than in the control group(t>2.456,P<0.05). Conclusion Activity-based bilateral upper limb training after priming robot-assisted training is more effective on motor function of severely hemiplegic upper limbs in stroke patients.关键词
脑卒中/偏瘫/上肢/运动功能/机器人辅助训练/双侧上肢训练Key words
stroke/hemiplegia/upper limb/motor function/robot-assisted training/bilateral upper limb training分类
医药卫生引用本文复制引用
何爱群,黎景波,刘海鸥,宋秋爽,何茂莉,林如敏..上肢机器人启动训练后双侧上肢训练对脑卒中重度偏瘫上肢功能的效果[J].中国康复理论与实践,2025,31(11):1265-1270,6.基金项目
广东省医学科学技术研究基金项目(No.B2024146) Supported by Guangdong Medical Research Fund(No.B2024146) （No.B2024146）
