梁艳华 1张通 2张琦 1周天添 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,运动疗法一科,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 observe the effect of rehabilitation robot training on abdominal muscles thickness and balance ability in children with hemiplegia.
Methods From October,2024 to December,2025,58 children with hemiplegia were admitted to Beijing Bo'ai Hospital and randomly divided into control group(n=29)and experimental group(n=29).Both groups received conven-tional rehabilitation treatment,and the experimental group received rehabilitation robot training in addition,for four weeks.The thickness of bilateral external oblique,internal oblique and transversus abdominis,Berg Balance Scale(BBS)score,the time of Timed Up and Go Test(TUGT),the center of pressure(COP)ellipse area,and self-selected walking speed(SWS)and maximum walking speed(MWS)of 10-meter walk test were compared before and after training.
Results Three cases dropped out in each group.After training,the thickness of the external oblique,internal oblique and transverse abdominis on the hemiplegic side increased significantly in the experimental group(|t|>7.280,P<0.001,Cohen's d=1.43～2.01),and was better in the experimental group than in the control group(|t|>2.895,P<0.01,Cohen's d=0.80～1.60);the BBS score increased in both groups(|t|>6.667,P<0.001,Cohen's d=1.30～4.06),and was better in the experimental group than in the control group(t=-2.721,P<0.01,Cohen's d=0.75).The time of TUGT decreased in both groups(t>5.790,P<0.001,Cohen's d=1.14～2.68),and was better in the experimental group than in the control group(t=2.290,P<0.05,Cohen's d=0.63).The SWS and MWS increased in both groups(|Z|>2.910,P<0.01,r=0.40～0.68),and were better in the experimental group than in the control group(|Z|>2.912,P<0.05,r=0.40～0.45),and the differences remained significant after correction.
Conclusion Rehabilitation robot training can improve the thickness of external oblique,the internal oblique and transver-sus abdominis muscles on the hemiplegic side in children with hemiplegia,and improve their balance and walk-ing functions.关键词
偏瘫/儿童/康复机器人/腹肌/平衡Key words
hemiplegia/children/rehabilitation robot/abdominal muscles/balance分类
医药卫生
