多体位智能化下肢康复机器人对脑卒中患者下肢运动功能的影响①

摘要

目的探讨多体位智能化下肢康复机器人对下肢运动功能、下肢肌张力以及步行能力的改善情况。方法40例脑卒中偏瘫患者随机分成对照组和治疗组，各20例。对照组进行常规康复训练；治疗组在此基础上增加多体位智能化下肢康复机器人训练，每天20 min，共10周。采用Berg平衡量表(BBS)、简式Fugl-Meyer评分法(FMA)、改良Barthel指数(MBI)、功能性步行分级(FAC)、10 m最大步行速度、改良Ashworth评分量表(MAS)进行评价。结果两组患者BBS、FMA和MBI评分均较治疗前明显升高(P<0.01)，治疗后治疗组评分明显高于对照组(P<0.01)。治疗组治疗后FAC步行功能分级3级及以上者、10 m最大步行速度均优于对照组，MAS评分明显低于对照组(P<0.01)。结论多体位智能化下肢康复机器人对患者下肢运动功能和平衡功能的提高有一定的作用。%Objective To explore the effects of multi-position lower limb rehabilitation robot on motor function in hemiplegia patients after stroke. Methods 40 stroke patients with hemiplegia were randomly divided into control group and observation group, with 20 cases in each group. Both groups received conventional rehabilitation training, and the observation group received multi-position lower limb rehabili-tation robot training, 20 min a day. Berg balance scale (BBS), Fugl-Meyer assessment (FMA), modified Barthel index (MBI), Functional Ambulation Category (FAC), 10 minutes maximum walking speed and modified Ashworth scale (MAS) were used to evaluat the outcome. Results The scores of BBS, FMA and MBI increased after treatment in both groups (P<0.05), and the score was more in the observation group than in the control group (P<0.01). The FAC and 10 minutes maximum waking speed were better, and the score of MAS was lower in the observation group than in the control group after treatment (P<0.01). Conclusion Multi-position lower limb rehabilitation robot is effec-tive on the motor function and balance function of stroke patients with hemiplegia.