康复机器人对手足口病恢复期并下肢瘫痪患儿的康复疗效

摘要

目的:研究康复机器人对手足口病恢复期并下肢瘫痪患儿的康复疗效.方法:选取我院2013年3月至2016年3月60例手足口病恢复期并下肢瘫痪患儿为研究对象,按照就诊号先后随机分为对照组与观察组,每组30例.对照组给予常规康复训练,观察组在常规康复训练基础上,采用下肢康复机器人辅助步行训练.比较6周后两组下肢肌力、平衡能力、关节活动度、步态参数、下肢运动能力.结果:干预6周后,观察组髋关节屈曲肌力评级、膝关节伸展肌力评级、Berg平衡量表评分(Berg balance score,BBS)、髋关节活动度、膝关节活动度、步长、步速、Fugl-Meyer下肢运动功能评分(Fugl-Meyer assessment,FMA)分别为3.08±0.62,3.18±0.60,50.36±7.92,23.17°±3.45°,26.39°±4.31°,(51.27±14.83) cm,(64.72±14.38) m/min,(23.14±5.39)分,均显著高于对照组的2.80±0.58,2.85±0.63,45.89±8.12,20.65°±4.63°,22.96°±4.74°,(44.65±12.91) cm,(58.01±12.46) m/min,(20.27±3.62)分(均P＜0.05).结论:采用康复机器人辅助步行训练,可以增强手足口病并下肢瘫痪患儿下肢肌力,改善平衡能力与关节活动度,建立正确步行模式,促进下肢运动能力恢复.%Objective:To study the effects of rehabilitation robot in children with hand-foot-mouth disease in convalescence and lower limb paralysis.Methods:A total of 60 children with hand-foot-mouth disease in convalescence and lower limb paralysis who were treated in the hospital during the period from March 2013 to March 2016 were selected as the study subjects and randomly divided into a control group and an observation group according to the order of treatment,30 cases in each group.The control group was given routine rehabilitation training while the observation group was given lower limb rehabilitation robot assisted ambulation training on the basis of routine rehabilitation training.The lower limb muscle strength,balance ability,range of motion,gait parameters and lower limb motor ability were compared after 6 months between the two groups.Results:After 6 weeks of intervention,the grade of hip flexion muscle strength,the grade of knee extension muscle strength,Berg balance score (BBS),the hip range of motion,the knee range of motion,step length,walking speed,Fugl-Meyer assessment (FMA) of lower limb motor function in the observation group [3.08±0.62,3.18±0.60,50.36±7.92,23.17°±3.45°,26.39°±4.31°,(51.27±14.83) cm,(64.72±14.38) m/min,23.14±5.39] were significantly higher than those in the control group [2.80±0.58,2.85±0.63,45.89±8.12,20.65°±4.63°,22.96°±4.74°,(44.65±12.91) cm,(58.01±12.46) m/min,20.27±3.62] (all P＜0.05).Conclusion:The use of rehabilitation robot assisted walking training can enhance the muscle strength of lower limbs,improve balance ability and joint range of motion,establish the correct walking pattern and promote the recovery of lower limb motor ability of children with handfoot-mouth disease in convalescence and lower limb paralysis.