下肢康复机器人训练改善缺血性脑卒中偏瘫患者下肢功能的临床效果研究  

Effect of Lokomat Lower Gait Training Rehabilitation Robot on Joint Motion of Post-acute Stroke Patients

作　　者：赵雅宁[1] 郝正玮[2] 李建民[1] 马素慧[1] 陈长香[1] 

机构地区：[1]河北联合大学康复医学院,河北省唐山市063000 [2]河北省唐山市人民医院

出　　处：《中国全科医学》2013年第6期691-694,共4页Chinese General Practice

基　　金：河北省科技厅支撑课题(20276112D)

摘　　要：目的探讨下肢康复机器人训练改善缺血性脑卒中偏瘫患者下肢功能的临床效果。方法选取2010年12月—2011年12月在河北联合大学附属医院神经内科住院的40例缺血性脑卒中(稳定期)偏瘫患者,随机分为对照组(20例)和Lokomat组(20例)。对照组给予康复指导,自行训练。Lokomat组给予下肢康复机器人运动训练,每周进行3次,30 min/次,5周为1个疗程,共进行2个疗程。于训练前及训练10周后分别通过Fugl-Meyer下肢运动功能量表、L-ROM、L-FORCE和L-STIFF对患者的下肢运动功能、髋关节和膝关节活动度和肌力及肌张力评测进行疗效评价。结果 Lokomat组与对照组训练前Fugl-Meyer下肢运动功能量表评分、髋关节和膝关节活动度、肌力及肌张力评测比较,差异均无统计学意义(P>0.05);训练10周后Fugl-Meyer下肢运动功能量表评分、髋关节和膝关节活动度、肌力及肌张力评测比较,差异均有统计学意义(P<0.05)。结论应用Lokomat机器人康复训练可改善缺血性脑卒中偏瘫患者的关节活动度,增强肌力并降低肌张力,进一步提高下肢运动功能,值得在临床上推广使用。Objective To investigate the clinical effect of Lokomat lower gait training rehabilitation robot on joint mo- tion of ischemic stroke patients. Methods 40 hemiplegic stroke patients admitted to Neurology Department of Hebei Union Uni- versity Affiliated Hospital from December 2010 to December 2011 were randomly divided into control group （20 cases） and Lokomat （20 cases） . The control group was given rehabilitation guidance before self - training. The Lokomat group was given Lokomat rehabilitation therapy three times a week with each time 30 rain （2 treatment courses with each course 5 weeks） . Fugl -Meyer Assessment Scale, L -ROM, L -FORCE, and L -STIFF were used to evaluate the patients＇ lower extremity motor function, hip and knee joint mobility, and muscular strength and tension before exercise and ten weeks after exercise. Results The FMA, coxa and knee motion, bilateral hip/knee flexor and extensor and bilateral hip/knee flexor and extensor stiff showed no statistically significant differences before treatment （ P 〉 0. 05）, but showed statistically significant differences after ten weeks of treatment （P 〈 0. 05） . Conclusion The Lokomat robot training can improve the lower extremities motor, muscle strength and reduce muscular tension, and therefore, it should be promoted in clinic.

关 键 词：下肢康复机器人 卒中 偏瘫 步态失调 

分 类 号：R493.21[医药卫生—康复医学]