上肢康复机器人辅助训练对脑卒中偏瘫患者上肢运动功能的影响  

Effects of assistant training of upper-limb rehabilitation robot on upper-limb motor function of hemiplegic stroke patients

作　　者：孙长城[1] 王春方[1] 丁晓晶[1] 郭丹 韩雪敏 杜金刚[1] SUN Changcheng;WANG Chunfang;DING Xiaojing(Tianjin Union Medical Centre,Tianjin,300121)

机构地区：[1]天津市人民医院康复医学科,天津市300121

出　　处：《中国康复医学杂志》2018年第10期1162-1167,共6页Chinese Journal of Rehabilitation Medicine

基　　金：天津市卫计委攻关项目(14KG107);天津市中医药重点领域科研项目(2017009);天津市人民医院科研项目(2017YJ011)

摘　　要：目的:探讨上肢康复机器人辅助训练对脑卒中偏瘫患者上肢运动功能恢复的效果。方法:选取来本院治疗的脑卒中偏瘫患者70例,随机分为治疗组(38例)和对照组(32例),两组患者除进行常规的康复训练外,治疗组增加了上肢康复机器人辅助训练,对照组增加了上肢重复性运动训练,共治疗4周,5次/周,每次30min。分别于治疗前、治疗2周、4周后采用完成ReoGo上肢康复机器人任务难度得分、改良Barthel指数(MBI)评定法、Brunnstrom分期评定(上肢和手)、Fugl-Meyer运动功能量表上肢部分对两组患者进行综合康复评定。结果:治疗后,两组患者的ReoGo得分、MBI评分、Brunnstrom分期、FM评分均较治疗前明显改善,具有显著性意义(P<0.01);治疗2周后治疗组与对照组比较无显著性差异(P>0.05);4周后治疗组ReoGo得分、MBI评分和Brunnstrom上肢评分优于对照组,比较差异有显著性意义(P<0.05),治疗组和对照组的Brunnstrom手和FM评分无显著性差异(P>0.05)。结论:上肢康复机器人辅助训练能够有效促进偏瘫患者上肢运动功能康复。Objective:To explore the effect of assistant training of upper-limb rehabilitation robot on recovery of upperlimb motor function of Hemiplegic stroke patients.Method:Seventy Hemiplegic stroke patients were randomly divided into a study group(n=38)and a control group(n=32). Both groups were treated with routine rehabilitation treatment, the study group accepted extra upper-limb rehabilitation robot assisted training, the control group accepted extra upper-limb repetitive exercise training, 30 min/time, 5 times/week, 4 weeks in total. The two groups of patients were assessed by ReoGo score,Modified Barthel Index(MBI), Brunnstrom stage(upper-limb and hand), and the Fugl-Meyer(upper-limb part) before second fourth week after treatment.Result:After treatment, the scores of the two groups were significantly improved compared with before treatment. There was no significant difference between the study group and the control group after 2 weeks. After4 weeks of treatment, the ReoGo score, MBI and Brunnstrom(upper-limb) in the study group were significantly better than those in the control group, Brunnstrom(hand) and FM scores were not significantly different.Conclusion:The rehabilitation of upper-limb rehabilitation robot can effectively promote the rehabilitation of upper-limb motor function of Hemiplegic stroke patients.

关 键 词：上肢康复机器人 脑卒中 康复 上肢运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]