下肢康复机器人在脑卒中患者步行障碍中的应用观察  

Observation on the Application of Lower Limb Rehabilitation Robot in Walking Disability of Stroke Patients

作　　者：王俊[1] 杨振辉[1] 刘海兵[1] 唐丹[1] 

机构地区：[1]广东省工伤康复中心

出　　处：《按摩与康复医学》2015年第3期15-18,共4页Chinese Manipulation and Rehabilitation Medicine

基　　金：广东省医学科研基金立项课题,编号:A2013479

摘　　要：目的：探讨Lokomat下肢康复机器人训练在脑卒中患者步行障碍中的应用效果。方法：将60例脑卒中偏瘫患者随机分为观察组（30例）和对照组（30例），均神经发育疗法、主/被动牵伸、ADL训练、必要的矫形器应用、传统中医治疗等基础康复治疗，观察组在基础治疗基础上进行30min的Lokomat下肢康复机器人辅助步行训练，治疗强度和时间为40减重支持、75%的引导力量、1.5km/h步行速度，步行30min；对照组则在基础治疗基础上进行30min以提高步行能力为目标的治疗师辅助步行训练，所有治疗均5次/周，1次/天，共45min/次，在治疗前、治疗8周后分别进行康复效果评价。结果：治疗8周后，两组患者的Fugl-Meyer评分、Berg平衡量表评分、6min步行距离、FAC评分、MAC评分均较治疗前显著改善（P〈0.05），且观察组各项评定均显著优于对照组（P〈0.01）。结论：应用Lokomat下肢康复机器人训练能有效提高脑卒中患者的步行能力。Objective：To observe the application effect of lower limb rehabilitation robot in walking disability of stroke patients. Methods：60 cases of stroke patients were randomly divided into treatment group （30 cases） and control group （30 cases）. The two groups were treated with basic reha-bilitative therapy, which including neurodevelopmental therapy, active/passive stretching、ADL training、brace、traditional Chinese medicine etc. In addition, the treatment group was treated with lower limb rehabilitation robot training, the control group was treated with traditional therapist-assist gait training. Results：There was significant difference in all outcome measurements in both two groups （P〈0.05） after 8 weeks intervention, and there was significant difference in all outcome measurements except the FMA between the treatment group and the control group （P〈0.01）. Conclu-sions：The application of Lokomat lower limb rehabilitation robot can effectively improve the walking ability in patients with stroke.

关 键 词：脑卒中 偏瘫 步行障碍 下肢康复机器人 步行能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]