运动想象疗法结合下肢康复机器人训练对脑卒中亚急性期偏瘫患者下肢运动功能的影响  

The effect of motor imaginary therapy combined with lower limb gait training rehabilitation robot on lower limb motor function in hemiplegic patients with subacute stroke

作　　者：王盛强[1] 黄杰[1] 高春华[1] 肖锋[1] 韩肖华[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院康复医学科,武汉430030

出　　处：《中国康复医学杂志》2016年第11期1230-1233,共4页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:探讨运动想象疗法结合下肢康复机器人训练对脑卒中亚急性期偏瘫患者下肢运动功能的影响。方法:选取亚急性期脑卒中偏瘫患者50例,随机分为对照组和观察组各25例。两组患者均采用常规康复治疗(45min/次,每周6次)和下肢康复机器人的功能训练(20min/次,每周6次),一共6周。观察组在常规康复治疗的基础上,在训练结束后进行运动想象疗法(15min/次,每周6次)。两组患者均在治疗前、治疗6周后采用下肢FuglMeye(rFMA)运动功能量表、Berg平衡量表(BBS)、功能性步行量表(FAC)进行评估。结果:治疗前对照组和观察组在Fugl-Meyer(FMA)运动功能量表、Berg平衡量表(BBS)、功能性步行量表(FAC)的评分无显著差异(P>0.05)。治疗6周后,两组患者FMA,BBS,FAC的评分较治疗前均有明显改善(P<0.05),且观察组较对照组提高更明显(P<0.05)。结论:运动想象疗法结合下肢康复机器人对亚急性期脑卒中患者下肢的运动功能、平衡功能及步行能力有所提高。Objective： To investigate the effect of motor imaginary therapy combined with lower limb gait training rehabili- tation robot on lower limb motor function in hemiplegic patients with subacute stroke. Method： 50 hemiplegic patients with subacute stroke were randomly divided into control group（n=25） and ob- servation group（n=25）. Both two groups received conventional rehabilitation therapy（45min/day,6d/week）and low- er limb gait training rehabilitation robot（20min/day, 6d/week） for 6 weeks. The observation group received mo- tor imaginary therapy（15min/day, 6d/week） after all training. All patients were assessed before and 6 weeks af- ter training with Fugl-Meyer assessment（FMA） scale of lower limb, Berg balance scale（BBS）, functional ambula- tion category（FAC）. Result： Before training, there was no significant difference in FMA scale, BBS scale and FAC scale between control group and observation group（P〉 0.05） . After 6 weeks training, both groups had significant improve- ment （P 〈 0.05）, while that of observation group was more significant（P 〈 0.05） compared with control group . Conclusion： motor imaginary therapy combined with lower limb gait training rehabilitation robot can improve the lower limb motor fimction and walking ability of subacute stroke patients.

关 键 词：运动想象疗法 下肢康复机器人 脑卒中 下肢运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R681.8[医药卫生—临床医学]