上肢康复机器人结合常规康复训练对急性期脑卒中患者上肢功能的疗效研究  

Efficacy of upper limb rehabilitation robot combined with general rehabilitation for the upper limb function of acute stroke patients with hemiplegia

作　　者：胡洁[1] 朱琳[1] 刘霖[1] 张艳明[1] 杜巨豹[1] 刘秀贞[1] 王伟[1] 宋为群[1] Hu Jie;Zhu Lin;Liu Lin(Department of Rehabilitation Medicine,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院康复医学科,北京100053

出　　处：《中国康复》2018年第6期448-450,共3页Chinese Journal of Rehabilitation

基　　金：北京市优秀人才青年骨干项目(2015000020124G117)

摘　　要：目的:观察上肢康复机器人结合常规康复训练对急性期脑卒中患者上肢运动功能的改善情况。方法:将50例脑卒中患者随机分为对照组和观察组,对照组每天进行2次常规康复训练,观察组每天进行1次常规康复训练及1次上肢康复机器人训练,每周治疗5d,共4周,治疗前后分别用Fugl-Meyer(上肢部分,FMA-UE)、改良日常生活能力(MBI)、肩关节主动关节活动度评价康复效果。结果:治疗后,2组患者的FMA-UE、肩关节主动关节活动度和MBI评估均有明显提高(P<0.05),上肢康复机器人结合常规康复训练组的FMA-UE和肩关节前屈、水平内收、水平外展主动关节活动度与对照组相比提高更加明显(P<0.05)。结论:上肢康复机器人结合常规康复训练对急性期脑卒中患者上肢功能有明显改善作用。Objective:To observe the efficacy of upper rehabilitation robot combined with general rehabilitation for the upper limb function of acute stroke patients with hemiplegia.Methods:Fifty patients with hemiplegia after stroke were randomly divided into control group and experimental group.The control group was given conventional upper limb rehabilitation training,and the experimental group was given the upper limb rehabilitation robot training on the basis of conventional rehabilitation training.FMA-UE and MBI scores,and active range of motion(AROM)of shoulder joint were used to evaluate the upper limb motor function of patients before and after treatment.Results:After treatment for 4 weeks,the FMA-UE and MBI scores,and AROM of shoulder joint in both groups were all significantly higher than thos before treatment(P<0.05),and the FMA-UE scores,and AROM of flexion,adduction and abduction in experimental group were significantly higher than those in control group(P<0.05).Conclusion:Upper limb rehabilitation robot combined with conventional rehabilitation training can improve the upper limb motor function of acute stroke patients with hemiplegia.

关 键 词：偏瘫 上肢康复机器人 脑卒中 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]