MOTOmed智能运动训练配合强化步行训练对脑卒中后偏瘫患者下肢功能康复的作用  

Effect of MOTOmed intelligent exercise training combined with intensive walking training on the rehabilitation of lower limb function in hemiplegic patients after stroke

作　　者：赵亚利[1] 张博华[1] 李志贤[1] 胡玉松[1] 周勇 范金阳 ZHAO Ya-li;ZHANG Bo-hua;LI Zhi-xian;HU Yu-song;ZHOU Yong;FAN Jin-yang(Department of Rehabilitation Medicine, Dingzhou City People's Hospital, Baoding, Hebei 073000, China)

机构地区：[1]河北省定州市人民医院康复医学科

出　　处：《中国临床研究》2019年第7期976-978,982,共4页Chinese Journal of Clinical Research

基　　金：河北省科技计划项目(16277768D)~~

摘　　要：目的探讨对脑卒中后偏瘫患者进行MOTOmed智能运动训练配合强化步行训练的方法及对下肢功能康复的作用和对神经因子水平的影响。方法选取2017年2月至2018年2月脑卒中后偏瘫患者52例作为研究对象,随机分为对照组和观察组,各26例。对照组给予强化步行训练,观察组在对照组基础上加用MOTOmed智能运动训练。观察两组步行功能、神经功能和下肢功能康复情况。结果治疗后,两组功能性步行分级量表(FAC)评分、10 m最大步行速度、Fugl-Meyer评分法(FMA)评分和神经生长因子(NGF)、神经营养素-3(NT-3)、脑源性神经营养因子(BDNF)水平均显著高于治疗前(P均<0.01),且观察组FAC评分、10 m最大步行速度、FMA评分和NGF、NT-3、BDNF水平均明显高于对照组(P<0.05,P<0.01)。结论 MOTOmed智能运动训练配合强化步行训练可以显著改善脑卒中后偏瘫患者的步行功能和下肢功能,提高其血清神经因子水平。Objective To investigate the effects of MOTOmed intelligent exercise training combined with intensive walking training on the recoveries of lower limbs function in hemiplegic paralysis patients after stroke. Methods Fifty-two hemiplegic paralysis patients after stroke were selected from February 2017 to February 2018 and randomly divided into control group and observation group, with 26 cases in each group. The patients of control group was given intensive walking training, the patients of observation group was additionally given MOTOmed intelligent exercise training on the basis of the control group. The recoveries of walking function, neurological function and lower limbs function in the two groups were observed. Results After treatment, the FAC score, 10 m maximum walking speed, FMA score, NGF, NT-3 and BDNF levels in the two groups were significantly higher than those before treatment ( all P < 0. 01 ), and the FAC score, 10 m maximum walking speed,FMA score,NGF,NT-3 and BDNF levels in the observation group were significantly higher than those in the control group ( P < 0. 05 , P < 0. 01 ). Conclusion MOTOmed intelligent exercise training combined with intensive walking training can significantly improve walking function and lower limbs function in hemiplegic paralysis patients after stroke, and increase the levels of their serum neurokines.

关 键 词：MOTOmed智能运动训练 强化步行训练 脑卒中 偏瘫 步行功能 神经因子 下肢功能 

分 类 号：R493[医药卫生—康复医学]