上肢机器人对脑卒中康复训练效果的1例分析  

An Analysis of the Effect of Upper Limb Robot on Stroke Rehabilitation Training

作　　者：黎祖连 孙扬 韩立坤 陈丽红 朱朝叠 吴乾利 乔娜[2] 陈颖[2] LI Zulian;SUN Yang;HAN Likun;CHEN Lihong;ZHU Zhaodie;WU Qianli;QIAO Na;CHEN Ying(The First Clinical Medical College of Hainan Medical University,Haikou Hainan 570100,China;Department of Rehabilitation Medicine,The First Affiliated Hospital of Hainan Medical University,Haikou Hainan 570102,China)

机构地区：[1]海南医学院第一临床学院,海南海口570100 [2]海南医学院第一附属医院康复医学科,海南海口570102

出　　处：《中国继续医学教育》2019年第34期158-160,共3页China Continuing Medical Education

基　　金：海南医学院创新创业训练计划项目（HYCX2015042）;海南医学院附属医院青年培育基金项目（HYFYPY201608）;2016年省级大学生创新创业训练计划项目（20160118）;海南省卫生计生行业科研项目（1601320141A2003）

摘　　要：目的探讨上肢机器人结合常规的康复治疗对脑卒中早期患者的治疗效果。方法对1例脑卒中早期患者在常规康复治疗基础上进行上肢机器人的训练,常规训练60min,上肢机器人训练20min,每日训练共80min,共训练5天。采用改良Ashworth痉挛评定量表、Brunnstrom运动功能分级量表、Fugl-Meyer运动功能评定量表(上肢部分)和改良Barthel指数量表进行上肢功能评估,应用表面肌电分析系统(s EMG)记录患侧上肢三角肌、肱二头肌、肱三头肌、腕屈肌群、腕伸肌群在被动牵伸和主动收缩时的均方根值(RMS)以反映肌肉肌力和肌张力的变化,分别于治疗前和治疗后进行评估。结果治疗5天后患者的改良Ashworth痉挛评定量表、Brunnstrom运动功能分级量表、Fugl-Meyer运动功能评定量表(上肢部分)和改良Barthel指数量表评定数值均有提高。表面肌电分析系统数据表明,治疗5天后患者三角肌、肱二头肌、肱三头肌、腕屈肌群、腕伸肌群在被动牵伸和主动收缩时RMS值均有不同程度的增加。结论上肢机器人结合常规康复治疗,可提高脑卒中早期患者的上肢功能。Objective To investigate the effect of upper limb robot combined with conventional rehabilitation therapy on early stroke patients. Methods 1 case of stroke in patients with early arm robot training based on routine rehabilitation therapy, regular training for 60 min, 20 min for arm robot training, daily training a total of 80 min, a total of 5 days training. Upper limb function was assessed by the modified Ashworth scale, Brunnstrom motor function rating scale, fugl-meyer motor function rating scale(upper limb part) and modified Barthel index scale. Surface electromyography analysis system(sEMG) was used to record the RMS of deltoid, biceps, triceps, Flexion wrist and extensor wrist muscle groups on the affected side during passive draft and active contraction to reflect the changes in muscle strength and muscle tension, to evaluate respectively before and after treatment. Results The modified Ashworth spasticity rating cale, Brunnstrom motor function rating cale, fugl-meyer motor function rating scale(upper limb) and modified Barthel index cale were all improved after 5 days of treatment. The data of sEMG analysis system showed that the RMS of deltoid, biceps, triceps, flexion wrist and extensor wrist muscles increased in different degrees during passive drawing and active contraction after 5 days of treatment. Conclusion The upper limb robot combined with conventional rehabilitation therapy can improve the function of early stroke patients.

关 键 词：脑卒中 上肢机器人 表面肌电 上肢运动功能 功能恢复 康复 

分 类 号：R493[医药卫生—康复医学]