骨盆辅助式康复机器人对急性期脑梗死患者下肢功能和膝关节本体感觉的影响  

Robot assistance can improve lower limb function and knee proprioception after cerebral infarction

作　　者：郑琦 施爱梅 顾旭东 柏和风 姚云海 傅建明 张晓玲 金鑫 陆晶晶 孙亚 Zheng Qi;Shi Aimei;Gu Xudong;Bai Hefeng;Yao Yunhai;Fu Jianming;Zhang Xiaoling;Jin Xin;Lu Jingjing;Sun Ya(Rehabilitation Medical Center of The Second Hospital of Jiaxing,Jiaxing 314000,China)

机构地区：[1]嘉兴市第二医院康复医学中心,314000

出　　处：《中华物理医学与康复杂志》2021年第10期895-898,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：浙江省医药卫生科技计划项目(2020KY954)。

摘　　要：目的探究骨盆辅助式康复机器人对急性期脑梗死患者的下肢功能和膝关节本体感觉的影响。方法将40例急性脑梗死偏瘫患者按随机数字表法分为对照组(20例)和观察组(20例),2组患者均接受常规药物治疗和康复干预,观察组患者在此基础上增加骨盆辅助式康复机器人训练。骨盆辅助式康复机器人训练每日训练1次,每次训练20 min,每周训练5 d,连续训练4周。于治疗前和治疗4周后(治疗后)分别采用简式Fugl-Meyer运动功能量表(FMA)下肢部分、Berg平衡量表(BBS)、功能性步行分级(FAC)量表和等速测试仪对2组患者的下肢运动功能、平衡功能、步行功能和膝关节本体感觉进行评估。结果治疗后,2组患者的下肢FMA评分、BBS评分、FAC分级和膝关节重现角度差值与组内治疗前比较,差异均有统计学意义(P<0.05),且观察组上述指标分别为(21.75±3.18)分、(31.55±3.39)分、(3.15±0.49)级和(6.25±0.91)°,均显著优于对照组治疗后,差异均有统计学意义(P<0.05)。结论骨盆辅助式康复机器人训练可显著改善急性期脑梗死患者的下肢运动功能、平衡功能、膝关节本体感觉和步行能力。Objective To explore the effect of a pelvis-assisting rehabilitation robot on lower limb function and knee proprioception after cerebral infarction.Methods Forty hemiplegic cerebral infarction survivors were randomly divided into an experimental group and a control group,each of 20.Both groups were given routine neurological medication and rehabilitation training,while the experimental group was additionally provided with 20 minutes of robot-assisted gait training daily,five times a week for four weeks.Before and after the intervention,motor function,balance,walking function and knee joint proprioception were assessed using the simplified Fugl-Meyer lower limb assessment,the Berg balance scale,functional ambulation categorization and the Humac Norm isokinetic tester.Results After the treatment,significant improvement was observed in all of the above measurements in both groups,but the improvements were significantly greater in the experimental group.Conclusions Robotic pelvic assistance can effectively improve lower limb motor function,balance,knee proprioception and walking after cerebral infarction.

关 键 词：康复机器人 脑梗死 步行功能 本体感觉 

分 类 号：R743.3[医药卫生—神经病学与精神病学]