智能下肢康复机器人联合经筋刺法治疗中风后足下垂  

Intelligent Lower Limb Rehabilitation Robot Combined with Jingjin Acupuncture for Treatment of Post-Stroke Foot Drop

作　　者：张喆[1] 熊键[2] ZHANG Zhe;XIONG Jian(Department of Rehabilitation,Ezhou Central Hospital,Ezhou Hubei 436000,China;Department of Rehabilitation,Wuhan No.1 Hospital,Wuhan Hubei 430000,China)

机构地区：[1]鄂州市中心医院康复科,湖北鄂州436000 [2]武汉市第一医院康复科,湖北武汉430000

出　　处：《中国医疗设备》2021年第12期66-69,77,共5页China Medical Devices

基　　金：湖北省卫生健康委科研项目(WJ2017F117)。

摘　　要：目的观察智能下肢康复机器人联合经筋刺法治疗对中风后足下垂患者下肢运动障碍及肌力的影响。方法120例中风后足下垂患者随机分为对照组和观察组,每组60例;两组均予以经筋刺法及常规康复训练治疗,观察组在此基础上增加下肢康复机器人训练,均治疗4周,比较两组治疗效果。结果治疗后,观察组小腿三头肌肌张力评分明显低于对照组(P<0.05),胫前肌与腓肠肌积分肌电值、胫前肌肌力评分、福格-米勒下肢运动功能评分、Holden步行功能分级评分及改良Brathel指数评分均明显高于对照组(P<0.05),观察组足趾屈改善优良率高于对照组(P<0.05)。结论智能下肢康复机器人联合经筋刺法治疗对中风后足下垂疗效显著,能够改善患者肌力、下肢运动功能,提高日常生活活动能力。Objective To observe the effectiveness of intelligent lower limb rehabilitation robot combined with Jingjin acupuncture therapy on lower limb dyskinesia and muscle strength in patients with post-stroke foot drop.Methods A total of 120 patients with post-stroke foot drop were randomly divided into a control group and an observation group,60 cases in each group.The two groups were treated with Jingjin acupuncture therapy and routine rehabilitation training.The observation group was given additional lower limb rehabilitation robot training.Both groups were treated for 4 weeks.The curative effect were compared between the two groups.Results After treatment,muscle tension score of triceps surae in observation group were significantly lower than that in control group(P<0.05).The integrate electromyography values of tibialis anterior muscle and gastrocnemius muscle,muscle strength score of tibialis anterior muscle,scores of Fugl-Meyer lower limb motor function,functional ambulation category scale and modified Brathel index were significantly higher than those in control group(P<0.05).And the improvement rate of plantar flexion improvement were higher than that in control group(P<0.05).Conclusion The curative effect of intelligent lower limb rehabilitation robot combined with Jingjin acupuncture therapy has a significant effect on post-stroke foot drop,which can improve muscle strength,lower limb motor function and promote activities of daily living.

关 键 词：中风 足下垂 经筋刺法 下肢康复机器人 下肢运动功能 肌力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]