智能机器人康复手套对脑卒中偏瘫患者手功能的疗效  

Effectiveness of Intelligent Robotic Rehabilitation Gloves for Stroke-induced Hemiplegic Hands

作　　者：毕文倩[1] 张锴文 刘金 王娜 李海舰 张涵莱 吴金雨 王彤[6] 王淑友[7] 许晓冬 张建梁[2] Bi Wenqian;Zhang Kaiwen;Liu Jin(Cangzhou Hospital of Integrated TCM-WM of Hebei Province,Cangzhou 061000,China)

机构地区：[1]沧州中西医结合医院外七科,河北沧州061000 [2]中国中医科学院针灸研究所机能研究室,北京100700 [3]沧州中西医结合医院神经康复三科,河北沧州061000 [4]沧州中西医结合医院针灸科,河北沧州061000 [5]沧州中西医结合医院康复治疗科,河北沧州061000 [6]中国中医科学院针灸医院骨伤推拿科,北京100700 [7]中国中医科学院针灸研究所针灸医学工程室,北京100700

出　　处：《中国康复》2023年第3期131-135,共5页Chinese Journal of Rehabilitation

基　　金：国家重点研发计划“中医药现代化研究”专项(2018YFC1707804)。

摘　　要：目的:观察智能康复机器人手套辅助训练对脑卒中偏瘫患者手功能的康复效果。方法:60例脑卒中住院患者随机分为2组,2组患者均给予运动疗法、物理因子疗法等传统康复方法治疗。另外,对照组患者进行抓握等常规手功能训练,观察组使用康复机器人手套进行上肢及手功能训练,完成抓握、捡球、持物等动作。记录患者治疗前、治疗后1周、2周、3周的Wolf运动功能评定(WMFT)分数及手功能评定分数。结果:与治疗前比较,治疗1周后2组的WMFT及手功能评分均有显著提高(均P<0.05),但2组间的WMFT及手功能评分无明显差异;治疗2周和3周后,2组的WMFT及手功能评分均较治疗前明显升高(均P<0.01),且观察组WMFT及手功能评分明显高于对照组(P<0.05)。结论:智能康复机器人手套辅助训练能够改善脑卒中偏瘫患者上肢和手功能,值得进一步推广使用。Objective:To observe the effectiveness of intellectual rehabilitation robot-assisted glove therapy for hand and upper limbs function in patients with stroke-induced hemiplegia.Methods:A total of 60 patients with stroke-induced hemiplegia were recruited and then equally divided into control group(n=30)and observation group(n=30).Both groups were treated with traditional rehabilitation methods such as exercise therapy and physical factor therapy.In addition,the control group received conventional therapy of routine hand function training such as grasping and holding,and the treatment group received the robot-assisted therapy to perform the exercise of the upper limb and hand function by grasping,picking up a ball and holding objects with the intellectual rehabilitation gloves.The effectiveness was assessed by Wolf Motor Function Test(WMFT)and hand function evaluation(HFE)at 1,2 and 3 weeks post-treatments.Results:In comparison with pre-treatments,the scores of WMFT and HFE in all time-points(week 1,week 2 and week 3)of both groups were significantly higher(P<0.01);In comparison with week 1,the scores of WMFT and HFE in both groups in week 2 and week 3 were significantly higher(P<0.01).The scores of WMFT and HFE in week 3 were higher than those in week 2(P<0.01);In week 1,there was no significant difference in the scores of WMFT and HFE between the control group and the treatment group.In week 2 and week 3,however,the scores of WMFT and HFE in the treatment group were higher than those in the control group(P<0.05).Conclusion:Robot-assisted therapy with the intellectual flexible robotic rehabilitation gloves could improve the function of upper limb and hands of patients with stroke-induced hemiplegia.

关 键 词：脑卒中 偏瘫 智能机器人康复手套 Wolf运动功能评定 手功能评定 

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