上肢康复机器人治疗脑卒中偏瘫患者上肢功能障碍的疗效  

Efficacy of upper limb rehabilitation robot on upper limb dysfunction in stroke patients with hemiplegia

作　　者：赵久明 李月 张佳奇 邢靖松 吕福现 段好阳[2] ZHAO Jiuming;LI Yue;ZHANG Jiaqi;XING Jingsong;LYU Fuxian;DUAN Haoyang(Department of Rehabilitation,Changchun Tongyuan Hospital,Changchun,130000,China;Department of Rehabilitation,the First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]长春通源医院康复科,吉林长春130000 [2]吉林大学第一医院康复科,吉林长春130021

出　　处：《机器人外科学杂志（中英文）》2023年第6期507-511,共5页Chinese Journal of Robotic Surgery

基　　金：吉林省科技厅重点研发项目(20200404209YY)。

摘　　要：目的:分析上肢康复机器人治疗脑卒中偏瘫患者上肢功能障碍的疗效。方法:以2020年6月—2021年12月在吉林大学第一附属医院康复科接受治疗的42例脑卒中伴上肢功能障碍患者为研究对象,随机分为观察组(21例)和对照组(21例)。两组患者均接受常规康复治疗,观察组患者在常规康复治疗的基础上接受上肢康复机器人治疗,连续康复训练共4周。于治疗前、治疗2周、治疗4周后采用简化的上肢Fugl-Meyer评分法(Fugl-Meyer Assessment,FMA)、改良的Barthel指数(Modified Barthel Index,MBI)和改良Ashworth量表(Modified Ashworth Scale,MAS)分别评估两组患者的上肢运动功能、日常生活活动(Activities of Daily Living,ADLs)能力和肱二头肌的肌张力程度。结果:治疗2周后,两组患者的FMA、MBI和MAS评分均较治疗前改善,差异有统计学意义(P<0.05),且观察组患者MAS评分显著低于对照组,差异有统计学意义(P<0.05),而两组患者间FMA和MBI评分无显著差异(P>0.05);治疗4周与治疗2周后比较,两组患者的MAS、FMA和MBI评分均有改善,差异有统计学意义(P<0.05),且观察组各项评分显著优于对照组,差异有统计学意义(P<0.05)。结论:上肢康复机器人训练能有效地提高脑卒中偏瘫患者的上肢运动功能和ADLs能力,且能有效降低肱二头肌的肌张力。Objective:To analyze the efficacy of upper limb rehabilitation robot in the treatment of upper limb dysfunction in stroke patients with hemiplegia.Methods:A total of 42 patients with upper limb dysfunction after stroke hemiplegia admitted to the Rehabilitation Department of the First Hospital of Jilin University from June 2020 to December 2021 were randomly divided into the observation group(21 cases)and control group(21 cases).The patients in the two groups received routine rehabilitation treatment,and patients in the observation group received 4-week upper limb rehabilitation robot-assisted treatment on the basis of routine rehabilitation treatment.The upper limb motor function,activities of daily living(ADLs)and muscle tension of biceps brachii were evaluated by simplified Fugl-Meyer Assessment(FMA),Modified Barthel Index(MBI)and Modified Ashworth Scale(MAS)before treatment,2 weeks and 4 weeks after treatment.Results:After 2 weeks of treatment,the scores of FMA,MBI and MAS in the two groups were significantly improved compared with those before treatment.The MAS scores of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05),while there was no significant difference in the FMA and MBI scores between the two groups(P>0.05);Compared with patients treated 2 weeks,the scores of MAS,FMA and MBI of the two groups of patients treated 4 weeks were all improved,and the differences were statistically significant(P<0.05),the scores of FMA and MBI in the observation group were higher than the scores in the control group(P<0.05),and the score of MAS was significantly lower than that in the control group(P<0.05).Conclusion:Upper limb rehabilitation robot-assisted training can effectively improve the upper limb motor function and ADLs ability of stroke patients with hemiplegia,and can effectively reduce the muscle tension of biceps brachii.

关 键 词：康复机器人 脑卒中 偏瘫 上肢 功能障碍 

分 类 号：R493[医药卫生—康复医学]