太极云手联合机器人辅助训练对脑卒中患者手功能的影响  

Effects of Body Weight Support-Tai Chi Yunshou Training on Upper Limb Motor Function in Stroke Patients

作　　者：张丽英 王杰宁 于小明[2] 陆琰 ZHANG Li-ying;WANG Jie-ning;YU Xiao-ming;LU Yan(No.7 Clinical College of Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai,201203;Department of Rehabilitation Medicine,Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200137)

机构地区：[1]上海中医药大学市七临床医学院,上海201203 [2]上海中医药大学附属第七人民医院康复医学科,上海200137

出　　处：《中医康复》2024年第1期17-20,共4页Traditional Chinese Medicine Rehabilitation

基　　金：浦东新区“国家中医药发展综合改革试验区”建设项目(NO.PDZY-2022-0702);上海市卫健委中医药科研项目(NO.2020LP004)。

摘　　要：目的:探讨太极云手结合机器人辅助训练对脑卒中患者手功能的康复效果。方法:将60例脑卒中患者随机分为治疗组(n=30)和对照组(n=30),两组均接受常规康复治疗,治疗组接受太极云手训练结合结合机器人辅助训练,对照组接受机器人辅助训练。两组的训练频率为60min/天,5天/周,持续治疗8周。于治疗前、治疗4周后、治疗8周后采用Fugl-Meyer运动功能量表(Fugl-Meyer motor assessment,FMA)腕手部分、Wolf运动功能量表(Wolf motor function test,WMFT)、箱块测试(Box and Block test,BBT)、握力和捏力来评估受试者的手功能。结果:两组患者治疗后与治疗前比较,差异具有统计学意义(P<0.001)。治疗4周后组间比较差异不具有统计学意义(P>0.05);治疗8周后组间比较,WMFT差异具有统计学意义(P<0.05),FMA腕手部分、BBT、握力和捏力不具有统计学差异(P>0.05)。结论:太极云手结合机器人辅助训练能够改善脑卒中患者的手功能。Objective:To explore the rehabilitation effect of Tai Chi Yunshou combined with robot-assisted training on hand function of stroke patients.Method:A total of 60 stroke patients were selected and randomly divided into a treatment group(n=30)and a control group(n=30).Both groups received conventional rehabilitation therapy.The treatment group received Tai Chi Yunshou training combined with robot-assisted training,the control group received robot-assisted training.The training frequency of the two groups was 60min/day,5 days/week,and the treatment continued for 8 weeks.Before treatment,after 4 weeks of treatment,and after 8 weeks of treatment,the Fugl-Meyer motor function scale(FMA)wrist-hand part,the Wolf motor function test(WMFT),Box and Block Test(BBT),grip strength and pinch strength to assess the hand function.Result:The difference between the two groups of patients after treatment and before treatment was statistically significant(P<0.001).There was no statistically significant difference between the groups after 4 weeks of treatment(P>0.05).After 8 weeks of treatment,the difference in WMFT between the groups was statistically significant(P>0.05).FMA wrist-hand part,BBT,grip strength and pinch strength were not statistically different(P>0.05).Conclusion:Tai Chi Yunshou combined with robot-assisted training can improve hand function in stroke patients.

关 键 词：脑卒中 太极云手 机器人辅助训练 手功能 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]