下肢外骨骼机器人联合悬吊治疗对偏瘫患者步行功能的疗效观察  

Observation on the effect of lower limb exoskeleton robot combined with suspension on walking function in patients with hemiplegia

作　　者：王让让 张洪蕊[1] 刘陵鑫 周人龙 孙亚鲁 霍飞翔 WANG Rangrang;ZHANG Hongrui;LIU Lingxin;ZHOU Renlong;SUN Yalu;HUO Feixiang(Department of Rehabilitation,Affiliated Hospital of Jining Medical University,Jining 272029,China)

机构地区：[1]济宁医学院附属医院康复医学科,济宁272029

出　　处：《济宁医学院学报》2024年第1期10-14,共5页Journal of Jining Medical University

基　　金：济宁医学院附属医院“苗圃”科研基金(MP-MS-2022-010)。

摘　　要：目的探讨下肢外骨骼机器人联合悬吊治疗对偏瘫患者步行功能的疗效。方法选取2021年5月至2021年11月济宁医学院附属医院康复科住院的符合标准的脑卒中偏瘫步行功能障碍患者60例,用随机数字表法分为观察组和对照组各30例。对照组仅给予常规康复治疗,观察组则在对照组基础上给予下肢外骨骼机器人联合悬吊治疗。两组在治疗前及治疗4周后采用Fugl-Meyer下肢运动功能评分、Berg平衡量表(BBS)、10米最大步行速度测试(10MWT)、六分钟步行试验(6MWT)和功能性步行量表(FAC)对患者的步行功能进行评估并分析。结果治疗前,两组FMA-LE、BBS、10MWT、6MWT、FAC评分比较差异无统计学意义(P>0.05)。治疗4周后,观察组FMA-LE评分、BBS评分、10MWT评分、6MWT评分和FAC评分差值优于对照组(t=-10.95,P<0.05;t=-10.978,P<0.05;t=3.738,P<0.05;t=-7.604,P<0.05;Z=-4.208,P<0.05)。结论下肢外骨骼机器人联合悬吊治疗更能有效改善偏瘫患者的步行功能。Objective To investigate the effect of lower limb exoskeleton robot combined with suspension therapy on walking function in patients with hemiplegia.Methods Sixty stroke patients with hemiplegic walking dysfunction were randomly divided into experimental group(n=30)and control group(n=30).The patients in the control group were only given routine rehabilitation treatment,while the patients in the experimental group were treated with lower limb exoskeleton robot combined with suspension on the basis of the control group.The patients′walking function was evaluated and analyzed by Fugl-Meyer lower limb motor function score,Berg balance scale(BBS),10-meter maximum walking speed test(10MWT),six-minute walking test(6MWT)and functional walking scale(FAC)before and 4 weeks after treatment.Results Before treatment,there was no significant difference in the scores of FMA-LE,BBS,10MWT,6MWT and FAC between the two groups(P>0.05).After 4 weeks of treatment,the FMA-LE score of the observation group was better than that of the control group(t=-10.95,P<0.05).The BBS score of the observation group was better than that of the control group(t=-10.978,P<0.05).The 10MWT score of the observation group was shorter than that of the control group(t=3.738,P<0.05).The 6MWT score of the observation group was higher than that of the control group(t=-7.604,P<0.05),and the FAC score of the observation group was significantly better than that of the control group(Z=-4.208,P<0.05).Conclusion Lower limb exoskeleton robot combined with suspension therapy can effectively improve the walking function of hemiplegic patients.

关 键 词：下肢外骨骼机器人 悬吊治疗 偏瘫 步行功能 

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