上肢机器人虚拟情景训练联合头针对脑卒中患者认知功能障碍的影响  

Robot-assisted virtual scenario training combined with scalp acupuncture can relieve cognitive impairment among stroke survivors

作　　者：刘攀 卢秀艳 王欣 路伟 胡川 Liu Pan;Lu Xiuyan;Wang Xin;Lu Wei;Hu Chuan(Department of Traditional Chinese Medicine Rehabilitation,Shandong Provincial Third Hospital,Jinan 250031,China)

机构地区：[1]山东省立第三医院中医康复科,济南250031

出　　处：《中华物理医学与康复杂志》2024年第3期242-246,共5页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：山东省中医药科技项目(Q-2022100)。

摘　　要：目的探讨上肢机器人虚拟情景训练联合头针对脑卒中后认知功能障碍的影响。方法选取脑卒中后认知功能障碍(PSCI)患者90例,按照随机数字表法分为对照组、头针组、综合组,每组30例。对照组给予常规认知和康复训练,头针组给予常规认知和康复训练联合头针治疗,综合组给予常规认知和康复训练、头针治疗和上肢机器人虚拟情景训练。治疗前和治疗4周后(治疗后),采用简易精神量表(MMSE)和蒙特利尔认知评估量表(MoCA)评估3组患者认知功能,同时采用改良的Barthel指数(MBI)评估3组患者日常生活活动能力。结果治疗后,3组患者的MMSE评分、MoCA评分和MBI评分较组内治疗前均明显改善(P<0.05)。头针组治疗后,仅MMSE评分和MBI评分显著优于对照组治疗后(P<0.05)。综合组治疗后的MMSE评分为(22.03±0.96)分,MoCA评分为(15.07±1.48)分,MBI评分为(73.10±8.45)分,均显著优于头针组和对照组治疗后(P<0.05)。结论上肢机器人虚拟情景训练联合头针可显著改善PSCI患者的认知功能,并提高其日常生活活动能力。Objective To explore any effect of combining robot-assisted virtual scenario training of the upper limbs with scalp acupuncture on post-stroke cognitive impairment.Methods Ninety patients with post-stroke cognitive impairment(PSCI)were divided at random into a control group,a scalp acupuncture group and a comprehensive group,each of 30.In addition to routine health education and rehabilitation training,the scalp acupuncture group was given scalp acupuncture,while the comprehensive group was treated with scalp acupuncture and virtual scenario training with an upper limb robot.Before and after 4 weeks of the treatment,the subjects′cognitive functioning was assessed using the Mini-mental State Examination(MMSE)and the Montreal Cognitive Assessment scale(MoCA).Ability in the activities of daily living(ADL)was quantified using the Modified Barthel Index(MBI).Results After the intervention,significant improvement was observed in the average MMSE,MoCA and MBI scores of all three groups.The average MMSE and MBI scores of the scalp acupuncture group were then significantly higher than the control group′s averages,while the average MMSE,MoCA and MBI scores of the comprehensive group were all significantly better than those of the other two groups.Conclusion Robot-assisted virtual scenario upper limb training combined with scalp acupuncture can significantly improve the cognition and ADL ability of PSCI patients.

关 键 词：上肢机器人虚拟情景训练 头针 认知功能障碍 脑卒中 日常生活活动能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R496[医药卫生—临床医学]