早期悬吊保护下智能助行训练对脑卒中后运动和行走功能的效果  

Effect of early intelligent assisted walking under suspension protection on motor and walking function for stroke patients

作　　者：郑建玲 刘惠林[1] 朱琳[1,2] 顾彬 颜如秀 赵圻 宋鲁平[1,5] ZHENG Jianling;LIU Huilin;ZHU Lin;GU Bin;YAN Ruxiu;ZHAO Qi;SONG Luping(Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China;Department of Physical Therapy,Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China;Department of Occupational Therapy,Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China;Department of Rehabilitation Medicine,Beijing Institute of Brain Disorders,Beijing 100069,China;Department of Rehabilitation Medicine,Huazhong University of Science and Technology Union Shenzhen Hospital,Shenzhen,Guangdong 518052,China)

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院物理疗法科,北京市100068 [3]中国康复研究中心北京博爱医院作业疗法科,北京市100068 [4]北京脑重大疾病研究院康复医学科,北京市100069 [5]华中科技大学协和深圳医院康复医学科,广东深圳市518052

出　　处：《中国康复理论与实践》2024年第4期431-436,共6页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨脑卒中偏瘫患者早期应用悬吊保护下智能助力步行对下肢运动功能的康复效果。方法2020年10月至2023年3月,北京博爱医院脑卒中偏瘫早期住院患者42例,随机分为对照组(n=21)和试验组(n=21)。两组均接受常规康复,对照组在天轨悬吊保护下行常规步行训练,试验组在天轨悬吊保护下穿戴智能助力步行器进行训练,共4周。治疗前后,采用Fugl-Meyer评定量表(FMA)、FMA-平衡功能(FMA-B)和无线传感三维步态分析进行评定。结果训练后,两组患侧肢体FMA和FMA-B评分,步频、步速、患侧步长、患侧单支撑相、髋关节屈曲最大角度、膝关节屈曲最大角度均改善(|t|>2.230,P<0.05),且试验组优于对照组(|t|>2.140,P<0.05)。结论早期介入智能助力步行训练能更好提高脑卒中偏瘫患者运动、平衡和行走功能。Objective To explore the effect of early intelligent assisted walking under suspension protection on lower limb motor function in stroke patients with hemiplegia.Methods From October,2020 to March,2023,42 early stroke inpatients with hemiplegia from Beijing Bo'ai Hospital were randomly divided into control group(n=21)and experimental group(n=21).Both groups received routine rehabilitation,and the control group received routine walking training under sky rail suspension protection,while the experimental group received walking training wearing an intelligent assistive walking device under suspension protection,for four weeks.They were assessed with Fugl-Meyer Assessment(FMA),FMA-Balance(FMA-B),and wireless sensing 3D gait analysis before and after treatment.Results The scores of FMA and FMA-B of affected limb improved in both groups,as well as the stride frequency,stride speed,affected step length,support phase of the affected limb,maximum hip joint flexion angle and maximum knee joint flexion angle of the affected limb(|t|>2.230,P<0.05),and they were better in the experimental group than in the control group(|t|>2.140,P<0.05).Conclusion Early intervention of intelligent assisted walking training under suspension protection can improve motor and balance function,as well as walking in stroke patients with hemiplegia.

关 键 词：脑卒中 偏瘫 智能助力步行训练 步态 运动 下肢 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]