下肢机器人联合膝关节控制训练在脑卒中后下肢功能障碍患者中的应用效果  

Application effect of lower limb robot combined with knee joint control training in patients with lower limb dysfunction after stroke

作　　者：杨韬 李允堪 高黎明 YANG Tao;LI Yunkan;GAO Liming(Department of Rehabilitation Medicine,Nanjing Brain Hospital,Jiangsu Province,Nanjing 210029,China)

机构地区：[1]南京脑科医院康复医学科,江苏南京210029

出　　处：《中国医药导报》2024年第11期56-59,65,共5页China Medical Herald

基　　金：江苏省卫生健康委员会医学科研立项项目(S2020104)。

摘　　要：目的探讨下肢机器人联合膝关节控制训练在脑卒中后下肢功能障碍患者中的应用效果。方法选取2021年3月至2023年3月南京脑科医院收治的106例脑卒中后下肢功能障碍患者为研究对象,根据随机数字表法将其分为对照组和观察组,每组53例。对照组实施膝关节控制训练,观察组给予下肢机器人联合膝关节控制训练治疗。治疗3个月后,评估比较两组临床疗效、症状评分、步态参数、运动耐力。结果治疗后,观察组临床疗效优于对照组(P<0.05)。治疗后,两组下肢Fugl-Meyer运动功能量表、Berg平衡量表、Holden步行功能分级量表评分均高于治疗前,且观察组高于对照组(P<0.05)。治疗后,两组屈髋峰值、屈膝峰值高于治疗前,步幅长于治疗前,步频、步速快于治疗前,且观察组屈髋峰值、屈膝峰值高于对照组,步幅长于对照组,步频、步速快于对照组(P<0.05)。治疗后,两组峰值摄氧量(VO_(2)peak)、无氧阈值(AT)高于治疗前,6分钟步行试验(6 MWT)距离长于治疗前,且观察组VO_(2)peak、AT高于对照组,6 MWT距离长于对照组(P<0.05)。结论下肢机器人联合膝关节控制训练对脑卒中下肢功能障碍患者效果显著,能提升下肢运动功能,增强运动耐力、提高生活质量。Objective To explore the application effect of lower limb robot combined with knee joint control training in patients with lower limb dysfunction after stroke.Methods A total of 106 patients with lower limb dysfunction after stroke admitted to Nanjing Brain Hospital from March 2021 to March 2023 were selected as the study objects.They were divided into control group and observation group according to random number table method,with 53 cases in each group.The control group received knee joint control training,and the observation group was given lower limb robot combined with knee joint control training.After three months of treatment,the clinical efficacy,symptom score,gait parameters and exercise endurance of the two groups were evaluated and compared.Results After treatment,the clinical effect of observation group was better than that of control group(P<0.05).After treatment,the scores of the Fugl-Meyer assessment of lower extremity scale,Berg balance scale,and Holden functional ambulation classification scale of lower limbs in both groups were higher than those before treatment,and those of the observation group were higher than those of the control group(P<0.05).After treatment,the peak value of hip flexion and knee bending in the two groups were higher than those before treatment,the step length was longer than that before treatment,and the step frequency and step speed were faster than those before treatment,and the peak value of hip flexion and knee bending in the observation group were higher than those in the control group,the step length was longer than that in the control group,and the step frequency and step speed were faster than those in the control group(P<0.05).After treatment,the peak oxygen uptake(VO_(2)peak)and anaerobic threshold(AT)of the two groups were higher than those before treatment,and the 6 min walk test(6 MWT)distance was longer than that before treatment,and the VO_(2)peak and AT of the observation group were higher than those of the control group,and the 6 MWT distance was longer th

关 键 词：脑卒中 膝关节控制训练 下肢机器人 下肢功能 步态参数 运动耐力 

分 类 号：R493[医药卫生—康复医学]