Effectiveness of the A3 robot on lower extremity motor function in stroke patients:A prospective,randomized controlled trial  

作　　者：Lin-Jian Zhang Xin Wen Yang Peng Wei Hu Hui Liao Zi-Cai Liu Hui-Yu Liu 

机构地区：[1]Department of Rehabilitation Medicine,Yuebei People's Hospital,Shaoguan 512000,Guangdong Province,China [2]Department of Rehabilitation Medicine,Shaoguan First People's Hospital,Shaoguan 512000,Guangdong Province,China [3]Department of Rehabilitation Medicine,Yuebei Second People's Hospital,Shaoguan 512026,Guangdong Province,China

出　　处：《World Journal of Clinical Cases》2024年第24期5523-5533,共11页世界临床病例杂志

基　　金：Shaoguan Municipal Health Bureau,No.Y22058;Shaoguan City Science and Technology Plan Project,No.220517164531600;The clinical trial was approved by the Ethics Committee of the Yuebei People's Hospital(No.KY-2021-327);The program was registered online in the Chinese Clinical Trial Registry(Registration No.ChiCTR2100052767)。

摘　　要：BACKGROUND The results of existing lower extremity robotics studies are conflicting,and few relevant clinical trials have examined short-term efficacy.In addition,most of the outcome indicators in existing studies are scales,which are not objective enough.We used the combination of objective instrument measurement and scale to explore the short-term efficacy of the lower limb A3 robot,to provide a clinical reference.AIM To investigate the improvement of lower limb walking ability and balance in stroke treated by A3 lower limb robot.METHODS Sixty stroke patients were recruited prospectively in a hospital and randomized into the A3 group and the control group.They received 30 min of A3 robotics training and 30 min of floor walking training in addition to 30 min of regular rehabilitation training.The training was performed five times a week,once a day,for 2 wk.The t-test or non-parametric test was used to compare the threedimensional gait parameters and balance between the two groups before and after treatment.RESULTS The scores of basic activities of daily living,Stroke-Specific Quality of Life Scale,FM balance meter,Fugl-Meyer Assessment scores,Rivermead Mobility Index,Stride speed,Stride length,and Time Up and Go test in the two groups were significantly better than before treatment(19.29±12.15 vs 3.52±4.34;22.57±17.99 vs 4.07±2.51;1.21±0.83 vs 0.18±0.40;3.50±3.80 vs 0.96±2.08;2.07±1.21 vs 0.41±0.57;0.89±0.63 vs 0.11±0.32;12.38±9.00 vs 2.80±3.43;18.84±11.24 vs 3.80±10.83;45.12±69.41 vs 8.41±10.20;29.45±16.62 vs 8.68±10.74;P<0.05).All outcome indicators were significantly better in the A3 group than in the control group,except the area of the balance parameter.CONCLUSION For the short-term treatment of patients with subacute stroke,the addition of A3 robotic walking training to conventional physiotherapy appears to be more effective than the addition of ground-based walking training.

关 键 词：STROKE Robotics GAIT Robot-assisted gait training Neurological rehabilitation Walking training 

分 类 号：R684.3[医药卫生—骨科学]