康复机器人结合运动想象疗法对脑卒中患者上肢运动功能康复的效果  

Effect of robot-assisted therapy combined with motor imagery therapy on upper limb motor function of stroke patients

作　　者：赵艳 唐迪 李月 崔向红 刘东杰 王丽丽 Zhao Yan;Tang Di;Li Yue;Cui Xianghong;Liu Dongjie;Wang Lili(The Military Rehabilitation Center of Diseases of The Nervous System,Dalian Rehabilitation and Recuperation Center,Joint Logistics Support Force,Dalian 116013,China)

机构地区：[1]联勤保障部队大连康复疗养中心全军神经系统疾病康复中心,辽宁大连116013

出　　处：《海军医学杂志》2024年第10期1035-1040,共6页Journal of Navy Medicine

基　　金：全军保健专项课题(22BJZ50);全军后勤科研课题(CWH17J01)。

摘　　要：目的观察康复机器人结合运动想象疗法对脑卒中患者上肢运动功能康复的作用。方法选取2019年3月至2022年10月在联勤保障部队大连康复疗养中心住院,符合入选标准及排除标准的初发脑卒中患者75例(病程<3个月)。通过随机数字表法将入选患者分为运动想象疗法组(A组)、康复机器人训练组(B组)、康复机器人结合运动想象疗法组(C组),每组各25人。3组均接受常规康复治疗;A组在常规康复治疗基础上,再接受运动想象疗法训练;B组在常规康复治疗基础上,再接受上肢康复机器人训练;C组在常规康复治疗基础上,再接受上肢康复机器人结合运动想象疗法。3组均接受8周治疗。治疗前、治疗4、8周后,采用Armeo?Spring上肢康复机器人关节活动数据、简式Fugl-Meyer运动功能评分-上肢部分(FMA-UE)、改良Barthel指数(MBI)对3组患者进行上肢功能及日常生活活动能力评定。结果治疗4、8周后,3组各项指标均提高(P<0.001);治疗4、8周后,B组、C组各项指标均高于A组(P<0.05),且C组各项指标均高于B组(P<0.05)。结论康复机器人结合运动想象疗法能够改善脑卒中患者的上肢运功功能,提高日常生活活动能力。Objective To explore the effect of robot-assisted therapy combined with motor imagery therapy on upper limb motor function of patients with stroke.Methods A total of 75 patients with incipient stroke(course of disease<3 months),who met the inclusion and exclusion criteria and were admitted to our center from Match 2019 to October 2022,were randomly divided into three groups(n=25)by random number table method.Besides conventional rehabilitation of upper limbs,group A received motor imagery therapy,group B received robot-assisted therapy and group C received robot-assisted therapy combined with motor imagery therapy for 8 weeks.The function of upper limbs and activities of daily living were evaluated by motion range of Armeo®Spring upper limb rehabilitation robot,simple Fugl-Meyer assessment-upper extremities(FMA-UE),and modified Barthel index(MBI)before treatment,after 4 weeks of treatment and 8 weeks of treatment.Results All the scores were significantly increased in the three groups after 4 weeks and 8 weeks of treatment(P<0.001).All the scores of group B and C were higher than those of group A after 4 weeks and 8 weeks of treatment(P<0.05).All the scores of group C were higher than those of group B after 8 weeks of treatment(P<0.05).Conclusion Robot-assisted therapy combined with motor imagery therapy can further improve the upper limb motor function and activities of daily living for stroke patients.

关 键 词：脑卒中 康复机器人治疗 运动想象疗法 上肢 运动 

分 类 号：R493[医药卫生—康复医学]