等速肌力训练结合上肢康复机器人对脑卒中恢复期偏瘫患者上肢功能恢复、生活质量及神经可塑性的影响  

Effect of isokinetic excercise combined with upper limb rehabilitation robot on upper limb function recovery,quality of life and neuroplasticity in stroke patients with hemiplegia during the recovery period

作　　者：杨兰[1] 周小云[2] 许坚[1] 田宇 陈渭 YANG Lan;ZHOU Xiaoyun;XU Jian;TIAN Yu;CHEN Wei(Department of Rehabilitation Medicine,Baoji People’s Hospital,Baoji 721000,China;Rehabilitation Treatment Center,the Affiliated Hospital of Nantong University,Nantong 226000,China)

机构地区：[1]宝鸡市人民医院康复医学科,陕西宝鸡721000 [2]南通大学附属医院康复治疗中心,江苏南通226000

出　　处：《机器人外科学杂志（中英文）》2024年第6期1111-1115,共5页Chinese Journal of Robotic Surgery

基　　金：宝鸡市卫生健康委员会2019年度科研计划立项课题(2020-14)。

摘　　要：目的:探讨等速肌力训练结合上肢康复机器人对脑卒中恢复期偏瘫患者上肢功能恢复、生活质量及神经可塑性的影响。方法:选取2021年3月—2024年3月在宝鸡市人民医院诊治的102例脑卒中恢复期偏瘫患者作为研究对象,按照随机数字表法将其分为对照组(51例,常规训练)和研究组(51例,等速肌力训练结合上肢康复机器人训练),比较两组患者上肢功能恢复、生活质量及神经可塑性。结果:与训练前相比,两组患者训练3个月后上肢动作研究量表(ARAT)、Fugl-Meyer上肢运动功能评价量表(FMA-UE)评分升高(P<0.05),与对照组相比,研究组训练3个月后ARAT、FMA-UE评分更高(P<0.05)。与训练前相比,两组患者训练3个月后脑卒中专用生活质量量表(SS-QOL)各维度评分升高(P<0.05),与对照组相比,研究组训练3个月后SS-QOL各维度评分更高(P<0.05)。与训练前相比,两组患者训练3个月后斜率不对称指数、cM1-Slope、RMT不对称指数降低,i M1-Slope、cM1-RMT升高(P<0.05),与对照组相比,研究组训练3个月斜率不对称指数、cM1-Slope、RMT不对称指数更低,iM1-Slope、cM1-RMT更高(P<0.05)。结论:等速肌力训练结合上肢康复机器人训练应用于脑卒中恢复期偏瘫患者,可促进上肢功能恢复,提升生活质量,改善神经可塑性。Objective:To explore the effect of isokinetic exercise combined with upper limb rehabilitation robot on upper limb function recovery,quality of life and neuroplasticity in stroke patients with hemiplegia during the recovery period.Methods:102 stroke patients with hemiplegia treated in Baoji People’s Hospital from March 2021 to March 2024 were selected and divided into the control group(n=51)and the study group(n=51)using a random number table.The control group received conventional rehabilitation training,and the study group received isokinetic exercise combined with upper limb rehabilitation robot training.Upper limb function recovery,quality of life and neuroplasticity of patients in the two groups were compared.Results:Compared with that before intervention,the scores of action research arm test(ARAT)and Fugl-Meyer assessment of the upper extremity(FMA-UE)in the two groups were both raised after 3 months of training(P<0.05),and the ARAT and FMA-UE scores in the study group were higher after 3 months of training than those in the control group(P<0.05).Compared with that before training,the scores of various dimensions of the stroke-specific quality of life scale(SS-QOL)in the two groups were both increased after 3 months of training(P<0.05),and the scores of various dimensions of SS-QOL in the study group were higher after 3 months of training than those of the control group(P<0.05).Compared with that before training,the slope asymmetry index,cM1 Slope,and RMT asymmetry index decreased in both groups after 3 months of training(P<0.05),while iM1 Slope and cM1 RMT increased in both groups after 3 months of training(P<0.05).Moreover,compared with the control group,the slope asymmetry index,cM1 Slope,and RMT asymmetry index were lower in the study group after 3 months of training(P<0.05),while iM1 Slope and cM1 RMT asymmetry index were higher in the study group after 3 months of training(P<0.05).Conclusion:The application of isokinetic exercise combined with upper limb rehabilitation robot training in stroke pati

关 键 词：脑卒中 恢复期 偏瘫 等速肌力训练 上肢康复机器人 

分 类 号：R743[医药卫生—神经病学与精神病学] R608[医药卫生—临床医学]