下肢康复机器人联合康复锻炼治疗脑卒中患者步行障碍的效果观察  

Effect of rehabilitation exercise combining with lower limb rehabilitation robot in the treatment of walking disorders in stroke patients

作　　者：陈虹敏 何小俊[1] CHEN Hongmin;HE Xiaojun(International Medical Department,People’s Hospital of Wuhan University,Wuhan 430000,China)

机构地区：[1]武汉大学人民医院国际医疗部,湖北武汉430000

出　　处：《机器人外科学杂志(中英文)》2025年第2期271-275,共5页Chinese Journal of Robotic Surgery

基　　金：湖北省重点实验室开放项目(2022KFH005)。

摘　　要：目的:探讨下肢康复机器人联合康复锻炼治疗脑卒中患者步行障碍的效果。方法:使用随机分配法,将2021年1月-2023年12月武汉大学人民医院收治的190例脑卒中患者分为对照组和研究组,对照组在常规功能锻炼基础上联合康复锻炼,研究组在对照组基础上增加下肢康复机器人治疗,对比两组患者6 min步行试验(6MWT)步行距离以及Berg平衡量表(BBS)、Fugl-Meyer运动功能评分量表(FMA)、改良Rankin量表(mRS)、美国国立卫生研究院卒中量表(NIHSS)评分。结果:干预后研究组患者6MWT步行距离高于对照组,BBS、FMA评分高于对照组,mRS、NIHSS评分低于对照组(P<0.05)。结论:脑卒中患者行康复锻炼联合下肢康复机器人辅助训练,能明显改善患者预后下肢运动功能、神经功能及平衡状态,对于改善患者步行障碍具有积极意义。Objective:To explore the effect of rehabilitation exercise combining with lower limb rehabilitation robot in the treatment of walking disorders in stroke patients.Methods:190 stroke patients who were admitted to the People’s Hospital of Wuhan University from January 2021 to December 2023 were divided into the control group and the study group using the random allocation method.The control group received conventional functional exercise combined with rehabilitation exercise,while the study group received lower limb rehabilitation robot treatment on the basis of the control group.The 6-Minute Walking Test(6MWT)walking distance,scores of Berg Balance Scale(BBS),Fugl-Meyer Assessment(FMA),Modified Rankin Scale(mRS),and National Institute of Health Stroke Scale(NIHSS)were compared between the two groups.Results:After intervention,the patients in the study group had longer 6MWT walking distance,higher BBS and FMA scores,lower mRS and NIHSS scores than those in the control group.Conclusion:Rehabilitation exercise combining with lower limb rehabilitation robot-assisted training can significantly improve lower limb motor function,neurological function and balance of stroke patients,which is of positive significance for improving patients’walking disorders.

关 键 词：康复锻炼 下肢康复机器人 脑卒中 步行障碍 

分 类 号：R743.3[医药卫生—神经病学与精神病学]