文章摘要
刘华卫,王惠芳,朱锦杰,孙奕,姚加佳,沈浩峰,张晓佳.减重步行机器人训练对脑卒中患者步行能力的影响[J].中国康复,2013,28(1):9-11
减重步行机器人训练对脑卒中患者步行能力的影响
Effects of gait robot training with body weight support treadmill on walking ability of stroke patients
  
DOI:
中文关键词: 脑卒中  步行训练  机器人
英文关键词: stroke  gait training  robots
基金项目:上海市残疾人康复科研项目(K201021)
作者单位
刘华卫 上海阳光康复中心康复治疗部成人PT疗法科上海 201619 
王惠芳 上海阳光康复中心康复治疗部成人PT疗法科上海 201619 
朱锦杰 上海阳光康复中心康复治疗部成人PT疗法科上海 201619 
孙奕 上海阳光康复中心康复治疗部成人PT疗法科上海 201619 
姚加佳 上海阳光康复中心康复治疗部成人PT疗法科上海 201619 
沈浩峰 上海阳光康复中心康复治疗部成人PT疗法科上海 201619 
张晓佳 上海阳光康复中心康复治疗部成人PT疗法科上海 201619 
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中文摘要:
  目的:观察不同步行训练方法对脑卒中患者步行能力的疗效。方法:脑卒中患者60例,随机分为传统步行训练组(CGT组)、减重步行训练组(BWSTT组)和减重步行机器人训练组(GRT组)各20例。3组均行常规康复训练并行相应的步行训练。训练前后分别应用Berg平衡量表(BBS)、10米步行能力测试(10mWT)、足印法步态分析(GAF)、3min步行测试(3minWT)评估患者平衡及步行能力。结果:治疗8周后,3组BBS评分、步速、步长比均较治疗前明显提高,生理消耗指数(PCI)评分均较治疗前明显降低(均P<0.05);GRT组和BWSTT组的步速、步长比、PCI评分均明显优于CGT组(均P<0.05)。治疗期间,GRT组所需的人工总量明显低于BWSTT组和CGT组(均P<0.05)。结论:减重机器人步行训练能提高脑卒中患者的平衡和步行能力,并且节省人工。
英文摘要:
  Objective:To investigate the effectiveness of different gait training methods on walking ability of stroke patients.Methods:Sixty stroke patients were randomly divided into three groups:conventional gait training group (CGT),body weight support treadmill training group (BWSTT),gait robot training with body weight support treadmill group (GRT) (n=20 each group).Each group received routine rehabilitation and relevant walking training.Berg balance scale (BBS),10-m walking tests (10-mWT),gait analysis with footmark (GAF),and 3-min walking tests (3-minWT) were used to assess the balance and walking ability of patients before and after treatment.Results:After training for 8 weeks,the score of BBS,walking speed,step size proportion of three groups were significantly improved as compared with pre-training,and physiological cost index(PCI) score was significantly decreased (all P<0.05).Walking speed,step size proportion,PCI score of groups GRT and BWSTT were obviously improved as compared with those of group CGT(all P<0.05).During the treatment,group GRT required less therapists assisting than groups BWSTT and CGT.Conclusion:Gait robot training with body weight support treadmill can improve balance and walking ability of patients with stroke and requires less therapists assisting.
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