| 舒国建,刘家庆,向云,赵宁,李春镇,王化高,张良清.下肢康复机器人联合等速肌力训练对脑卒中后下肢运动功能影响的临床对照研究[J].中国康复,2020,35(7):339-342 |
| 下肢康复机器人联合等速肌力训练对脑卒中后下肢运动功能影响的临床对照研究 |
| Efficacy of lower limb rehabilitation robot combined with isokinetic muscle strength training for lower limb motor dysfunction after stroke: A randomized controlled study |
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| DOI： |
| 中文关键词: 脑卒中 康复机器人 等速肌力 下肢 运动功能 |
| 英文关键词: stroke rehabilitation robot isokinetic muscle strength lower limb motor function |
| 基金项目:深圳市南山区技术研发和创意设计项目(南科研卫2018046)；深圳市卫生计生系统科研项目(SZXJ2018026) |
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| 中文摘要: |
| 目的：观察下肢康复机器人联合等速肌力训练对脑卒中后下肢运动功能的影响。方法：将脑卒中患者75例随机分为3组，每组25例。3组病人均进行常规康复，A组增加下肢康复机器人训练，B组增加下肢等速肌力训练，C组增加下肢康复机器人联合等速肌力训练。每周训练6次，共治疗6周。治疗前后进行等速肌力测试（峰力矩值）、下肢Fugl-Meyer运动功能评分（FMA）、Berg平衡量表（BBS）及Holden步行功能分级评定。结果：治疗6周后组内比较，3组患者的峰力矩值、FMA评分、BBS评分及Holden步行功能分级较治疗前提高，差异具有统计学意义（P＜0.05）。组间比较，治疗6周后组间比较，C组在角速度60°/s、120°/s及180°/s下的伸膝肌及屈膝肌峰力矩值、BBS评分均高于A组和B组，差异具有统计学意义（P＜0.05），但A组与B组比较差异无统计学意义。结论：下肢康复机器人联合等速肌力训练在改善脑卒中患者下肢肌力、平衡功能和步行能力方面较两者单独应用疗效更佳。 |
| 英文摘要: |
| Objective: To observe the efficacy of lower limb rehabilitation robot combined with isokinetic muscle training on lower limb motor function after stroke. Methods: Seventy-five stroke patients were randomly divided into group A, group B and group C, each of 25. Those in all three groups received regular rehabilitation. Group A was given lower limb rehabilitation robot training, group B received isokinetic muscle training, and group C was subjected to lower limb rehabilitation robot training and isokinetic muscle training. All therapies were taken 6 times a week for 6 weeks. Before and after treatment, isokinetic muscle strength test (Peak Torque, PT), lower limb Fugl-Meyer motor function score (FMA), Berg balance scale (BBS) and Holden walking function were performed. Results: After treatment, the PT value, FMA, BBS, and Holden grade in three groups were significantly improved as compared with those before treatment (P<0.05). After treatment, the PT values of the extensor and flexor knee muscles at 60°/s, 120°/s, and 180°/s in group C were significantly higher than those in groups A and B (P<0.05). After treatment, BBS scores in group C were significantly improved as compared with those in group A and group B (P<0.05). Conclusion: Lower limb rehabilitation robot combined with isokinetic strength training can improve lower limb muscle strength and balance function after stroke. |
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