| 杨宇德,陈中华,李锡民,梁振宇,梁镇宏,李东梅.Lokomat机器人训练时长对脑卒中偏瘫患者步行功能提升效果的临床研究[J].中国康复,2023,38(12):707-710 |
| Lokomat机器人训练时长对脑卒中偏瘫患者步行功能提升效果的临床研究 |
| Clinical study on the effect of Lokomat robot training duration on the improvement of walking function in stroke patients with hemiplegia |
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| DOI： |
| 中文关键词: 脑卒中 Lokomat下肢机器人 步行时长 步行功能 |
| 英文关键词: stroke Lokomat lower limb robot length of walk function of walking |
| 基金项目:广东省医学科学技术研究基金（A2021469） |
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| 中文摘要: |
| 目的：研究Lokomat智能康复机器人训练治疗时长对不同步行功能水平脑卒中偏瘫患者功能改变的效果，为脑卒中偏瘫患者下肢机器人康复治疗方案的选择提供依据。方法：收集120例脑卒中偏瘫患者，将功能性步行量表（FAC）评价为0、1级的患者纳入低水平步行功能组，FAC评价为2、3级的患者纳入高水平步行功能组，每组60例。每组再按照下肢机器人训练时长分为20min组、30min组和40min组，各20例。所有患者均接受为期4周的常规康复训练+机器人训练，比较各组治疗前后简化Fugl-Meyer运动功能量表（FMA）、Berg平衡量表（BBS）、功能性步行量表（FAC）评分。结果：各组患者治疗前后的FMA、BBS、FAC评分比较差异均有统计学意义(P<0.01)，在低水平步行功能组中，下肢机器人训练时长为20min的患者FMA、BBS、FAC评分提高较训练30min和40min的患者更明显，而高水平步行功能组训练时长为40min的患者FMA、BBS、FAC结果提高更显著(P<0.05)。结论：Lokomat机器人不同步行训练时长对脑卒中偏瘫患者步行功能有所影响。当患者步行功能水平较低时，步行时长20min便可获得较好的训练效果，而对于步行功能水平较高的患者，步行时长为40min时康复效果更佳，值得临床推广应用。 |
| 英文摘要: |
| Objective: To study the effect of Lokomat lower limb rehabilitation robot training duration on the improvement of walking function in stroke patients with hemiplegia at different walking function levels, and to provide basis for the selection of lower limb rehabilitation robot treatment for stroke patients with hemiplegia. Methods: A total of 120 stroke patients with hemiplegia were collected. Patients evaluated with functional walking scale (FAC) 0 and 1 were included in the low level walking function group, and those evaluated with FAC 2 and 3 were included in the high level walking function group, with 60 cases in each group. Each group was further divided into 20 min subgroup, 30 min subgroup and 40 min subgroup according to the training time of lower limb robot, with 20 cases in each subgroup. All patients in the 6 groups received 4 weeks of routine training plus step robot training. The scores of the simplified Fugl-Meyer Motor Function Scale (FMA), Berg Balance Scale (BBS) and Functional Walking Scale (FAC) were compared before and after treatment. Results: The differences of FMA, BBS and FAC scores in the 6 groups before and after treatment were significantly different within the group (P<0.01), but in the low level walking function group, the improvement of FMA, BBS and FAC scores in patients with shorter limb robot training duration of 20 min was more obvious than that in those with 30 min or 40 min of training. The results of FMA, BBS and FAC in the high level walking function group with training duration of 40 min were significantly improved (P<0.05). Conclusion: Different walking training duration of Lokomat lower limb robot can affect the walking function of hemiplegic stroke patients. In patients with low walking function level, walking for 20 min can achieve better training effect, while in patients with high walking function level, walking for 40 min has better rehabilitation effect, which is worthy of clinical promotion and application. |
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