| 金霞,曹迎,汪吴臻.外骨骼康复机器人训练对亚急性脑卒中患者平衡和下肢功能的影响[J].中国康复,2025,40(5):265-270 |
| 外骨骼康复机器人训练对亚急性脑卒中患者平衡和下肢功能的影响 |
| Effect of exoskeleton rehabilitation robot training on balance and lower limb function in subacute stroke patients |
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| DOI：10.3870/zgkf.2025.05.002 |
| 中文关键词: 亚急性脑卒中 外骨骼康复机器人训练 平衡功能 下肢活动功能 并发症 |
| 英文关键词: subacute stroke exoskeleton rehabilitation robot training balance function lower limb function complication |
| 基金项目:2023年度江苏省老年科研项目(LK2023044) |
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| 中文摘要: |
| 目的：研究外骨骼康复机器人训练在亚急性脑卒中患者康复中的应用效果。方法：将108例亚急性脑卒中患者随机分为对照组和干预组各54例，对照组实施常规康复治疗，干预组在此基础上实施外骨骼康复机器人训练，于干预前、干预4周、干预8周后，对2组患者平衡功能、下肢运动功能、下肢肌肉表面肌电情况及干预期间并发症发生情况进行评价。结果：2组平衡功能、Fugl-Meyer 下肢运动功能量表（FMA-LE）评分、下肢肌肉功能在时间、组间、组间×时间上均存在交互作用（P<0.01）。干预4周、8周后，2组Berg平衡量表（BBS）、中风患者姿势评估量表（PASS）评分、FMA-LE 评分均较干预前显著提高（P<0.01），2组下肢股直肌、胫前肌、腓肠肌的均方根振幅（RMS）均显著高于干预前（P<0.01），干预组BBS、PASS、FMA-LE评分以及下肢股直肌、胫前肌、腓肠肌RMS均更高于对照组（P<0.01）；干预组并发症发生率明显低于对照组（P<0.05）。结论：外骨骼康复机器人训练治疗方案有助于改善亚急性脑卒中患者平衡功能，提高下肢运动与肌肉活动能力，减少并发症发生。 |
| 英文摘要: |
| Objective: To analyze the application effect of exoskeleton rehabilitation robot training in the rehabilitation of subacute stroke patients. Methods: A total of 108 patients with subacute stroke were divided into the control group and the intervention group. The 54 patients in the control group received routine rehabilitation treatment. On this basis, 54 cases in the intervention group were subjected to the rehabilitation treatment program of exoskeleton rehabilitation robot training. The changes of balance function, lower limb movement, lower limb muscle and complications in the two groups were analyzed. Results: Balance function, Fugl-Meyer Lower Extremity Motor Function Scale (FMA-LE), and lower extremity muscle function had interaction with time and group(P<0.05). After 4 weeks and 8 weeks of intervention, the scores of Berg balance scale (BBS), stroke patient posture assessment scale (PASS) and FMA-LE scores in both groups were significantly improved as compared with those before intervention (P<0.01), more significant in the intervention group than in the control group (P<0.01). The root mean square amplitude (RMS) of thigh rectus femoris, anterior tibial muscle and gastrocnemius muscle in both goups were also significantly better after 4 and 8 weeks of intervention, more significant in the intervention group than in the control group (P<0.01). Compared with the control group, the complications in the intervention group were significantly decreased (P<0.05). Conclusion: The training program of exoskeleton rehabilitation robot is helpful to improve the balance function of subacute stroke patients, improve the lower limb movement and muscle activity ability, and reduce the incidence of complications. |
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