| Objective: To observe the effect of upper limb rehabilitation robot on the recovery of motor function of the affected side of cerebral palsy spastic hemiplegia in children, and whether robot rehabilitation training can replace manual training. Methods: A total of 49 children with cerebral palsy spastic hemiplegia were divided into control group (n=25) and observation group (n=24). The control group received routine rehabilitation training twice a day. The observation group received routine rehabilitation training once and upper limb robot training once for a total of 8 weeks. The Manual Ability Classifacation System (MACS) was adopted for children with cerebral palsy before and after treatment. Melbourne assessment of unilateral upper limb function (MUUL), the range of motion (ROM) of elbow joint and shoulder joint were measured. Results: After training, the MUUL score in the two groups was significantly increased (P<0.001), but there was no significant difference between the two groups. MACS scores in both groups were significantly decreased (P<0.001), but there was no significant difference between the two groups. The elbow joint ROM was significantly increased in both groups (P<0.001), and that in the observation group was better than in the control group (P<0.05). The horizontal adduction ROM of shoulder joint was significantly increased in both groups (P<0.001), but there was no significant difference between the two groups. The horizontal abduction ROM of shoulder joint was significantly increased in both groups (P<0.001), and that in the observation group was better than in the control group (P<0.05). Conclusion: Upper limb rehabilitation robot combined with routine rehabilitation training can promote the recovery of upper limb motor function in children with cerebral palsy spastic hemiplegia. The effect of upper limb rehabilitation robot training is equivalent to that of manual training, and in some aspects it is better than conventional manual training. |
