任务导向训练联合下肢康复机器人对脑卒中偏瘫患者下肢功能的影响
Effects of Task-Oriented Training Combined with Lower Limb Rehabilitation Robot on Lower Limb Function in Patients With Hemiplegia after Stroke
潘志鹏 1刘夏 1刘晓丹 1侍燕萍 1陶锐1
作者信息
- 1. 曲靖市第一人民医院,云南 曲靖 655000
- 折叠
摘要
目的:探讨下肢康复机器人联合任务导向训练对脑卒中偏瘫患者的治疗效果.方法:选取我院2023年1月～12月收治的脑卒中偏瘫患者100例,随机分为对照组和观察组各50例.对照组在康复师的辅助下进行任务导向训练,观察组在对照组基础上给予下肢康复机器人训练.观察两组患者治疗前后下肢平衡、下肢肌力、运动功能、踝关节功能、膝关节屈曲活动范围及行走能力.结果:治疗后,两组患者BBS评分、股四头肌评分、腘绳肌评分、FMA-LE评分及AOFAS评分均较治疗前升高(P<0.05),且观察组治疗后的BBS评分、股四头肌评分、腘绳肌评分、FMA-LE评分及AOFAS评分均显著高于对照组(P<0.05);治疗后,两组患者的膝关节屈曲活动范围及6 min步行距离均较治疗前升高(P<0.05),且观察组治疗后的膝关节屈曲活动范围及6 min步行距离显著大于对照组(P<0.05).结论:在脑卒中患者的临床治疗中,任务导向训练与下肢康复机器人相结合,可有效提高下肢肌力,促进平衡功能的恢复,对运动功能的恢复效果显著,可提高脑卒中患者的行走能力和膝关节屈曲的活动范围,达到较为理想的治疗效果.
Abstract
Objective:To explore the effect of lower limb rehabilitation robot combined with task-oriented training on stroke patients.Methods:100 cases of hemiplegic stroke patients admitted to our hospital from January to December 2023 were selected and ran-domly divided into 50 cases each in the control group and the observation group.The control group was given task-oriented training with the assistance of the rehabilitation division,and the observation group was given lower limb rehabilitation robot training on the basis of the control group.Lower limb balance,lower limb muscle strength,motor function,ankle joint function,knee flexion range of motion and walking ability were observed before and after treatment.Results:After treatment,the BBS score,quadriceps score,hamstring score,FMA-LE score and AOFAS score of both groups were elevated compared with the pre-treatment(P<0.05),and the BBS score,quadriceps score,hamstring score,FMA-LE score and AOFAS score of the observation group were significantly greater than those of the control group after treatment(P<0.05);after treatment,the knee flexion range of motion and 6-minute walking dis-tance were elevated compared with those before treatment(P<0.05),and the knee flexion range of motion and 6-minute walking dis-tance of the observation group were significantly greater than those of the control group after treatment(P<0.05).Conclusion:In the clinical treatment of stroke patients,the combination of task-oriented training and lower limb rehabilitation robot can effectively im-prove the lower limb muscle strength,facilitate the recovery of balance function,and has a significant effect on the recovery of mo-tor function,which can improve the walking ability of stroke patients and the range of motion of knee flexion,and achieve more ideal therapeutic effectiveness.
关键词
下肢康复机器人/任务导向训练/卒中/偏瘫/平衡能力/肌力/运功功能/踝关节功能Key words
lower extremity rehabilitation robot/task-oriented training/stroke/hemiplegia/balance/muscle strength/operator func-tion/ankle function引用本文复制引用
出版年
2025
国家科技期刊平台
NSTL
万方数据