海军医学杂志2024,Vol.45Issue(10) :1035-1040.DOI:10.3969/j.issn.1009-0754.2024.10.010

康复机器人结合运动想象疗法对脑卒中患者上肢运动功能康复的效果

Effect of robot-assisted therapy combined with motor imagery therapy on upper limb motor function of stroke patients

赵艳 唐迪 李月 崔向红 刘东杰 王丽丽
海军医学杂志2024,Vol.45Issue(10) :1035-1040.DOI:10.3969/j.issn.1009-0754.2024.10.010

康复机器人结合运动想象疗法对脑卒中患者上肢运动功能康复的效果

Effect of robot-assisted therapy combined with motor imagery therapy on upper limb motor function of stroke patients

赵艳 1唐迪 1李月 1崔向红 1刘东杰 1王丽丽1
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作者信息

  • 1. 116013 辽宁 大连,联勤保障部队大连康复疗养中心全军神经系统疾病康复中心
  • 折叠

摘要

目的 观察康复机器人结合运动想象疗法对脑卒中患者上肢运动功能康复的作用.方法 选取 2019 年 3 月至2022 年 10 月在联勤保障部队大连康复疗养中心住院,符合入选标准及排除标准的初发脑卒中患者 75 例(病程<3 个月).通过随机数字表法将入选患者分为运动想象疗法组(A组)、康复机器人训练组(B组)、康复机器人结合运动想象疗法组(C组),每组各 25 人.3 组均接受常规康复治疗;A组在常规康复治疗基础上,再接受运动想象疗法训练;B组在常规康复治疗基础上,再接受上肢康复机器人训练;C组在常规康复治疗基础上,再接受上肢康复机器人结合运动想象疗法.3 组均接受 8 周治疗.治疗前、治疗 4、8 周后,采用Armeo® Spring上肢康复机器人关节活动数据、简式Fugl-Meyer运动功能评分-上肢部分(FMA-UE)、改良Barthel指数(MBI)对 3 组患者进行上肢功能及日常生活活动能力评定.结果 治疗 4、8 周后,3 组各项指标均提高(P<0.001);治疗 4、8 周后,B组、C组各项指标均高于A组(P<0.05),且C组各项指标均高于B组(P<0.05).结论 康复机器人结合运动想象疗法能够改善脑卒中患者的上肢运功功能,提高日常生活活动能力.

Abstract

Objective To explore the effect of robot-assisted therapy combined with motor imagery therapy on upper limb motor function of patients with stroke.Methods A total of 75 patients with incipient stroke(course of disease<3 months),who met the inclusion and exclusion criteria and were admitted to our center from Match 2019 to October 2022,were randomly divided into three groups(n=25)by random number table method.Besides conventional rehabilitation of upper limbs,group A received motor imagery therapy,group B received robot-assisted therapy and group C received robot-assisted therapy combined with motor imagery therapy for 8 weeks.The function of upper limbs and activities of daily living were evaluated by motion range of Armeo® Spring upper limb rehabilitation robot,simple Fugl-Meyer assessment-upper extremities(FMA-UE),and modified Barthel index(MBI)before treatment,after 4 weeks of treatment and 8 weeks of treatment.Results All the scores were significantly increased in the three groups after 4 weeks and 8 weeks of treatment(P<0.001).All the scores of group B and C were higher than those of group A after 4 weeks and 8 weeks of treatment(P<0.05).All the scores of group C were higher than those of group B after 8 weeks of treatment(P<0.05).Conclusion Robot-assisted therapy combined with motor imagery therapy can further improve the upper limb motor function and activities of daily living for stroke patients.

关键词

脑卒中/康复机器人治疗/运动想象疗法/上肢/运动

Key words

Stroke/Robot-assisted therapy/Motor imagery therapy/Upper limb/Motor

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基金项目

全军保健专项课题(22BJZ50)

全军后勤科研课题(CWH17J01)

出版年

2024
海军医学杂志
海军医学研究所

海军医学杂志

CSTPCD
影响因子:0.518
ISSN:1009-0754
参考文献量14
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