首页|上肢机器人辅助作业疗法对脑卒中偏瘫患者上肢功能及日常生活活动能力的影响

上肢机器人辅助作业疗法对脑卒中偏瘫患者上肢功能及日常生活活动能力的影响

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目的:探究脑卒中偏瘫患者接受上肢机器人辅助作业疗法干预后上肢功能及日常生活活动能力变化情况.方法:回顾性分析北京市第六医院于 2022 年 10 月—2024 年 1 月神经内科住院及康复科门诊就诊的 60 例脑卒中偏瘫患者.以随机数字表法为标准将患者分为研究组(30 例,行常规康复+上肢机器人辅助作业疗法)、对照组(30 例,行常规康复),两组患者均接受6 周治疗.收集两组患者临床资料,比较两组患者Fugl-Meyer上肢部分运动功能评分量表(FMA-UE)、手臂动作调查测试(ARAT)、改良Barthel指数量表(MBI)、功能独立性评定量表(FIM)评分、上肢Brunnstrom分期及康复满意度.结果:与对照组相比,研究组干预 3 周、6 周后FMA-UE、ARAT、MBI、FIM评分更高,干预后研究组上肢Brunnstrom分期优于对照组,研究组患者康复满意度高于对照组.结论:脑卒中偏瘫患者实施上肢机器人辅助作业疗法可显著改善上肢功能与日常生活活动能力.
Effect of upper limb robot-assisted occupational therapy on upper limb function and abilities of daily living in stroke patients with hemiplegia
Objective:To investigate the changes of upper limb function and abilities of daily living ability(ADLs)in stroke patients with hemiplegia after receiving upper limb robot-assisted occupational therapy.Methods:Clinical data of 60 stroke patients with hemiplegia who were treated in the Beijing No.6 Hospital from October 2022 to January 2024 were retrospectively analyzed.The patients were divided into the study group(n=30)and the control group(n=30)using a randomized number table,the study group received conventional rehabilitation+upper limb robot-assisted occupational therapy for 6 weeks,and the control group received conventional rehabilitation for 6 weeks.The clinical data of the two groups were collected,the Fugl-Meyer Assessment for Upper Extremity(FMA-UE),Action Research Arm Test(ARAT),Modified Barthel Index(MBI),Functional Independence Measure(FIM)scores,upper limb Brunnstrom stage and rehabilitation satisfaction of patients in the two groups were compared.Results:Compared with the control group,the study group had higher FMA-UE,ARAT,MBI and FIM scores after 3 and 6 weeks of intervention,the upper limb Brunnstrom stage of the study group was better than that of the control group after intervention,and the rehabilitation satisfaction of patients in the study group was higher than that of the control group.Conclusion:The implementation of upper limb robot-assisted occupational therapy in stroke patients with hemiplegia could significantly improve their upper limb function and ADLs.

Robot-assisted Occupational TherapyStrokeHemiplegiaUpper Limb FunctionActivities of Daily Living

阚婧雅、刘曦、刘嘉奕、吴晓静、刁明伟

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北京市第六医院康复医学科 北京 100007

机器人辅助作业疗法 脑卒中 偏瘫 上肢功能 日常生活活动能力

北京市自然科学基金北京市第六医院科研项目

71020502023-32号

2024

机器人外科学杂志(中英文)
世界图书出版有限公司

机器人外科学杂志(中英文)

CSTPCD
ISSN:2096-7721
年,卷(期):2024.5(4)
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