首页|下肢步行外骨骼机器人配合呼吸训练对脑卒中患者心肺及运动功能的影响

下肢步行外骨骼机器人配合呼吸训练对脑卒中患者心肺及运动功能的影响

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目的 分析下肢步行外骨骼机器人配合呼吸训练对脑卒中患者心肺及运动功能的影响。方法 选取2020年1月至 2021 年12 月陕西省康复医院收治的110 例脑卒中患者为研究对象,随机将其分为对照组和观察组,各55例。对照组予以常规康复治疗,观察组在对照组基础上予以下肢步行外骨骼机器人配合呼吸训练。比较两组的心肺功能、平衡能力、步行能力及运动功能。结果 治疗8周后,观察组的峰值分钟通气量(VEpeak)、峰值摄氧量(VO2peak)、峰值能量代谢当量(METpeak)及无氧阈(AT)高于对照组(P<0。05)。治疗 8 周后,观察组的Berg平衡量表评分高于对照组(P<0。05)。治疗 8 周后,观察组的功能性步行能力分级(FAC)分级优于对照组(P<0。05)。治疗8 周后,观察组的Fugl-Meyer评定量表上肢部分(FMA-UE)、Fugl-Meyer评定量表下肢部分(FMA-LE)评分及总分高于对照组(P<0。05)。结论 下肢步行外骨骼机器人配合呼吸训练不仅可改善脑卒中患者的心肺功能,增强其平衡能力与步行能力,而且还可以促进运动功能进一步提高。
Effects of lower limb walking exoskeleton robot combined with respiratory training on cardiopulmonary and motor function in stroke patients
Objective To analyze the effects of lower limb walking exoskeleton robot combined with respiratory training on cardiopulmonary and motor function in stroke patients.Methods A total of 110 stroke patients admitted in Shaanxi Kangfu Hospital from January 2020 to December 2021 were selected as the research objects,and the patients were randomly divided into control group and observation group,with 55 cases in each group.The control group was given routine rehabilitation treatment,and the observation group was given lower limb walking exoskeleton robot combined with respiratory training on the basis of the control group.The cardiopulmonary function,balance ability,walking ability and motor function of the two groups were compared.Results After 8 weeks of treatment,the minute peak ventilation(VEpeak),peak oxygen uptake(VO2peak),peak metabolic equivalent of energy(METpeak)and anaerobic threshold(AT)in the observation group were higher than those in the control group(P<0.05).After 8 weeks of treatment,the Berg balance scale score of the observation group was higher than that of the control group(P<0.05).After 8 weeks of treatment,the Functional Ambulation Category(FAC)of the observation group was better than that of the control group(P<0.05).After 8 weeks of treatment,the Fugl-Meyer Assessment-Upper Extremity(FMA-UE),Fugl-Meyer Assessment-Lower Extremity(FMA-LE)scores and total score in the observation group were higher than those in the control group(P<0.05).Conclusion Lower limb walking exoskeleton robot combined with respiratory training can not only improve the cardiopulmonary function of stroke patients,enhance their balance ability and walking ability,but also promote the further improvement of motor function.

lower limb walking exoskeleton robotrespiratory trainingstrokecardiopulmonary functionbalance abilitymotor functionwalking ability

张大伟、李杰、董洁、郭玲玲、王力

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陕西省康复医院运动疗法二科,陕西 西安,710065

陕西省核工业二一五医院康复医学科,陕西 咸阳,712000

下肢步行外骨骼机器人 呼吸训练 脑卒中 心肺功能 平衡能力 运动功能 步行能力

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(23)