上肢康复机器人联合空气波疗法对绝经期偏瘫女性肢体运动功能的影响
Influence of upper limb rehabilitation robot combined with air wave therapy on limb motor function in post-menopausal female patients with hemiplegia
蓝美洁 1王萍萍 2张颖 1傅美香 3杨玉辉1
作者信息
- 1. 310053 浙江杭州,浙江中医药大学研究生院、绍兴文理学院附属医院康复治疗中心
- 2. 310053 浙江杭州,浙江中医药大学研究生院、绍兴文理学院附属医院神经、慢病康复科
- 3. 310053 浙江杭州,浙江中医药大学研究生院、绍兴文理学院附属医院中西医结合(老年)康复科
- 折叠
摘要
目的 探讨上肢康复机器人联合空气波疗法对绝经期偏瘫女性肢体运动功能的影响.方法 选取100 例绝经期偏瘫女性患者,按照随机数字表法分为试验组和对照组,各50 例.对照组患者均进行常规康复治疗,试验组在对照组基础上采用上肢康复机器人联合空气波疗法,比较两组患者临床疗效、肢体功能、平衡功能、生活能力、瘫痪程度及血流动力学.结果 治疗后,试验组患者的临床总有效率高于对照组,差异有统计学意义(χ2=6.83,P＜0.05);治疗后,试验组患者Fugl-Meyer评定量表(FMA)上肢、FMA下肢评分均高于对照组,改良Ashworth量表(MAS)评分低于对照组(t分别=4.34、4.78、-4.78,P均＜0.05);试验组患者治疗后Berg平衡量表(BBS)评分及改良Barthel指数评定量表(MBI)评分均高于对照组(t分别=2.77、2.38,P均＜0.05);试验组患者的Brunnstrom 分级Ⅲ级占比低于对照组(χ2=9.46,P＜0.05);治疗后,试验组患者的血流峰速度(Vmax)、血流平均速度(Vm)及血流量(BF)水平均高于对照组(t分别=2.93、5.53、6.93,P均＜0.05).结论 上肢康复机器人联合空气波疗法可改善绝经期偏瘫女性患者肢体功能及平衡能力,促进肢体血流循环,进一步改善瘫痪程度提高生活能力.
Abstract
Objective To investigate the influence of upper limb rehabilitation robot combined with air wave therapy on limb motor function in postmenopausal female patients with hemiplegia.Methods A total of 100 menopausal female patients with hemiplegia were selected and divided into experimental group and control group according to random num-ber method,with 50 cases in each.All patients in the control group received routine rehabilitation treatment,and the ex-perimental group received air wave therapy combined with upper limb rehabilitation robot treatment on the basis of the control group.The clinical efficacy,limb function,balance function,living ability,degree of paralysis and hemodynamics of the two groups were compared.Results After treatment,the total effective rate of the experimental group was higher than that of the control group,and the difference was statistically significant(χ2=6.83,P＜0.05).After treatment,the Fugl-Meyer rating scale(FMA)scores of upper limbs and lower limbs of experimental group were higher than those of control group,and the modified Ashworth scale(MAS)scores were lower than those of control group(t=4.34,4.78,-4.78,P＜0.05).Berg balance scale(BBS)score and modified Barthel index(MBI)score of experimental group were higher than those of control group after treatment(t=2.77,2.38,P＜0.05).The proportion of Brunnstrom grade Ⅲ in the experimental group was lower than that in the con-trol group(χ2=9.46,P＜0.05).After treatment,the levels of Vmax,Vm and BF in the experimental group were higher than those in the control group(t=2.93,5.53,6.93,P＜0.05).Conclusion The up-per limb rehabilitation robot combined with air wave therapy can improve the limb function and balance ability of menopausal female patients with hemiple-gia,promote the limb blood circulation to further im-prove the degree of paralysis and improve life ability.
关键词
绝经期/脑卒中偏瘫/上肢康复机器人/空气波疗法/肢体功能/平衡能力/血流动力学Key words
menopause/hemiplegia after stroke/upper limb rehabilitation robot/air wave therapy/limb func-tion/balance ability/hemodynamics引用本文复制引用
基金项目
浙江省医药卫生科技计划项目(2023KY1274)
出版年
2024
NETL
NSTL
万方数据