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王盛强,黄 杰,高春华,肖 锋,韩肖华.运动想象疗法结合下肢康复机器人训练对脑卒中亚急性期偏瘫患者下肢运动功能的影响[J].中国康复医学杂志,2016,(11):1230~1233
运动想象疗法结合下肢康复机器人训练对脑卒中亚急性期偏瘫患者下肢运动功能的影响    点此下载全文
王盛强  黄 杰  高春华  肖 锋  韩肖华
华中科技大学同济医学院附属同济医院康复医学科,武汉,430030
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摘要:
      摘要 目的:探讨运动想象疗法结合下肢康复机器人训练对脑卒中亚急性期偏瘫患者下肢运动功能的影响。 方法:选取亚急性期脑卒中偏瘫患者50例,随机分为对照组和观察组各25例。两组患者均采用常规康复治疗(45min/次,每周6次)和下肢康复机器人的功能训练(20min/次,每周6次),一共6周。观察组在常规康复治疗的基础上,在训练结束后进行运动想象疗法(15min/次,每周6次)。两组患者均在治疗前、治疗6周后采用下肢Fugl-Meyer(FMA)运动功能量表、Berg平衡量表(BBS)、功能性步行量表(FAC)进行评估。 结果:治疗前对照组和观察组在Fugl-Meyer(FMA)运动功能量表、Berg平衡量表(BBS)、功能性步行量表(FAC)的评分无显著差异(P>0.05)。治疗6周后,两组患者FMA,BBS,FAC的评分较治疗前均有明显改善(P<0.05),且观察组较对照组提高更明显(P<0.05)。 结论:运动想象疗法结合下肢康复机器人对亚急性期脑卒中患者下肢的运动功能、平衡功能及步行能力有所提高。
关键词:运动想象疗法  下肢康复机器人  脑卒中  下肢运动功能
The effect of motor imaginary therapy combined with lower limb gait training rehabilitation robot on lower limb motor function in hemiplegic patients with subacute stroke    Download Fulltext
Dept. of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030
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Abstract:
      Abstract Objective: To investigate the effect of motor imaginary therapy combined with lower limb gait training rehabilitation robot on lower limb motor function in hemiplegic patients with subacute stroke. Method: 50 hemiplegic patients with subacute stroke were randomly divided into control group(n=25) and observation group(n=25). Both two groups received conventional rehabilitation therapy(45min/day,6d/week)and lower limb gait training rehabilitation robot(20min/day, 6d/week) for 6 weeks. The observation group received motor imaginary therapy(15min/day, 6d/week) after all training. All patients were assessed before and 6 weeks after training with Fugl-Meyer assessment(FMA) scale of lower limb, Berg balance scale(BBS), functional ambulation category(FAC). Result: Before training, there was no significant difference in FMA scale, BBS scale and FAC scale between control group and observation group(P>0.05) . After 6 weeks training, both groups had significant improvement (P<0.05), while that of observation group was more significant(P<0.05) compared with control group . Conclusion: motor imaginary therapy combined with lower limb gait training rehabilitation robot can improve the lower limb motor function and walking ability of subacute stroke patients.
Keywords:motor imaginary therapy  lower limb gait training rehabilitation robot  stroke  lower limb motor function
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