| 吴雪娇,朱玉连,丁小琴,彭广卫,沈小花,荣积峰.下肢机器人结合本体感觉神经肌肉促进技术对脑卒中患者下肢功能的临床疗效研究[J].中国康复医学杂志,2020,(8):938~943 |
| 下肢机器人结合本体感觉神经肌肉促进技术对脑卒中患者下肢功能的临床疗效研究 点此下载全文 |
| 吴雪娇 朱玉连 丁小琴 彭广卫 沈小花 荣积峰 |
| 上海市第一康复医院康复治疗中心，上海市，200090 |
| 基金项目：上海市科学技术委员会科研计划项目（15441901702） |
| DOI：10.3969/j.issn.1001-1242.2020.08.010 |
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| 摘要
目的：研究下肢机器人结合本体感觉神经肌肉促进技术（PNF）针对脑卒中偏瘫患者下肢功能的临床疗效。
方法：68例脑卒中偏瘫患者，随机分为常规组（A组，进行常规康复训练）23例，PNF组（B组，在常规康复治疗的基础上结合PNF技术治疗）22例，下肢机器人结合PNF技术组（C组，在B组治疗的基础上，配合下肢机器人训练）23例，共治疗4周。治疗前、治疗2周后、治疗4周后分别采用Berg量表评估平衡能力（BBS），功能性步行量表（FAC）评价患者步行能力，Fugl-Meyer下肢运动功能量表（FMA-L）和10m最大步行速度测试（MWS）评估下肢运动功能和步行速度。
结果：治疗2周后，C组在FMA-L、FAC和MWS方面显著优于A组（P＜0.01）和B组（P＜0.05）。治疗4周后，C组在FMA-L、BBS、FAC和MWS方面显著优于A组（P＜0.05）和B组（P＜0.05），B组在FMA-L、BBS、MWS方面优于A组（P＜0.05）；组内比较治疗4周后与治疗前均具有显著性差异（P＜0.05）。
结论：下肢机器人结合PNF技术对改善脑卒中偏瘫患者下肢功能的疗效显著，有助于提高患者的步行能力和平衡功能。 |
| 关键词：下肢康复机器人 本体感觉神经肌肉促进技术 脑卒中 偏瘫 步行 运动功能 |
| The therapeutic effect of lower limb robot combined with PNF technique on lower limb function in stroke patients Download Fulltext |
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| The First Rehabilitation Hospital of Shanghai， Shanghai， 200090 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To study the therapeutic effect of lower limb robot combined with proprioceptive neuromuscular facilitation (PNF) on lower extremity function in stroke patients with hemiplegia.
Method： Sixty-eight patients with stroke hemiplegia were randomly divided into the conventional group (group A， routine rehabilitation training， n=23)， and the PNF group (group B， combined with conventional rehabilitation therapy based on PNF technology， n=22)，and the lower limb robot combined with PNF technique (group C， based on the treatment of group B， combined with lower limb robot training， n=23). All patients were treated for 4 weeks. Before the treatment， after 2 weeks of treatment， and after 4 weeks of treatment， the Berg balance scale (BBS) and the Functional ambulation category scale (FAC) were used to evaluate the patients' walking ability. The Fugl-Meyer assessment lower extremity scale (FMA-L) and the 10m maximum walking speed (MWS) were used to assess the patients' lower extremity motor function and walking speed.
Result： After 2 weeks of treatment， group C was significantly better than group A (P<0.01) and group B (P<0.05) in FMA-L， FAC and MWS. After 4 weeks of treatment， group C was significantly better than group A (P<0.05) and group B (P<0.05) in FMA-L， BBS， FAC and MWS. Group B was significantly better than group A (P<0.05) in FMA-L， BBS and MWS； There was significant difference between the groups after 4 weeks of treatment and before treatment (P<0.05).
Conclusion： Lower extremity robot combined with PNF technique had a significant effect on improving lower limb function in stroke patients with hemiplegia， which helped to improve the walking ability and balance function of patients. |
| Keywords:lower limb rehabilitation robot proprioceptive neuromuscular facilitation stroke hemiplegia walking motor function |
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