MOTOmed智能运动训练系统训练对脑卒中偏瘫患者平衡功能及日常生活活动能力的影响

The effect of MOTOmed movement therapy on balance and ability in the activities of daily living in patients with hemiplegia after stroke

目的探讨MOTOmed智能运动训练系统训练对脑卒中偏瘫患者平衡功能及日常生活活动（ADL）能力的影响。方法将40例脑卒中患者按随机数法随机分为治疗组和对照组，每组20例。对照组患者采用常规康复训练方法，治疗组在此基础上，增加MOTOmed智能运动训练系统训练。治疗前和治疗6周后分别采用Berg平衡量表与Barthel指数（BI）评定患者的平衡功能和ADL能力。结果治疗后2组患者的平衡功能和ADL能力均有明显改善（P〈0．05），治疗组效果优于对照组（P〈0．05）。平衡功能与ADL呈正相关。结论MOTOmed训练系统训练配合常规康复训练可较好的改善恢复期脑卒中偏瘫患者的平衡功能和日常生活活动能力。

Objective To investigate the effect of MOTOmed movement therapy on balance and ability in the activities of daily living （ADL） of convalescing stroke patients with hemiplegia. Methods Forty convalescent stroke patients exhibiting hemiplegia were randomly divided into a treatment group and a control group with 20 cases in each group. The control group received routine rehabilitation training; tile treatment group received MOTOmed training in addition. Balance function of all the patients was assessed using Berg＇s balance scale （BBS） , and the Barthel Index （BI） was used to assess ADL ability at the beginning of the program and after 6 weeks of treatment. Results Balance and ADL ability improved significantly in both groups after 6 weeks of treatment. The effect in the treatment group was significantly better than in the control group. Balance and ADL ability were positively correlated. Conclusions Applying MOTOmed therapy along with routine rehabilitation training can distinctly improve balance and the ADL ability of hemiplegics after stroke.