步态训练机器人对脑卒中偏瘫患者步行功能的影响

Effects of Robotic Gait Training System on Walking for Hemiplegics Post Stroke

目的观察Lokomat步态训练机器人对脑卒中偏瘫患者下肢运动功能、步态及关节活动度的影响。方法 80例脑卒中偏瘫患者(病程<3个月)分为对照组(n=40)和干预组(n=40)。干预组应用Lokomat步态训练机器人进行干预,对照组采用常规康复治疗。于治疗前和治疗10周后分别评定患者Fugl-Meyer评分、步频、步长、步速及髋膝关节活动度。结果治疗前两组各项指标无显著性差异(P>0.05);治疗后干预组各项指标均优于对照组(P<0.05)。结论 Lokomat步态训练机器人介入可进一步提高偏瘫患者下肢运动功能。

Objective To investigate the effect of Lokomat Robotic Gait Training System on motor, gait and range of motion （ROM） for stroke patients with hemiplegia. Methods 80 stroke patients with hemiplegia were divided into treatment group （n=40） and control group （n= 40）. The control group accepted routine rehabilitation and the treatment group accepted robotic gain training. They were assessed with Fugl-Meyer Assessment, gait parameter and ROM of hip and knee before training and after 10 weeks of treatment. Results There was no sig- nificant difference on all the index before treatment （P〉0.05）, and improved more in the treatment group than in the control group after train- ing （P〈0.05）. Conclusion Lokomat Robotic Gait Training System intervention can promote the recovery of walking in stroke patients with hemiplegia.