MOTOmed智能运动训练系统对脑卒中偏瘫患者平衡及下肢运动功能的影响

Effect of MOTOmed Intelligent Training System on Balance and Lower Limb Motor Function in Stroke Patients

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下肢运动功能的影响。方法脑卒中患者120例按随机数字表法随机分为观察组和对照组各60例。两组均采用常规康复训练方法,观察组在此基础上,增加MOTOmed智能运动训练系统训练。治疗前,治疗后4、8、12周时分别采用简式Fugl-Meyer评定法(FMA)进行下肢评定,功能性步行分级量表(FAC)进行步行能力评定,Barthel指数(BI)进行日常生活活动能力评定、Motricity指数(MI-L)进行下肢肌力评定、改良Ashworth量表(MAS)进行肌张力评定,Berg平衡量表(BBS)进行平衡功能评定。结果治疗前两组患者的FMA、BI、MI-L、BBS、MAS、FAC评分及最大步行速度、步长和步频等参数均无显著性差异(P>0.05)。治疗4周、8周及12周后,观察组FMA、BI、MI-L、BBS、FAC评分及最大步行速度、步长和步频等参数均较治疗前提高,且呈上升趋势(P<0.05);观察组MAS得分较治疗前降低,且呈下降趋势(P<0.05);观察组各指标均优于对照组(P<0.05)。结论 MOTOmed训练系统配合常规康复训练能够提高脑卒中偏瘫患者的平衡功能及下肢运动功能。

Objective To investigate the effect of MOTOmed intelligent training system training on balance and lower limb motor function in stroke patients.Methods 120 stroke patients were randomly divided into observation group（n=60） and control group（n=60） according to the random number table.Both groups were treated with routine rehabilitation training,the observation group received MOTOmed intelligent training system in addition.They were evaluated with Fugl-Meyer assessment（FMA）,Functional Ambulation Category（FAC）,Barthel index（BI）,Motricity index（MI-L）,modified Ashworth scale（MAS） and Berg balance scale（BBS） before and 4,8,12 weeks after treatment.Results There was no difference in the score of FMA,BI,MI-L,BBS,MAS,FAC and the maximum walking speed,stride length and stride frequency between 2 groups before treatment（P0.05）.The scores of FMA,BI,MI-L,BBS,FAC and the maximum walking speed stride length and stride frequency increased in the observation group and there was a uptrend 4 weeks,8 weeks and 12 weeks after treatment（P0.05）.The score of MAS decreased in the observation group and there was a downtrend after treatment（P0.05）.All the indexes were better in the observation group than in the control group（P0.05）.Conclusion MOTOmed training system combined with routine rehabilitation training can improve the balance and lower limb motor function in stroke patients.