康复机器人结合康复训练对脑卒中患者步态功能的影响

Effect of rehabilitation robots with routine rehabilitation training on walking function after stroke

目的研究康复机器人结合常规康复训练对脑卒中患者步态功能的影响。方法将60例脑卒中患者按随机数法分为治疗组和对照组,每组30例,对照组给予常规康复训练,治疗组在常规康复训练基础上使用康复机器人训练,两组患者均于治疗前和治疗12周后采用简化Fugl-Meyer运动功能量表(FMA)评定下肢运动功能、Berg平衡量表(BBS)评定平衡功能。结果治疗前,治疗组与对照组的FMA、BBS评分组间差异无统计学意义(P>0.05),经过12周的治疗后两组FMA、BBS评分均优于治疗前水平,差异有统计学意义(P<0.05),且治疗组FMA、BBS评分均明显优于对照组(P<0.05)。结论康复机器人可显著改善脑卒中患者步态功能。

Objectives To observe the effect of rehabilitation robots with routine rehabilitation training on walking func -tion after stroke .Methods Sixty patients with stroke were randomly divided into treatment group and control group , 30 ca-ses in each group .The control group received routine rehabilitation training while the treatment group received routine reha -bilitation training by rehabilitation robots .The lower extremity functions ,balance and walking ability were assessed with a simplified Fugl-Meyer Assessment（FMA） and using the Berg Balance Scale （BBS） before treatment and after 12 weeks. Results Before treatment , neither the treatment group nor the control group showed any statistically significant difference in terms of FMA and BBS results （P〉0.05）.After 12 weeks′training, both groups showed significant improvement in terms of FMA and BBS results（P〈0.05）.The treatment group showed significantly better improvement in lower extremity function, balance and walking function than the control group （P〈0.05）.Conclusion Rehabilitation robots can signifi-cantly improve walking function in patients after stroke .