康复机器人对中老年脑卒中下肢功能康复影响

The effects of rehabilitation robot on lower limb function in elderly stroke patients

目的探索Lokomat康复机器人训练对中老年脑卒中偏瘫患者下肢运动功能康复的影响,给临床康复治疗积累数据。方法 2014年3月—2015年2月在海南省老年病医院接受康复治疗的中老年首发脑卒中并出现一侧下肢功能障碍的患者80例,完全随机区组分为研究组和对照组,每组各40例。两组患者都进行常规药物治疗和传统康复训练。研究组增加Lokomat下肢康复机器人辅助训练;对照组增加康复治疗师徒手辅助步行能力训练。治疗前后分别采用美国国立卫生院卒中量表(National institute of health stroke scale,NIHSS)、改良Rankin量表(Modified Rankin scale,MRS)、肢体运动功能评分表(Fugl-Meyer assessment,FMA)、功能性步行量表(Functional ambulation category scale,FAC)、Berg平衡量表(Berg balance scale,BBS)、改良Barthel指数(Modified Barthel index,MBI)评估患者的神经系统功能、下肢运动功能、步行功能、平衡功能及日常生活能力。结果治疗前两组患者FMA、FAC、BBS、MBI的评分差异无统计学意义(P>0.05),治疗6周后两组患者FMA、FAC、BBS、MBI的评分差异有统计学意义(P<0.001)。结论首发中老年脑卒中偏瘫患者早期结合康复机器人进行下肢功能康复训练能明显提高患者的下肢活动功能及日常生活活动能力,从而增加患者的生活质量和幸福指数。

Objective To investigate the effect of Lokomat robot on lower limb motor function in hemiplegic strokepatients and to accumulate data for clinical rehabilitation. Methods A total of 80 middle and old age stroke patients withdysfunction in one lower limbs were divided into Lokomat group and control group,each group at 40 cases. The lokomat groupreceived Lokomat rehabilitation therapy in combination with routine rehabilitation training,and the control group receivedwalking ability training by rehabilitation doctors and routine rehabilitation. Functions of nerves,lower limbs,walking,balanceand living abilities of all patients were evaluated with national institute of health stroke scale（NIHSS）,modified Rankin scale,Fugl-Meyer assessment（FMA）,functional ambulation category scale（FAC）,Berg balance scale（BBS）and modified Barthelindex（MBI）. Results The differences of FAC,BBS,MBI,and FMA of patients between the two groups before the treatmentswere not significant（P〈0.05）,however,the differences in FAC,BBS,MBI,and FMA of the patients after the treatments werestatistically significant（P0.001）. Conclusion The Lokomat gait training rehabilitation robot can improve lower limbfunction in hemiplegic stroke patients.