头针联合下肢康复机器人对脑卒中患者足底静态平衡的影响

Effect of Scalp Acupuncture Combined Lower Limbs Rehabilitative Robot on Static Balance in Stroke Patients

目的探讨在头针联合下肢康复机器人对脑卒中偏瘫患者足底静态平衡能力的影响。方法将102例脑卒中后呈偏瘫步态的患者,随机分为头针组(34例)、下肢机器人组(34例)和联合治疗组(34例)。头针组予针刺头皮运动区域治疗,下肢机器人组予下肢康复机器人进行步行训练,联合治疗组采用头针与下肢康复机器人相结合进行治疗。康复治疗前及康复治疗3月后以步态分析仪测定患者站立相双侧足底触地面积、负重比、平衡参数的变化。结果干预结束后,3组患者健侧足底触地面积、负重比等均有显著性下降(P<0.05~0.01),患侧足底触地面积、负重比均有显著性提高(P<0.05~0.01),组间比较,联合治疗组明显优于头针组和下肢机器人组(P<0.05~0.01)。联合治疗组球长度、椭圆面积、球长度/椭圆面积、椭圆倾斜角度、长轴、短轴较治疗前均有显著性降低(P<0.01),明显优于头针组和下肢机器人组(P<0.05~0.01)。结论头针联合下肢康复机器人训练能明显提高脑卒中后偏瘫患者静态平衡能力,较单纯头针治疗和下肢康复机器人训练效果更优。

OBJECTIVE To investigate the effect of scalp acupuncture combined lower limbs rehabilitative robot on static balance in stroke patients with hemiplegia. METHODS 102 stroke patients with hemiplegia were randomly divided into the scalp acupuncture group （34 cases）, the lower limbs robot group （34 cases） and the combination group. The scalp acupuncture group was given scalp-acupuncture. The lower limbs robot group was given lower limbs rehabilitative robot training. The corn bination group were given scalp-acupuncture combined with lower limbs rehabilitative robot training. The area of foot support interface, weight ratio and plantar pressure changes were measured by gait analyzer before and after 3 months of rehabilitation treatment. RESULTS There were significant decreases in foot support interface and the weight ratio of the healthy side in the 3 groups （P〈0.05,P〈0.01）, while those of the affected side were significantly improved （P〈0.05,P〈0.01） after inter- vention, and those of the combination group were significantly better than the other two groups （P〈0.05, P〈0.01）. The foot balance indexes including ball length, elliptic area, length/elliptic area, angle and long axis were all significantly decreased than those of the pre-treatment （P〈0.01）. The combination group was better than the scalp acupuncture group and lower limb robot group （P 〈0.05, P 〈0.01）. CONCLUSIONS Scalp acupuncture combined with lower limb robot rehabilitation training system can significantly increase the static balance in stroke patients with hemiplegia.