虚拟情景MOTOmed智能训练对脑卒中偏瘫患者下肢功能的影响

Effects of MOTOmed viva virtual scene training treatment on function recovery of lower limb of stroke patients with hemiplegia

目的探讨虚拟情景MOTOmed智能训练与普通MOTOmed智能训练相比对脑卒中偏瘫患者下肢功能恢复的影响。方法 40例脑卒中偏瘫患者随机分为2组,各20例。对照组患者给予常规康复训练和普通MOTOmed智能训练,观察组给予常规康复训练与虚拟情景MOTOmed智能训练。2组患者均在治疗前和治疗8周后采用Fugl-Meyer下肢运动功能评分、改良Barthel指数、FAC步行功能分级进行评定。结果 2组患者一般资料比较差异无统计学意义(P>0.05);治疗8周后下肢运动功能及日常生活活动能力较治疗前均有改善(P<0.05),但观察组改善情况优于对照组,差异有统计学意义(P<0.05);2组患者治疗8周后FAC步行功能分级情况观察组较对照组差异有统计学意义(P<0.05)。结论与常规的MOTOmed智能运动训练相比,虚拟情景MOTOmed智能运动训练更有助于促进脑卒中偏瘫患者下肢功能的恢复,提高其日常生活活动能力。

Objective To investigate the effects of MOTOmed viva virtual scene training treatment compared withMOTOmed viva training treatment on function recovery of lower limb of stroke patient with hemiplegia. Methods40 cases with stroke hemiplegia were randomly divided into two groups, and each group had 20 cases. The pa-tients in the control group were treated with routine rehabilitation therapy and MOTOmed training treatment, whilethe patients in the observation group were treated with routine rehabilitation therapy and MOTOmed virtual scenetraining treatment, before treatment and after treatment for 8 weeks all the patients were evaluated using Fugl- Meyerassessment FMA,modified Barthel index, MBI,and functional ambulation category,FAC. Results There was no significant difference in general data between the two groups; After the treatment for 8 weeks,all the observa？tion indexes above were improved in both groups （P〈0.05）, But the effectiveness in the observation group wassuperior to that in the control group, the difference was significant （P〈0. 05）. After the treatment for 8 weeks,FAC grade of patients in the observation group was superior to that in the control group with significant difference（P〈 0.05）. Conclusion Compared with general MOTOmed training treatment, MOTOmed viva virtual scenetraining treatment is more helpfuli for the improvement of ability to act daily life and recovery of lower limb func？tion of patients with stroke hemiplegia.