上肢智能力反馈康复机器人联合常规康复治疗改善脑卒中患者上肢运动功能临床研究

Therapeutic Effect of Upper Limb Intelligent Rehabilitation Robot and Routine Rehabilitation Combination on Upper Extremities' Motor Function of Stroke Patients

目的:观察上肢智能力反馈康复机器人联合常规康复治疗改善脑卒中患者上肢运动功能的效果。方法:募集30例符合纳入标准的脑卒中患者作为研究对象,入组后接受常规康复治疗,每天1次,每周5 d,连续治疗2周。采用上肢运动功能Fugl-Meyer评定法(FMA-UE)、改良Barthel指数(MBI)评分及Brunnstrom上肢、手分期评估治疗前和治疗10次后上肢的运动功能。评估后,所有研究对象采用上肢智能力反馈康复机器人训练联合常规康复治疗,机器人训练每次20 min,每天1次,每周5 d,连续治疗4周。采用系统训练评分、FMA-UE、MBI评分及Brunnstrom上肢、手分期评估治疗前、治疗10次及治疗20次后上肢的运动功能。结果:常规康复治疗10次时,患者FMA-UE评分较治疗前明显升高(P<0.05)。上肢智能力反馈康复机器人训练联合常规康复治疗20次时,患者第10次治疗后系统训练评分、FMA-UE、MBI评分及Brunnstrom上肢、手分期较治疗前明显升高(P<0.05),患者第20次治疗后系统训练评分、FMA-UE、MBI评分及Brunnstrom上肢、手分期较治疗前明显升高(P<0.05),患者第20次治疗后系统训练评分、FMA-UE、MBI评分及Brunnstrom上肢、手分期较第10次治疗后明显升高(P<0.05)。结论:上肢智能力反馈康复机器人联合常规康复治疗对脑卒中患者上肢运动功能有显著提升,值得临床推广。

Objective：To observe the therapeutic effect of upper limb intelligent rehabilitation robot and routine rehabilitation combination on upper extremities＇ motor function of stroke patients. Methods：30 stroke patients accorded with inclusive criteria were selected, all patients received routine rehabilitation for two weeds, each time for twenty minutes, once a day and five days each week.The Fugl-Meyer assessment upper extremities（FMA-UE）, modified Barthel index（MBI） and Brunnstrom score（upper extremities and hands） were used to evaluate upper extremities＇ motor function before the treatment and after ten times of treatment. After the evaluation, all patients received upper limb intelligent rehabilitation robot and routine rehabilitation for four weeks, each time for twenty minutes, once a day and five days each week. The system training score, FMA-UE, MBI and Brunnstrom score were used to evaluate upper extremities＇ motor function before the treatment, after ten times of treatment and after twenty times of treatment. Results：FMA-UE score of patients was increased after ten times of routine rehabilitation compared with that before treatment（P〈0.05）. System training score, FMA-UE score, MBI and Brunnstrom score（hands） of patients were increased after ten times of upper limb intelligent rehabilitation robot and routine rehabilitation compared with those before treatment（P〈0.05）. System training score,FMA-UE score, MBI and Brunnstrom score（upper extremities and hands） of patients were increased after twenty times of upper limb intelligent rehabilitation robot and routine rehabilitation compared with those before treatment（P〈0.05）. System training score, FMAUE score, MBI and Brunnstrom score（upper extremities and hands） of patients were increased after twenty times of upper limb intelligent rehabilitation robot and routine rehabilitation compared with those after ten times of upper limb intelligent rehabilitation robot and routine rehabilitation（P〈0.05）. Conclusion：Upper limb intelligent rehabilitation robot and routine rehabilitation may facilitate the recovery of upper extremities＇ motor function of stroke patients, and the method is worthy of clinical spreading application.