下肢步行机器人对脊髓损伤后日常生活能力及步行能力的影响

Effects of lower limb walking robot on activities of daily living and walking ability after spinal cord injury

目的:探讨下肢步行机器人对脊髓损伤后日常生活能力及步行能力的影响。方法:颈胸段脊髓损伤患者40例随机分为2组各20例。对照组进行常规的运动治疗,内容包括肌力训练、牵伸训练、平衡训练、转移、站立训练、步行及步态训练等;观察组增加步行机器人训练。于治疗前和治疗6周、12周后,采用6min步行距离、改良Barthel指数(MBI)和功能独立性评测(FIM)对患者进行评定,并重点关注其中的步行项及上下楼梯项。结果:治疗6及12周后,2组患者MBI、FIM总分及2个量表中的步行项、上下楼梯项分值,6min步行距离测试分值均较治疗前呈逐渐提高(均P<0.05),且观察组优于对照组(均P<0.05)。结论:常规运动治疗结合步行机器人训练可明显改善C-D级脊髓损伤患者步行能力及ADL分值。

Objective： To invastigate the effects of lower extremity walking robot on activities of daily living （ADL） anti walking ability after spinal cord injury. Methods： 40 patients with cervical anti thoracic spinal cord inju ties were randomly divided into two groups, 20 in each group. The control group did routine therapeutic exercise in cluding muscle strength training, stretching training, balance training, transfer training, standing training, walking anti gait training, etc. The observation group were given a walking robot training additionally. Before anti 6, 12 weeks after treatment, 6 minute walking distance, Modified Barthel Index （MBI） anti Functional Independence Measure （FIM） were used for evaluation, among which walking anti up anti down stairs items are specifically fo cused. Results： After 6 and 12 weeks of treatment, the scores of MBI, FIM anti the two scales in the walking anti up anti down stairs items, 6 minute walking distance of the two groups were gradually increased compared with those before treatment （all P〈0.05）, anti the observation group was superior to the control group （all P〈0.05）. Conclusion： Routine therapeutic exercise combined with walking robot training can significantly improve the walking ability anti ADL score of grade C D spinal cord injury patients.