康复机器人结合镜像疗法对脑卒中偏瘫患者上肢功能的效果

Effects of Robot-assisted Therapy Combined with Mirror Therapy on Upper Limbs Rehabilitation in Patients with Hemiplegia after Stroke

目的研究上肢机器人结合镜像疗法对脑卒中偏瘫患者上肢功能的效果。方法2017年1月至2018年6月,将56例脑卒中患者按随机数字表法分为对照组(n=28)和观察组(n=28)。对照组给予常规康复治疗,观察组在此基础上增加上肢康复机器人结合镜像疗法治疗。治疗前和治疗4周后分别采用Fugl-Meyer评定量表上肢部分(FMA-UE)、Wolf运动功能评价量表(WMFT)、功能独立性评定量表(FIM)和改良Barthel指数(MBI)对患者进行康复评定。结果治疗4周后,两组FMA-UE、WMFT和MBI评分均优于治疗前(t>2.959,P<0.05),观察组显著优于对照组(t>4.732,P<0.001)。结论上肢机器人结合镜像疗法可以改善脑卒中患者的上肢运功功能和日常生活活动能力。

Objective To explore the effects of robot-assisted therapy combined with mirror therapy (MT) on upper limbs in patients with hemiplegia after stroke. Methods From January,2017 to June,2018,56 patients with hemiplegia after stroke were randomly divided into control group (n = 28) and observation group (n = 28).The control group received conventional therapy,and the treatment group received robot-assisted therapy combined with MT,additionally.They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE),Wolf Motor Function Test (WMFT),Functional Independence Measure (FIM) and modified Barthel Index (MBI) before and four weeks after treatment. Results Four weeks after treatment,the scores of FMA-UE,WMFT and MBI were better in both groups (t > 2.959,P < 0.05),and were better in the observation group than in the control group (t > 4.732,P < 0.001). Conclusion Robot-assisted therapy combined with MT could improve the function of upper limb and activities of daily living in patients with hemiplegia after stroke.