头针联合下肢康复机器人训练对脑卒中患者平衡和步行能力的影响

Effects of Scalp Acupuncture combined with Lower Limb Rehabilitation Robot Training on Balance and Walking Ability of Stroke Patients

目的观察头针联合下肢康复机器人训练对于脑卒中患者平衡和步行能力的影响。方法选择2013年1月一2018年12月在苏州大学附属第二医院中医康复科住院治疗的120例脑卒中患者,按随机数字表分为治疗组、观察组和对照组,每组各40例。三组均给予常规内科药物治疗方案和综合康复治疗方案,观察组增加下肢康复机器人训练,治疗组增加头针治疗及下肢康复机器人训练。各组均治疗1个月。治疗前后记录三组患者简式Fugl-Meyer评定下肢运动功能部分(FMA)、Berg平衡量表(BBS)、Holden功能步行分级(FAC)、站立走计时测试(TUG)、日常生活能力Barthel指数(BI)、平均轨迹误差(ATE)及评估时间(T)。结果与本组治疗前比较,各组治疗后FMA评分、BI评分、BBS及FAC升高(P<0.05),TUG、ATE及T降低(P<0.05)。与对照组同期比较,治疗组及观察组治疗后FMA评分、BI评分、BBS及FAC升高(P<0.05),TUG、ATE及T降低(P<0.05)。与观察组同期比较,治疗组治疗后FMA评分、BI评分、BBS及FAC升高,TUG降低(P<0.01)。结论头针联合下肢康复机器人训练可改善脑卒中患者的平衡功能、步行能力、本体感觉功能和日常生活能力。

Objective To analyze the effects of scalp acupuncture combined with lower limb rehabilitation robot training on the balance and walking ability of stroke patients.Methods Totally 120 patients with stroke who were hospitalized in the department of Chinese medical rehabilitation of the Second Affiliated Hospital of Soochow University from January 2013 to December 2018 were recruited,they were randomly assigned to the treatment group,observation group,and control group according to random number table,40 patients in each group.All of the patients received routine therapy and comprehensive rehabilitation treatment,the patients of the observation group received lower limb rehabilitation robot training additionally.The patients in the treatment group received scalp acupuncture and lower limb rehabilitation robot training additionally.The therapeutic course for all was 1 month.Before and after treatment,the Fugl-Meyer assessment of lower extremity motor function(FMA),the Berg balance scale(BBS),the functional ambulation category(FAC),the timed up and go test(TUG),the daily life ability of Barthel index(BI),the average trajectory error(ATE) and the evaluation completion time(T)were recorded.Results Compared with before treatment,FMA score,BI score,BBS and FAC were increased in each group after treatment(P <0.05),while TUG,ATE and T were decreased(P <0.05).Compared with the control group,the FMA score,BI score,BBS and FAC in the treatment group and the observation group were increased after treatment,while the TUG,ATE and T were decreased(P <0.05).Compared with the observation group,FMA score,BI score,BBS and FAC in the treatment group were increased(P<0.01),while the TUG decreased(P <0.01).Conclusion Scalp acupuncture combined with rehabilitation robot lower limb training can significantly improve the balance function,walking ability,proprioceptive function and daily living ability of stroke patients.