上肢康复机器人辅助治疗对改善脑卒中单侧忽略的疗效观察

Therapeutic effectiveness of upper limb rehabilitation robot-aided training on the unilateral neglect caused by stroke

目的:研究上肢康复机器人辅助治疗对脑卒中单侧忽略的疗效。方法:选取病程3个月以内脑卒中单侧忽略患者46例,用随机数字表法分成观察组和对照组,各23例。所有患者均接受常规康复治疗,观察组在常规治疗的基础上予以上肢康复机器人训练,20min/次,1次/天,5天/周,共9周。治疗前后选取单侧忽略行为注意障碍测试(BIT)、凯瑟琳-波哥量表(CBS)、简式Fugl-Meyer量表上肢部分(FMA-UE)和改良Barthel指数(MBI)进行评分和疗效分析。结果:治疗前,2组患者的各项指标组间差异均无显著性意义;治疗9周后,2组患者CBS评分较治疗前明显降低(均P<0.05),且观察组低于对照组(P<0.05),BIT评分、上肢运动功能(FMA-UE)和MBI评分较治疗前明显提高(均P<0.05),且观察组高于对照组(P<0.05)。结论:上肢康复机器人辅助治疗可以有效改善脑卒中患者单侧忽略及上肢运动功能和日常生活活动能力。

Objective: To study the effectiveness of upper limb rehabilitation robot-aided training on the unilateral neglect caused by stroke.Method: Forty-six patients with stroke-induced unilateral neglect and less than 3 months course were randomly and equally divided into study group and control group(23 cases in each group). All patients received conventional rehabilitation therapy,and study group received another 20-minutes upper limb rehabilitation robot-aided training(1 time/day,5 days/week) for nine weeks. The efficacy in both groups was assessed by the Behavioural Inattention Test(BIT)、Catherine Bergego Scale(CBS)、Fugl-Meyer Motor Assessment-Upper Extremities(FMA-UE),and Modified Barthel Index(MBI) before and after treatment.Result: The indicators between the two groups showed no statistically significant differences before treatment.After 9-weeks treatment, the scores of CBS in two groups were decreased significantly, compared with pretreatment(P<0.05) and significantly lower than that in the control group(P<0.05).The scores of BIT,FAM-UE and MBI in two groups increased significantly, compared with pre-treatment(P<0.05) and significantly higher than that in the control group(P<0.05).Conclusion: Upper limb rehabilitation robot-aided training can effectively improve the performance of the unilateral neglect caused by stroke and can promote the motor function of upper limbs and ADL of the unilateral neglect patients.