下肢步行机器辅助训练装置训练对脑卒中患者躯干控制和平衡功能的影响

Effect of lower limb walking machine assisted training on trunk control and balance function in stroke patients

目的:探讨下肢步行机器辅助训练装置训练对改善脑卒中患者躯干控制和平衡功能的影响。方法:选取2018年10月~2019年11月在中山大学附属第三医院康复科进行康复治疗的脑卒中偏瘫患者48例,并按随机数字表法分为试验组和对照组各24例。对照组接受常规躯干功能训练,每次20min,每周5次,共4周;试验组接受下肢步行机器辅助训练装置训练,每次20min,每周5次,共4周。治疗前后,采用躯干障碍量表(TIS)和Fugl-Meyer平衡评分(FMA-B)分别对2组患者的躯干控制和平衡功能进行评估。结果:治疗后,两组患者的TIS、FMA-B分均较治疗前升高(P<0.01),且试验组治疗后的TIS、FMA-B分均高于对照组(P<0.01)。结论:下肢步行机器辅助训练装置是提高脑卒中偏瘫患者的躯干控制和平衡功能的一个有效的方法。

Objective: To explore the effect of lower limb walking machine assisted training on improving trunk control and balance function in stroke patients.Methods: From October^2018 to November 2019, 48 stroke patients with hemiplegia were randomly divided into a treatment group and control group, each of 24.The control group received conventional trunk function training, 20 min per time, 5 times per week for 4 weeks,while the treatment group was provided with 20 minutes of robot training a day, 5 times per week for 4 weeks.The Trunk Impairment Scale(TIS) and Fugl-Meyer balance assessment scroe(FMA-B) were used to evaluate the trunk function and balance of the patients before and after the treatment.Results: The TIS、FMA-B scores of the two groups were higher than those before treatment(P<0.01), and the TIS、FMA-B scores of the test group were higher than those of the control group(P<0.01).Conclusions: The lower limb walking machine assisted training device is an effective method to improve the trunk control and balance function of stroke patients with hemiplegia.