上肢机器人联合头针对脑卒中后上肢运动功能的影响

Effect of upper limb robot combined with scalp acupuncture on upper limb motor function after stroke

目的观察上肢机器人联合头针对脑卒中后上肢运动功能的疗效。方法选取2020年12月至2021年7月安徽中医药大学第一附属医院针灸康复一科住院的60例脑卒中患者,按照随机数字表法将其分为对照组和观察组,每组30例。对照组予头针治疗,观察组在对照组基础上联合上肢机器人训练,治疗3周。比较两组治疗前后Fugl-Meyer量表(FMA)、改良Barthel指数(MBI)、主动角度重现测试值(AAR)评分。结果治疗后,两组FMA、MBI评分高于治疗前,且观察组高于对照组(P<0.05)。两组肩关节前屈30°、60°AAR评分低于治疗前,且观察组低于对照组(P<0.05)。结论上肢机器人联合头针可明显改善脑卒中患者上肢运动功能、日常活动能力。

Objective To observe the effect of upper limb robot combined with scalp acupuncture on upper limb motor function after stroke.Methods From December 2020 to July 2021,60 stroke patients who were hospitalized in the First Department of Acupuncture Rehabilitation,the First Affiliated Hospital of Anhui University of Chinese Medicine were selected,they were divided into control group and observation group according to the random number table method,with 30 cases in each group.The control group was treated with scalp acupuncture,and the observation group was given upper limb robot training on the basis of control group,treatment for three weeks.Fugl-meyer assessment(FMA),modified Barthel index(MBI),and active angle repositioning(AAR)before and after treatment were compared between two groups.Results After treatment,the scores of FMA and MBI in both groups were higher than those before treatment,and those of observation group were higher than those of control group(P<0.05).AAR scores of 30°and 60°shoulder flexion in two groups were lower than those before treatment,and those of observation group were lower than those of control group(P<0.05).Conclusion Upper limb robot combined with scalp acupuncture can significantly improve the upper limb motor function and the ability of daily living activities of stroke patient.