上肢康复机器人辅助康复训练对亚急性期脑卒中偏瘫患者上肢运动功能的影响

Effect of upper limb rehabilitation robot-assisted rehabilitation training on upper limb motor function in patients with subacute hemiplegia after stroke

目的探讨亚急性期脑卒中偏瘫上肢康复机器人训练对上肢运动功能的影响。方法选取亚急性期脑卒中偏瘫患者76例,依照随机数表法分为2组,每组38例。2组均采用康复训练,研究组另给予上肢康复机器人辅助治疗,2组均干预3周。比较2组Fugl-Meyer运动功能量表评分、功能独立性评分、手功能Brotez评分、日常生活能力评分。结果治疗后,2组Fugl-Meyer运动功能量表评分、功能独立性评分、手功能Brotez评分、日常生活能力评分高于治疗前,且研究组(28.73±4.88、84.32±15.27、27.28±4.83、81.47±12.81)高于对照组(24.62±4.35、76.15±13.44、23.54±4.19、73.58±12.25)(P<0.05)。结论上肢康复机器人辅助康复训练可促进上肢运动功能恢复,提高生活质量。

Objective To explore the effect of upper limb rehabilitation robot-assisted rehabilitation training on upper limb motor function in patients with subacute hemiplegia after stroke.Methods A total of 76 patients with subacute hemiplegia after stroke who were admitted to the hospital were selected and divided into research group(n=38)and control group(n=38)according to the random number table method.The two groups were treated with rehabilitation training,and the research group was additionally given upper limb rehabilitation robot-assisted therapy.Both groups received intervention for 3 weeks.Fugl-Meyer Motor Function Scale score,functional independence score,Brotez hand function score and activity of daily living(ADL)score were compared between two groups.Results After treatment,Fugl-Meyer Motor Function Scale score,functional independence score,Brotez hand function score and ADL score in both groups were higher than those before treatment,and higher in the research group(28.73±4.88,84.32±15.27,27.28±4.83,81.47±12.81),respectively than in the control group(24.62±4.35,76.15±13.44,23.54±4.19,73.58±12.25)(P<0.05).Conclusion The upper limb rehabilitation robot-assisted training can improve recovery of motor function of the upper limbs and the quality of life.