中枢神经系统损伤偏瘫手功能康复:手功能软体镜像康复机器人治疗

Central Nervous System Injury and Hemiplegic Hand Function Rehabilitation:Soft Mirror Rehabilitation Robot Treatment for Hand Function

目的:探究手功能软体镜像机器人对中枢神经系统损伤造成的偏瘫患者手功能康复的临床可行性。方法:纳入康复医学科中枢神经系统损伤脑卒中患者24例为观察对象,观察组在常规偏瘫侧上肢及手功能康复训练的基础上,增加2次/周,30min/次的手功能软体镜像机器人训练。对照组增加同等时间的康复宣教。在干预前后评估患者Fugl-Meyer手运动功能评定(FMA-HAND)、九孔试验(NHPT)、Barthel评分(BI)、健康调查量表12(SF-12)。结果:2组患者FMA-HAND、NHPT、SF-12、BI评分较治疗前均明显提高(P<0.05)。日常生活方面的提高较对照组没有明显区别,其余各项较对照组有明显区别,且有统计学意义。结论:基于人工智能的手功能软体镜像机器人训练或能改善中枢神经系统损伤偏瘫患者的手功能、手指灵活性、生活质量。

Objective:To explore the clinical feasibility of hand function rehabilitation in hemiplegic patients caused by central nervous system damage using hand function soft mirror robots.Methods:This study included 24 stroke patients with central nervous system injury in the rehabilitation medicine department.In the observation group,on the basis of routine hemiplegic upper limb and hand function rehabilitation training,an additional 30 minutes of hand function soft mirror robot training was added twice a week.The control group received rehabilitation education for the same duration.Evaluate the patient’s Fugl Meyer hand(FMA-HAND),Nine hole peg test(NHPT),Barthel index(BI),and Chinese version of the Short Form Health Survey Questionnaire(SF-12)before and after intervention.Results:The FMA-HAND,NHPT,SF-12,and BI scores of both groups of patients were significantly improved compared to before treatment(P<0.05).There was no significant difference in daily life improvement compared to the control group,while there were significant differences in other aspects compared to the control group,with statistical significance.Conclusion:Training hand function soft mirror robots based on artificial intelligence may improve hand function,finger flexibility,and quality of life in patients with central nervous system injury and hemiplegia.