经颅磁刺激联合下肢康复机器人对脑卒中患者下肢功能康复的效果观察

Effect of lower limb rehabilitation robot combined with transcranial magnetic stimulation on lower limb function of stroke patients

目的:探讨经颅磁刺激联合下肢康复机器人对脑卒中患者下肢功能的康复效果。方法:收集2021年1月—2023年6月首都医科大学附属北京康复医院收治的100例脑卒中患者作为研究对象,随机将其分成治疗组(50例)和对照组(50例)。对照组采用常规康复训练联合下肢康复机器人治疗,治疗组在对照组的基础上增加经颅磁刺激治疗。观察两组患者临床疗效、关节活动度指标、Fugl-Meyer量表、Berg平衡量表、ADLs和WHOQOL-100评分。结果:治疗前,两组患者关节活动度指标、Fugl-Meyer量表、Berg平衡量表、ADLs和WHOQOL-100评分比较,差异均无统计学意义(P>0.05)。治疗后,两组患者各项指标均得到显著改善,且治疗组均优于对照组,差异有统计学意义(P<0.05)。结论:经颅磁刺激联合下肢康复机器人对脑卒中患者治疗能够有效促进下肢功能的康复,增强患者髋关节、膝关节的灵活度,促进身体平衡的建立,进一步强化患者运动功能的恢复,提升患者日常生活的活动能力并有助于为其培养积极的生活预期。

Objective:To analyze the rehabilitation effect of lower limb rehabilitation robot combined with transcranial magnetic stimulation(TMS)on lower limb function of stroke patients.Methods:100 stroke patients who were treated in Beijing Rehabilitation Hospital affiliated to Capital Medical University from January 2021 to June 2023 were selected.The selected patients were divided into the control group and the treatment group randomly,with 50 cases in each group.The control group was treated with conventional rehabilitation training combined with lower limb rehabilitation robot.The treatment group was treated with TMS combined with lower limb rehabilitation robot.The joint mobility index,Fugl-Meyer assessment,Berg balance scale,activities of daily living(ADLs)and WHOQOL-100 scores,and clinical efficacy of patients in the two groups before and after treatment were observed and compared.Results:Before treatment,there was no significant difference in joint mobility index,Fugl-Meyer assessment,Berg balance scale,ADLs and WHOQOL-100 scores between the two groups(P>0.05).After treatment,the above indexes of the two groups were significantly improved,and those indexes in the treatment group was better than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:TMS combined with rehabilitation robot could effectively promote the rehabilitation of lower limb function of stroke patients,enhance the flexibility of hip and knee joints,improve the establishment of body balance.Meanwhile,it could further strengthen the recovery of motor function,improve the ADLs ability and cultivate positive life expectations of stroke patients.