骨盆辅助式机器人训练对急性期脑梗死患者步行与躯干控制功能的影响

Effects of pelvic-assisted robot training on walking and trunk control function in patients with acute cerebral infarction

目的:探讨骨盆辅助式机器人训练对急性期脑梗死患者步行与躯干控制功能的影响。方法:前瞻性研究2020年5月—2023年4月陕西省康复医院收治的216例急性期脑梗死患者临床资料,根据随机数字表法分为对照组(n=108,采用常规训练)和研究组(n=108,采用骨盆辅助式机器人训练)。比较两组患者的步行功能、步态参数、平衡功能和躯干控制功能。结果:与训练前相比,训练2个月后两组患者功能性步行量表(FAC)分级更优,差异具有统计学意义(P<0.05);与对照组比较,研究组训练2个月后的FAC分级更优,差异具有统计学意义(P<0.05)。与训练前比较,训练2个月后两组患者步态参数更优,差异具有统计学意义(P<0.05);与对照组比较,研究组训练2个月后患者步态参数更优,差异具有统计学意义(P<0.05)。与训练前比较,训练2个月后两组Berg平衡量表(BBS)和躯干控制能力测试(TCT)评分均升高,差异具有统计学意义(P<0.05);与对照组比较,研究组训练2个月后BBS评分和TCT评分更高,差异具有统计学意义(P<0.05)。结论:骨盆辅助式机器人训练可改善急性期脑梗死患者步行功能、平衡功能和躯干控制功能。

Objective:To explore the effects of pelvic-assisted robot training on walking and trunk control function in patients with acute cerebral infarction.Methods:The clinical data of 216 patients with acute cerebral infarction admitted to Shaanxi Provincial Rehabilitation Hospital from May 2020 to April 2023 were prospectively studied.According to the random number table,they were divided into the control group(108 cases with routine training)and the study group(108 cases with pelvic-assisted robot training).The walking function,gait parameters,balance function and trunk control function were compared between the two groups.Results:Compared with that before training,after 2 months of training,the Functional Ambulation Category Scale(FAC)of the two groups were better,and the difference was statistically significant(P<0.05).Compared with the control group,the FAC grade of the study group was better after 2 months of training,and the difference was statistically significant(P<0.05).Compared with that before training,the gait parameters of the two groups were better after 2 months of training,and the difference was statistically significant(P<0.05).Compared with the control group,the gait parameters of the study group were better after 2 months of training,and the difference was statistically significant(P<0.05).Compared with that before training,Berg Balance Scale(BBS)scores and trunk Control Ability Test(TCT)scores of both groups increased after 2 months of training,and the difference was statistically significant(P<0.05).Compared with the control group,the BBS scores and TCT scores of the study group were higher after 2 months of training,and the difference was statistically significant(P<0.05).Conclusion:Pelvis-assisted robot training could improve the walking function,balance function and trunk control function in patients with acute cerebral infarction.