上肢康复机器人任务导向性训练对肩关节功能障碍患者的疗效观察

Efficacy of task-oriented training with upper limb rehabilitation robot for patients with shoulder joint dysfunction

目的:观察上肢康复机器人任务导向性训练治疗肩关节功能障碍的疗效。方法:选取肩关节功能障碍患者58例,随机分为观察组和对照组各29例。2组均接受物理因子与关节松动术联合治疗,在此基础上,对照组增加肌力训练,观察组增加上肢康复机器人任务导向性训练。在治疗前和治疗4周后,采用Constant-Murley肩功能评分量表(CMS)评定比较2组疗效。结果:治疗4周后,2组CMS总分及疼痛、功能活动、关节活动范围、肌力4个分项的评分均高于治疗前(P<0.01);观察组CMS总分及疼痛、关节活动范围、肌力评分3个分项的评分均高于对照组(P<0.05),2组功能活动评分差异无统计学意义。结论:上肢康复机器人的任务导向性训练可以有效减轻患者肩关节疼痛,提高患者的上肢运动功能和康复效果。

Objective:To observe the therapeutic effect of upper limb rehabilitation robot task-oriented training on patients with shoulder dysfunction.Methods:A total of 58patients with shoulder joint dysfunction were selected,and 55patients were finally included due to 1case falling off in the observation group and 2cases falling off in the control group.They were divided into 28cases in the observation group and 27cases in the control group according to the random number method,and both groups received the combined treatment of physical factors and joint loosening,with the control group increasing muscle strength training,and the observation group increasing the task-oriented training of the upper limb rehabilitation robot.The Constant-Murley Shoulder Function Scale(CMS)was used to compare the efficacy of the two groups before and after 4weeks of treatment.Results:After 4weeks of treatment,the total CMS score,pain,functional activity,joint range of motion,and muscle strength scores of the 2 groups were higher than those before treatment(P<0.01);the total CMS score,pain,joint range of motion,and muscle strength scores in the observation group were higher than those in the control group(P<0.05),and there was no statistically significant difference in the functional activity scores between the 2groups.Conclusion:Task-oriented training with an upper extremity rehabilitation robot can effectively reduce patients’shoulder joint pain and improve their upper extremity motor function and rehabilitation effects.