Background: Robot-assisted lower limb rehabilitation training in early stage could improve the limb function among hemiplegic patients caused by ischemic stroke. P300 potential changes have importantly clinical value ...Background: Robot-assisted lower limb rehabilitation training in early stage could improve the limb function among hemiplegic patients caused by ischemic stroke. P300 potential changes have importantly clinical value for evaluating the improvement in nerve function during the training as one of the objective targets. Methods: Sixty hemiplegic patients after stroke were randomly divided into a Lokomat group (30 cases) and a control group (30 cases). The Lokomat group received Lokomat rehabilitation while the control group only received traditional rehabilitation. The gait parameters and the balance ability were evaluated by the K421GAITRite analysis system and the Berg Balance Scale (BBS);ERP components including N100, N200, P200 and P300 potential were evaluated by a muscle electric inducing potentiometer. Results: There were no significant differences in BBS and gait parameters (P > 0.05), as well as in amplitude and incubation periods (IP) (P > 0.05) between the two groups before training. After 8 weeks treatment, the total (48.88 ± 3.68), static (26.40 ± 3.14) and dynamic (22.64 ± 3.68) balance scores improved significantly;the pace (59.22 ± 4.67), stride length (19.04 ± 2.24), feet wide (98.02 ± 7.97) and walking velocity (84.86 ± 9.88) and IP of N200 and P300 shortened obviously and P300 amplitude increased significantly in robot group (P < 0.05). Conclusion: This demonstrated that robot-assisted lower limb rehabilitation training in early stage could improve the limb function among hemiplegic patients caused by ischemic stroke. P300 may be considered as an indicator of neurological function improvement and effective robot-assisted lower limb rehabilitation training.展开更多
目的:探究持续性被动康复训练联合中药离子导入对脑卒中偏瘫患者肢体功能及满意度的影响。方法:选取脑卒中偏瘫患者86例,按照随机数字表法分为观察组及对照组,每组43例。对照组采用中药离子导入治疗,观察组在此基础上联合持续性被动康...目的:探究持续性被动康复训练联合中药离子导入对脑卒中偏瘫患者肢体功能及满意度的影响。方法:选取脑卒中偏瘫患者86例,按照随机数字表法分为观察组及对照组,每组43例。对照组采用中药离子导入治疗,观察组在此基础上联合持续性被动康复训练。比较两组干预前后Ashworth痉挛量表(modi-fied Ashworth scale,MAS)评级、日常生活活动能力(Activity of daily living scale,ADL)评分、Hoffer步行能力分级表(Hoffer walking ability rating scale)评分、Brunnstrom分期(Brunnstrom staging of hemiplegia),比较两组干预后的护理满意度。结果:干预后,观察组MAS评级、Hoffer步行能力分期、Brunnstrom分期、ADL评分、护理满意度均优于对照组(P<0.05)。结论:持续性被动康复训练联合中药离子导入能有效改善脑卒中偏瘫患者的肌痉挛,恢复患者运动功能,改善步行情况,提高患者日常生活能力,护理满意度高。展开更多
文摘Background: Robot-assisted lower limb rehabilitation training in early stage could improve the limb function among hemiplegic patients caused by ischemic stroke. P300 potential changes have importantly clinical value for evaluating the improvement in nerve function during the training as one of the objective targets. Methods: Sixty hemiplegic patients after stroke were randomly divided into a Lokomat group (30 cases) and a control group (30 cases). The Lokomat group received Lokomat rehabilitation while the control group only received traditional rehabilitation. The gait parameters and the balance ability were evaluated by the K421GAITRite analysis system and the Berg Balance Scale (BBS);ERP components including N100, N200, P200 and P300 potential were evaluated by a muscle electric inducing potentiometer. Results: There were no significant differences in BBS and gait parameters (P > 0.05), as well as in amplitude and incubation periods (IP) (P > 0.05) between the two groups before training. After 8 weeks treatment, the total (48.88 ± 3.68), static (26.40 ± 3.14) and dynamic (22.64 ± 3.68) balance scores improved significantly;the pace (59.22 ± 4.67), stride length (19.04 ± 2.24), feet wide (98.02 ± 7.97) and walking velocity (84.86 ± 9.88) and IP of N200 and P300 shortened obviously and P300 amplitude increased significantly in robot group (P < 0.05). Conclusion: This demonstrated that robot-assisted lower limb rehabilitation training in early stage could improve the limb function among hemiplegic patients caused by ischemic stroke. P300 may be considered as an indicator of neurological function improvement and effective robot-assisted lower limb rehabilitation training.
文摘目的:探究持续性被动康复训练联合中药离子导入对脑卒中偏瘫患者肢体功能及满意度的影响。方法:选取脑卒中偏瘫患者86例,按照随机数字表法分为观察组及对照组,每组43例。对照组采用中药离子导入治疗,观察组在此基础上联合持续性被动康复训练。比较两组干预前后Ashworth痉挛量表(modi-fied Ashworth scale,MAS)评级、日常生活活动能力(Activity of daily living scale,ADL)评分、Hoffer步行能力分级表(Hoffer walking ability rating scale)评分、Brunnstrom分期(Brunnstrom staging of hemiplegia),比较两组干预后的护理满意度。结果:干预后,观察组MAS评级、Hoffer步行能力分期、Brunnstrom分期、ADL评分、护理满意度均优于对照组(P<0.05)。结论:持续性被动康复训练联合中药离子导入能有效改善脑卒中偏瘫患者的肌痉挛,恢复患者运动功能,改善步行情况,提高患者日常生活能力,护理满意度高。
