多体位智能康复训练机器人对早期脑卒中偏瘫患者下肢功能的影响

Multi-Position Intelligent Rehabilitation Training Robot for Early Stroke Effect of Lower Limb Function in Patients with Hemiplegia

摘要: 目的：研究多体位智能康复训练机器人对早期脑卒中偏瘫患者下肢功能的影响。方法：选择2017年10月到2018年1月在我院就诊的脑卒中患者6人，随机分为A组，B组。两组均进行常规康复训练，A组在此基础上增加下肢康复机器人训练，每天两次，每次40 min，疗程10天。治疗前后采用简式Fugl-Meyer运动功能评分(Fugl-Meyer assessment, FMA)和徒手肌力测试(manual muscle testing, MMT)分级标准之 Kendall 百分比法评定。结果：治疗前两组FMA并没有显著性差异(P > 0.05)，治疗10天后A、B都有明显变化，但A组(P < 0.01)比B组(P < 0.05)变化更为明显。治疗前四头肌MMT分级标准之Kendall百分比法评分并没有显著性差异(P > 0.05)，治疗10天后A、B都有明显变化，但A组(P < 0.01)比B组(P < 0.05)变化更为明显。结论：下肢智能康复训练机器的临床使用大大的提高了康复的效率，提高了患者的自信心，使患者能更好的进行下一阶段的康复训练。

Abstract: Objective: To study the effect of multi-position intelligent rehabilitation training robot on lower extremity function of patients with hemiplegia in early stroke. Methods: Six stroke patients who were admitted to our hospital from October 2017 to January 2018 were randomly divided into group A and group B. Both groups were given routine rehabilitation training. Group A was trained on the basis of the addition of lower limb rehabilitation robots, twice a day for 40 minutes each, and the course of treatment was 10 days. Before and after treatment, it was assessed by the Kendall percentage method based on Fugl-Meyer assessment (FMA) and manual muscle testing (MMT) classification criteria . Results: There was no significant difference in FMA between the two groups before treatment (P > 0.05). After treatment for 10 days, there were significant changes in A and B, but the change in group A (P < 0.01) was more obvious than that in group B (P < 0.05). There was no significant difference in the Kendall percentage scores of the quadriceps MMT grading standard before treatment (P > 0.05). After treatment for 10 days, there were significant changes in A and B, but in group A (P < 0.01) compared with group B (P < 0.05), changes are more pronounced. Conclusion: The clinical use of the lower extremity intelligent rehabilitation training machine greatly improves the efficiency of rehabilitation, improves the patient’s self-confidence, and enables the patient to better perform the next stage of rehabilitation training.