步态训练机器人对脑卒中偏瘫患者步行功能的影响①.pdfVIP

中国康复理论与实践2013 年1 月第19 卷第1 期 Chin J Rehabil Theory Pract, Jan. 2013, Vol. 19, No. 1 - 57 - DOI : 10.3969/j.issn. 1006-9771.2013.01.015 ·临床研究· 步态训练机器人对脑卒中偏瘫患者步行功能的影响① 赵雅宁，马素慧，李建民，郭霞，刘丹，郝正伟 [摘要] 目的 观察Lokomat 步态训练机器人对脑卒中偏瘫患者下肢运动功能、步态及关节活动度的影响。方法 80 例脑卒中 偏瘫患者(病程3 个月)分为对照组(n=40)和干预组(n=40) 。干预组应用Lokomat 步态训练机器人进行干预，对照组采用常规康复治 疗。于治疗前和治疗10周后分别评定患者Fugl-Meyer 评分、步频、步长、步速及髋膝关节活动度。结果 治疗前两组各项指标无 显著性差异(P0.05) ；治疗后干预组各项指标均优于对照组(P0.05) 。结论 Lokomat 步态训练机器人介入可进一步提高偏瘫患者 下肢运动功能。 [关键词] 脑卒中；步态训练机器人；下肢；运动功能；步态；关节活动度；康复 Effects of Robotic Gait Training System on Walking for Hemiplegics Post Stroke ZHAO Ya-ning, MA Su-hui, LI Jian-min, et al. Insti- tute of Neurology, Hebei United University, Tangshan 063000, Hebei, China Abstract: Objective To investigate the effect of Lokomat Robotic Gait Training System on motor, gait and range of motion (ROM) for stroke patients with hemiplegia. Methods 80 stroke patients with hemiplegia were divided into treatment group (n=40) and control group (n= 40). The control group accepted routine rehabilitation and the treatment group accepted robotic gain training. They were assessed with Fugl-Meyer Assessment, gait parameter and ROM of hip and knee before training and after 10 weeks of treatment. Results There was no sig- nificant difference on all the index before treatment (P0.05), and improved more in the treatment group than in the control group after train- ing (P0.05). Conclusion Lokomat Robotic Gait Training System intervention can promote the recovery of walking in stroke patients with hemiplegia. Key words: stroke; Robotic Gait Training System; lower limbs; motor; gait; range of motion; rehabilitation [中图分类号] R743.3 [文献标识码] A [文章编号] 1006-9771(2013)01-0057-03 [本文著录格式] 赵雅宁，马素慧，李建民，