目的 探讨呼吸功能训练联合下肢康复机器人对脑卒中患者下肢功能的影响。方法 选取2020-05至2021-04联勤保障部队大连康复疗养中心收治的48例脑卒中患者(首次发病且病程1~3个月),随机分为对照组和试验组,每组24例。两组均接受常规康复治疗及下肢康复机器人训练,试验组在此基础上增加呼吸功能训练,两组治疗时间均为4周。于治疗前、治疗4周后,采用功能性步行分级(FAC)、Fugl-Meyer评定量表下肢部分(FMA-LE)、Berg平衡量表(BBS)、Rivermead运动指数(RMI)评估患者下肢功能。结果 治疗前,两组患者FAC、FMA-LE、BBS、RMI评分均无统计学差异(P>0.05);治疗后,两组各项指标均较治疗前显著提高(P<0.05);治疗后,试验组FAC评分高于对照组[3.0(1.0, 4.0) vs. 2.0 (1.0,4.0),P=0.029], FMA-LE评分高于对照组[(22.38±6.42) vs. (18.62±6.18),P=0.045],BBS评分高于对照组[(32.83±5.74) vs. (28.67±7.17),P=0.031],RMI评分高于对照组[(7.83±1.63) vs. (6.75±1.70),P=0.029],差异均有统计学意义。结论 呼吸功能训练结合下肢康复机器人,能够进一步改善脑卒中患者的步行功能、下肢运动功能、平衡功能和功能独立性。
Abstract
Objective To explore the effect of respiratory function training combined with lower limb rehabilitation robot on lower limb function in stroke patients. Methods A total of 48 stroke patients (first onset and disease course of 1 to 3 months) admitted to Dalian Rehabilitation and Recuperation Center of PLA Joint Logistics Support Force from 2020 to 2021 were randomly divided into control group(n=24)and experiment group(n=24). Both groups received routine rehabilitation treatment and robot-assisted therapy for 4 weeks, while the experiment group received extra respiratory training. Before and after 4 weeks of treatment, lower limb function were evaluated with functional ambulation category scale (FAC), Fugl-Meyer assessment-lower extremities (FMA-LE), Berg balance scale (BBS) and Rivermead mobility index (RMI). Results There were no significant different scores of FAC、FMA-LE、BBS、RMI between the two groups before treatment (P>0.05). All the scores of the two groups after treatment were better than those before treatment (P<0.05). The scores of FAC [3.0 (1.0, 4.0) vs. 2.0 (1.0, 4.0),P=0.029], FMA-LE[(22.38±6.42) vs. (18.62±6.18),P=0.045], BBS[(32.83±5.74) vs. (28.67±7.17),P=0.031], RMI[(7.83±1.63) vs. (6.75±1.70),P=0.029]were all significantly higher than those of control group. Conclusions Respiratory function training combined with robot-assisted therapy can further improve walking function, lower limb motor function, balance function and functional independence of stroke patients.
关键词
脑卒中 /
下肢康复机器人 /
呼吸功能训练 /
下肢 /
康复
Key words
stroke /
lower limb rehabilitation robot /
respiratory function training /
lower limb /
rehabilitation
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