骨盆带控制联合下肢康复机器人辅助对老年脑卒中偏瘫病人平衡功能和步行效率的影响

doi:10.3969/j.issn.1003-9198.2022.07.014

摘要/Abstract

摘要： 目的探究骨盆带控制联合下肢康复机器人辅助对老年脑卒中偏瘫病人平衡功能和步行效率的影响。方法选取2017年1月至2021年1月至我院就诊的80例老年脑卒中偏瘫病人,按照随机数表法分为对照组、试验组,每组各40例,对照组进行常规康复训练及骨盆带控制训练,试验组在对照组的基础上进行下肢康复机器人辅助训练,2组均连续训练12周。治疗前及治疗后对2组病人的平衡功能、协调功能、下肢运动功能、步行效率及日常生活活动能力等进行评估和比较。结果与治疗前相比,2组病人治疗后Berg平衡量表(BBS)评分、平衡性和非平衡性协调测试评分、简式Fugl-Meyer评分(FMA)、改良Barthel指数(MBI)评分、胫骨前肌表面肌电积分(iEMG)均显著提高(P＜0.01),且试验组病人上述指标评分均高于对照组(P＜0.01)。治疗后,试验组功能性步行分级(FAC)≥3级人数比例显著高于对照组(P=0.045),10 m最大步行速度显著快于对照组(P＜0.01)。结论骨盆带控制联合下肢康复机器人辅助训练可以提高老年脑卒中偏瘫病人的平衡功能、步行效率、协调功能、下肢运动功能及日常生活活动能力等。

关键词: 脑卒中, 偏瘫, 骨盆带控制, 下肢康复机器人, 平衡功能, 步行效率

Abstract: Objective To explore the effect of pelvic girdle control combined with lower limb rehabilitation robot assistance on the balance function and walking efficiency in the elderly stroke patients with hemiplegia. Methods A total of 80 elderly stroke patients with hemiplegia who were admitted to our hospital from January 2017 to January 2021 were selected and divided into the control group and the experimental group according to random number table, with 40 cases in each group. The control group received routine rehabilitation training and pelvic girdle control training, while the experimental group received lower limb rehabilitation robot-assisted training on the basis of the control group. Both groups received continuous training for 12 weeks. Before and after treatment, the balance function, coordination function, lower extremity motor function, walking efficiency and activities of daily living of the two groups were evaluated. Results Compared with those before treatment, the scores of Berg balance scale (BBS), balance and non-balance coordination test, simplified Fugl-Meyer Assessment (FMA), modified Barthel index (MBI) and integrated electromyogram (iEMG) of tibia anterior muscle surface were significantly increased in both groups (P<0.01), and especially in the experimental group (P<0.01). After treatment, the proportion of functional walking classification (FAC)≥3 grades in the experimental group was significantly higher than that in the control group (P=0.045), and the maximum walking speed of 10 m was significantly faster than that in the control group (P<0.01). Conclusions Pelvic girdle control combined with lower limb rehabilitation robot-assisted training can improve the balance function, walking efficiency, coordination function, lower limb motor function and activities of daily living of the elderly stroke patients with hemiplegia.

Key words: stroke, hemiplegia, pelvic girdle control, lower limb rehabilitation robot, balance function, walking efficiency

中图分类号:

R493
R743.3

王晓铃, 马颖, 华永萍, 胡永林, 黄杨, 肖玉华. 骨盆带控制联合下肢康复机器人辅助对老年脑卒中偏瘫病人平衡功能和步行效率的影响[J]. 实用老年医学, 2022, 36(7): 706-709.

WANG Xiao-ling, MA Ying, HUA Yong-ping, HU Yong-lin, HUANG Yang, XIAO Yu-hua. Effect of pelvic girdle control combined with lower limb rehabilitation robot assistance on balance function and walking efficiency in elderly stroke patients with hemiplegia[J]. Practical Geriatrics, 2022, 36(7): 706-709.

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