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四肢联动联合虚拟现实训练对脑卒中恢复期患者 下肢功能与平衡功能的影响
引用本文:李娅娜,曹 岚,徐 影,刘晓丽,李朔蕾.四肢联动联合虚拟现实训练对脑卒中恢复期患者 下肢功能与平衡功能的影响[J].医学信息,2018,0(14):107-109.
作者姓名:李娅娜  曹 岚  徐 影  刘晓丽  李朔蕾
作者单位:解放军总医院第一附属医院康复医学科,北京 100048
摘    要:目的 观察四肢联动联合联合虚拟现实技术对脑卒中恢复期患者下肢功能及平衡功能的影响,为脑卒中恢复期患者康复提供有效的方法。方法 将2015年6月~2016年11月30例本院脑卒中患者随机分为实验组和对照组,每组15例。两组均进行常规康复训练,实验组增加四肢联动联合虚拟现实技术,对照组增加下肢重复性运动训练。治疗前后采用改良Ashworth量表评定患者下肢股四头肌、小腿三头肌肌张力,采用Fugl-Meyer评定量表下肢部分评定下肢功能,Berg平衡量表评定平衡功能。结果 治疗后,两组患者下肢股四头肌MAS评分高于治疗前,小腿三头肌MAS评分低于治疗前,差异具有统计学意义(P<0.05);实验组患者小腿三头肌MAS评分差值高于对照组,差异具有统计学意义(P<0.05)。治疗后,两组患者Fugl-Meyer下肢评分及Berg平衡功能评定均较治疗前提高,且实验组Fugl-Meyer下肢评分及Berg平衡功能评定均优于对照组,差异具有统计学意义(P<0.05)。结论 四肢联动联合虚拟现实技术可提高脑卒中恢复期患者下肢功能及平衡功能,且优于传统康复治疗。

关 键 词:脑卒中  下肢  四肢联动  虚拟现实  平衡功能

Effects of Limb Linkage and Virtual Reality Training on Lower Limb Function and Balance Function in Stroke Patients during Convalescence
LI Ya-na,CAO Lan,XU Ying,LIU Xiao-li,LI Shuo-lei.Effects of Limb Linkage and Virtual Reality Training on Lower Limb Function and Balance Function in Stroke Patients during Convalescence[J].Medical Information,2018,0(14):107-109.
Authors:LI Ya-na  CAO Lan  XU Ying  LIU Xiao-li  LI Shuo-lei
Affiliation:Department of Rehabilitation Medicine,First Affiliated Hospital of PLA General Hospital,Beijing 100048,China
Abstract:Abstract:Objective To observe the effects of limb joint operation combined with virtual reality technology on lower limb function and balance function in patients with stroke recovery,and provide an effective method for rehabilitation of patients with stroke recovery.Methods 30 patients with stroke in our hospital from June 2015 to November 2016 were randomly divided into experimental group and control group,with 15 cases in each group.Both groups underwent routine rehabilitation training.The experimental group increased the joints of the four limbs combined with virtual reality technology,and the control group increased the repetitive exercise training of the lower limbs.Before and after treatment,the modified Ashworth scale was used to evaluate the muscle tension of the quadriceps and triceps of the lower extremities.The lower limbs were evaluated by the lower limbs of the Fugl-Meyer rating scale,and the balance function was evaluated by the Berg balance scale.Results After treatment,the MAS scores of the quadriceps in the lower extremities of the two groups were higher than those before the treatment.The MAS score of the triceps was lower than that before the treatment,the difference was statistically significant(P<0.05).The difference of MAS scores in the triceps of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the Fugl-Meyer lower limb score and Berg balance function were evaluated in both groups,and the Fugl-Meyer lower limb score and Berg balance function were better than the control group,the difference was statistically significant(P<0.05).Conclusion Limb linkage combined with virtual reality technology can improve the function and balance function of lower limbs in patients with stroke recovery,and it is superior to traditional rehabilitation therapy.
Keywords:Key words:Stroke  Lower limbs  Limb linkage  Virtual reality  Balance function
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