Lokomat全自动机器人步态训练与评定系统对不完全性脊髓损伤患者步行功能的影响

背景：机器人设备能够在精确控制的环境下为患者提供安全可重复性的高强度较长时间的步态训练,其在康复领域的应用有其明显的优势。目的：探讨Lokomat-全自动机器人步态训练与评定系统在改善不完全性脊髓损伤患者步行功能方面的作用。方法：2名男性不完全性脊髓损伤患者参加Lokomat步态训练5.5个月,于训练前、训练后6,12周及训练5.5个月后对患者进行下肢运动功能评分（Lower Extremity Motor Scores,LEMS）、10m最快步速、6min步行耐力及Berg平衡量表测试。结果与结论：两名患者经过Lokomat自动步态训练,虽然LEMS分数无明显提高,但其10m最快步速、6min步行耐力、Berg平衡量表评分均较训练前改善。这说明机器人自动步态训练能够有助于改善不完全性脊髓损伤患者的步行能力。

Effect of gait training and assessment system of Lokomat automatic robot on walking ability of patients with incomplete spinal cord injury

BACKGROUND：Robotic devices can provide safe,repetitive,high-intensity and long time gait training for patients under precisely control.Application of robotic devices in the field of rehabilitation has obvious advantages.OBJECTIVE：To investigate the role of Lokomat-system in recovery of walking ability in people with incomplete spinal cord injury.METHODS：Two male patients with motor-incomplete spinal cord injury were selected to join in Lokomat gait training for 5.5 months.Lower extremity motor scores,10-meter walk test,the 6-minute walk test,the Berg test were assessed prior to,at 6,12 weeks and 5.5 months after training.RESULTS AND CONCLUSION：After finishing automatic gait training with Lokomat,although lower extremity motor scores was not improved apparently,the 10-meter walk test,the 6-minute and Berg test of the two patients were improved as compared with the pretraining.Automatic gait training with Lokomat is helpful to improve walking ability of patients with incomplete spinal cord injury.