上肢康复机器人训练治疗脑卒中偏瘫患者

目的:探讨上肢康复机器人训练治疗脑卒中偏瘫患者上肢功能的疗效.方法:脑卒中偏瘫患者46例,随机分为对照组和观察组各23例,2组均接受基础药物和常规康复治疗,观察组增加上肢康复机器人训练.治疗前后进行上肢Brunnstrom分级、简式Fugl-Meyer运动量表上肢部分(FMA-UE)和改良Barthel指数(MBI)评定.结果:治疗4周后,2组上肢Brunnstrom分级均较治疗前显著改善(P＜0.05),但2组间差异无统计学意义；2组FMA-UE和MBI评分较治疗前明显提高(P＜0.05),且观察组提高更显著(P＜0.05).结论:上肢康复机器人训练有利于改善脑卒中患者上肢功能,且能促进日常生活活动能力的恢复.

Effects of training using upper limb rehabilitation robot on function of hemiplegic stroke patients

Objective:To explore the curative effects of training using upper limb rehabilitation robot on function of upper limbs in hemiplegic stroke patients.Methods:Forty-six hemiplegic stroke patients were randomly divided into control group and observation group equally.Both groups were treated with basic medication and traditional rehabilitation therapy,and observation group was treated additionally with training using upper limb rehabilitation robot.Brunnstrom grade,upper extremity part of Fugl-meyer Assessment (FMA-UE) and Barthel index (BI) scoring before and after treatment were done.Results:After treatment for 4 weeks,much higher Brunnstrom grades in both groups were demonstrated than pre-treatment (P<0.05),but there was no significant difference between two groups.The scores of FMA-UE and BI after treatment in both groups were significantly higher than pre-treatment (P<0.05),more significantly in observation group (P<0.05).Conclusion:Training using upper limb rehabilitation robot can effectively improve the upper limbs function of stroke patients,and promote the recovery of activities of daily living.