不同速度下正常老年人下肢关节的角度参数

背景:目前国内主要采用步态分析仪测量患者步行时的关节角度,但是在每一个康复治疗时期进行这些测量非常耗费时间。利用Lokomat步态康复机器人则可以在患者训练过程中对患者的关节角度、肌力等参数进行实时记录,省时省力。目的:采用步态康复机器人Lokomat测定正常老年人不同速度下的下肢关节角度参数。方法:选取健康老年人30名,男15名,女15名,年龄60~64(62.40±1.58)岁。利用步态康复机器人评估工具,在减重40%,引导力60%,速度1.6,1.8,2.0km/h状态下对正常老年人的下肢关节角度参数进行记录。结果与结论:老年人关节角度参数动态指标测试结果显示,在速度1.6km/h状态下左髋关节最大伸展角度,在速度2.0km/h状态下左、右髋关节最大屈曲角度,男女组间差异有显著性意义(P<0.05)。老年人不同速度下髋膝关节角度测试结果显示,老年人左右膝关节最大伸展角度在步行速度1.6km/h与1.8km/h,1.6km/h与2.0km/h,1.8km/h与2.0km/h相比差异有显著性意义(P<0.05)。结果可见不同速度下髋关节最大屈曲角度男性大于女性,治疗师在进行Lokomat步态康复训练时应根据患者的性别差异,调整髋膝关节角度和训练模式。随着步行速度的增加老年人髋膝关节屈曲角度增加,伸展角度减小,治疗师应根据步速的增减适当调节髋膝关节活动度,增强患者腿部运动与机器人外骨骼式机械腿的配合,提高患者的训练效果。     

不同速度下正常老年人下肢关节的角度参数

背景：目前国内主要采用步态分析仪测量患者步行时的关节角度,但是在每一个康复治疗时期进行这些测量非常耗费时间。利用Lokomat步态康复机器人则可以在患者训练过程中对患者的关节角度、肌力等参数进行实时记录,省时省力。目的：采用步态康复机器人Lokomat测定正常老年人不同速度下的下肢关节角度参数。方法：选取健康老年人30名,男15名,女15名,年龄60~64（62.40±1.58）岁。利用步态康复机器人评估工具,在减重40%,引导力60%,速度1.6,1.8,2.0km/h状态下对正常老年人的下肢关节角度参数进行记录。结果与结论：老年人关节角度参数动态指标测试结果显示,在速度1.6km/h状态下左髋关节最大伸展角度,在速度2.0km/h状态下左、右髋关节最大屈曲角度,男女组间差异有显著性意义（P〈0.05）。老年人不同速度下髋膝关节角度测试结果显示,老年人左右膝关节最大伸展角度在步行速度1.6km/h与1.8km/h,1.6km/h与2.0km/h,1.8km/h与2.0km/h相比差异有显著性意义（P〈0.05）。结果可见不同速度下髋关节最大屈曲角度男性大于女性,治疗师在进行Lokomat步态康复训练时应根据患者的性别差异,调整髋膝关节角度和训练模式。随着步行速度的增加老年人髋膝关节屈曲角度增加,伸展角度减小,治疗师应根据步速的增减适当调节髋膝关节活动度,增强患者腿部运动与机器人外骨骼式机械腿的配合,提高患者的训练效果。     

虚拟现实与同步减重训练对脑卒中患者步态影响的对照研究

目的:评估虚拟现实与同步减重步态训练(VR+BWSTT)对脑卒中患者步态的影响。方法:将12例发病3个月内的脑卒中患者随机分配至实验组(VR+BWSTT)和常规组(常规物理治疗)各6例,另6例正常人作为正常组。训练前后以三维步态分析对以下参数进行对比:步行速度、步长不对称性、单腿支撑时间不对称性、髋关节最大后伸角度、髋关节最大屈曲角度、膝关节最大屈曲角度、支撑相膝关节最大伸展角度、支撑相踝关节最大背伸角度。结果:训练前两组脑卒中患者的性别、年龄、病程、脑卒中性质、偏瘫侧、患侧下肢肌力、肌张力、步行速度、步长不对称性、单腿支撑时间不对称性及患侧下肢各关节角度差异无显著性。脑卒中患者步行速度、髋关节最大后伸角度、膝关节最大屈曲角度低于正常组,步长不对称性、单腿支撑时间不对称性高于正常组(P<0.05)。训练后两组患者的步行速度、单腿支撑时间不对称性均有改善,实验组的步长不对称性、髋关节最大后伸角度有改善(P<0.05)。结论:VR与同步BWSTT可改善亚急性期脑卒中患者的步态,在改善脑卒中的步长不对称性、髋关节最大后伸角度方面较常规物理治疗有优势。     

减重步行训练对帕金森病患者步态的影响

目的:探讨减重步行训练对帕金森病(PD)患者步态的影响。方法:PD患者50例随机分为对照组和训练组,各25例。对照组采用常规药物治疗,训练组在常规药物治疗基础上,加用减重步行训练。于治疗前及治疗4周后,监测2组步行参数(步频、步长、步速),采用PD统一评分量表(UPDRS)评估患者运动功能受损程度,采用Berg平衡量表(BBS)评价患者平衡功能,6min步行测试(6minwT)评价患者的步行运动功能。结果:训练组治疗后步长大于对照组(P<0.05),步频小于对照组(P<0.05)。训练组UPDRS II、UPDRS III、6minwT及BBS治疗后的评分与本组治疗前及对照组治疗后的评分相比,差异均有统计学意义(P<0.05)。结论:减重步行训练可改善PD患者的步态运动功能。     

步态训练机器人对脑卒中偏瘫患者步行功能的影响

目的观察Lokomat步态训练机器人对脑卒中偏瘫患者下肢运动功能、步态及关节活动度的影响。方法 80例脑卒中偏瘫患者(病程<3个月)分为对照组(n=40)和干预组(n=40)。干预组应用Lokomat步态训练机器人进行干预,对照组采用常规康复治疗。于治疗前和治疗10周后分别评定患者Fugl-Meyer评分、步频、步长、步速及髋膝关节活动度。结果治疗前两组各项指标无显著性差异(P>0.05);治疗后干预组各项指标均优于对照组(P<0.05)。结论 Lokomat步态训练机器人介入可进一步提高偏瘫患者下肢运动功能。     

术前阻力训练对内侧开放式楔形截骨术患者膝关节功能、步态及生活质量的影响

目的:观察术前阻力训练对内侧开放式楔形截骨术后患者膝关节功能、步态及生活质量的影响。方法:选取拟接受内侧开放式楔形截骨术的患者58例,随机分为康复宣教组30例和阻力训练组28例。康复宣教组在术前接受康复宣教,阻力训练组进行为期4周的术前抗阻训练。于训练前、术前训练后及手术后6个月采用美国特种外科医院膝关节功能评分(HHS)评估患者膝关节功能,使用世界卫生组织生存质量评定量表(QOL-BRER)评定患者生活质量,佩戴便携式步态评估仪评估患者在平地上完成20m步行时步长、步速、步频,使用手持式测力计测量患者股四头肌、腘绳肌肌力。结果:训练前2组HSS评分、QOL-BRER评分、步长、步速、步频比较差异无统计学意义。阻力训练组：术前训练后HSS评分、QOL-BRER评分、步速、步频较训练前增加(P<0.05),步长与训练前比较无统计学意义;术后6个月HSS评分、QOL-BRER评分、步长、步速、步频较术前训练后增加(P<0.05)。康复宣教组：HSS评分、QOL-BRER评分、步长、步速、步频较宣教前无统计学差异。术后6个月HSS评分、QOL-BRER评分、步长、步速、步频较术前...     

智能机器人步态模拟训练结合悬吊运动对脑卒中早期下肢运动功能的影响

摘要 目的：探讨智能机器人步态模拟训练结合悬吊运动对脑卒中早期下肢功能恢复的疗效,为脑卒中后患者康复提供更有效的方案。 方法：选取山东省立第三医院康复医学部符合纳入标准的脑卒中患者90例,采取随机数字表法分为对照组（A组）、减重跑台组（B组）和智能机器人组（C组）,每组各30例。三组患者均接受常规康复治疗,对照组进行悬吊运动训练,减重跑台组在对照组的基础上接受减重跑台训练,智能机器人组在对照组的基础上接受智能机器人步态模拟训练。分别于治疗前、治疗4周后采用躯干控制测试（TCT）、Fugl-Meyer下肢运动功能量表（FMA-LE）、Berg平衡量表（BBS）、Holden步行功能分级（FAC）及视频步态分析仪分别评定患者的躯干控制能力、下肢体运动功能、平衡功能、步行能力及步态时空参数（步频、步速、步长和步行周期）。 结果：治疗前三组患者的各项指标比较,差异均无显著性意义（P>0.05）。治疗4周后,三组各项指标均优于治疗前,具有显著性意义（P<0.05）;智能机器人组在TCT、FMA-LE、BBS、FAC及步态时空参数（步频、步速、步长和步行周期）方面显著优于对照组（P<0.05）;除步行周期外,智能机器人组其余指标均显著优于减重跑台组（P<0.05）;减重跑台组在TCT、FMA-LE、BBS、FAC及步态时空参数（步频、步速、步长和步行周期）方面优于对照组（P<0.05）。 结论：智能机器人步态模拟训练结合悬吊运动更能增强脑卒中早期患者的躯干核心的稳定性,纠正异常步态,优化平衡功能,达到改善运动功能和步行能力目的。     

老年脑卒中偏瘫患者的三维步态分析

目的探讨老年偏瘫患者的步态特点。方法采用三维步态分析仪对22例老年偏瘫患者进行步态分析。结果老年偏瘫患者的双侧下肢站立相百分比增大,健侧较患侧明显,摆动相百分比减小,步频减小;步长、跨步长及步速减小;头部前倾,躯干基本保持直立位;患侧上肢较健侧上肢的肩关节、肘关节角度变化范围缩小(P<0.05);患侧肩关节屈曲内收、肘关节屈曲角度较健侧增大(P<0.05);患侧髋膝踝关节角度变化范围较健侧缩小(P<0.05)。结论老年偏瘫患者步行功能下降,上肢痉挛,步行时出现视觉代偿。     

下肢机器人训练对脑卒中偏瘫患者三维步态分析系统测试结果的影响

目的以三维步态分析系统评价下肢机器人训练对偏瘫患者步行能力的改善作用。方法前瞻性选取襄阳市中心医院2016年5月至2018年5月期间康复科收治的80例脑卒中偏瘫患者,以随机数表法分为机器人组、对照组各40例。均给予康复治疗,期间对照组给予常规步态纠正训练,机器人组在此基础上应用下肢机器人进行步行训练。治疗前和治疗两个疗程(4周为一个疗程)后应用tma三维步态分析系统测试所有患者步行能力,包括步态时空参数、步态时相参数、下肢关节活动度、地面反作用力峰值等。结果三维步态分析显示,治疗前两组步态时空参数、步态时相参数、下肢关节活动度、地面反作用力峰值等无统计学差异(P 0. 05),治疗后各项参数、关节活动角度、地面反作用力均显著改善(P 0. 05);但与对照组相比,治疗后机器人组步速、步频、跨步长显著高,步宽明显小(P 0. 05),患侧下肢支撑期百分比明显高,健侧与患侧支撑期比值、双支撑期百分比明显低(P 0. 05),最大髋关节、膝关节屈伸角度与最大踝关节背屈跖屈角度明显大(P 0. 05),向前地面、垂直地面反作用力峰值占体重百分比明显高(P 0. 05)。结论步态纠正训练基础上应用下肢机器人进行步行训练可有效改善脑卒中偏瘫患者步行能力,且三维步态分析可作为疗效的客观评价工具。     

基于ICF脑卒中核心分类组合评价轨道减重步行训练对脑卒中患者下肢运动功能康复的效果

目的 采用《国际功能、残疾和健康分类》(ICF)脑卒中核心分类组合评价轨道减重步行训练对脑卒中患者下肢运动功能康复的效果。方法 2021年4月至10月,太和医院武当山院区15例脑卒中患者进行轨道减重步行训练,每次30 min,每天1次,每周5 d,共4周,治疗前后采用Fugl-Meyer评定量表下肢部分(FMA-LE)、Berg平衡量表(BBS)、6分钟步行试验(6MWT)、ICF脑卒中核心分类组合步态部分以及三维步态分析进行评定。结果 干预后,脑卒中患者在ICF脑卒中核心分类组合步态功能限定值、FMA-LE评分、BBS评分、6MWT距离、步速、步态对称性、髋膝关节最大活动角度均明显提高(|t| > 4.141, P < 0.01)。结论 轨道减重步行可以改善脑卒中患者下肢运动功能及步态。     

A novel walking speed estimation scheme and its application to treadmill control for gait rehabilitation

ABSTRACT: BACKGROUND: Virtual reality (VR) technology along with treadmill training (TT) can effectively provide goal-oriented practice and promote improved motor learning in patients with neurological disorders. Moreover, the VR + TT scheme may enhance cognitive engagement for more effective gait rehabilitation and greater transfer to over ground walking. For this purpose, we developed an individualized treadmill controller with a novel speed estimation scheme using swing foot velocity, which can enable user-driven treadmill walking (UDW) to more closely simulate over ground walking (OGW) during treadmill training. OGW involves a cyclic acceleration-deceleration profile of pelvic velocity that contrasts with typical treadmill-driven walking (TDW), which constrains a person to walk at a preset constant speed. In this study, we investigated the effects of the proposed speed adaptation controller by analyzing the gait kinematics of UDW and TDW, which were compared to those of OGW at three pre-determined velocities. METHODS: Ten healthy subjects were asked to walk in each mode (TDW, UDW, and OGW) at three pre-determined speeds (0.5 m/s, 1.0 m/s, and 1.5 m/s) with real time feedback provided through visual displays. Temporal-spatial gait data and 3D pelvic kinematics were analyzed and comparisons were made between UDW on a treadmill, TDW, and OGW. RESULTS: The observed step length, cadence, and walk ratio defined as the ratio of stride length to cadence were not significantly different between UDW and TDW. Additionally, the average magnitude of pelvic acceleration peak values along the anterior-posterior direction for each step and the associated standard deviations (variability) were not significantly different between the two modalities. The differences between OGW and UDW and TDW were mainly in swing time and cadence, as have been reported previously (Lee and Hidler, and Wass et. al.). Also, step lengths between OGW and TDW were different for 0.5 m/s and 1.5 m/s gait velocities, and walk ratio between OGS and UDW was different for 1.0 m/s gait velocities. CONCLUSIONS: Our treadmill control scheme implements similar gait biomechanics of TDW, which has been used for repetitive gait training in a small and constrained space as well as controlled and safe environments. These results reveal that users can walk as stably during UDW as TDW and employ similar strategies to maintain walking speed in both UDW and TDW. Furthermore, since UDW can allow a user to actively participate in the virtual reality (VR) applications with variable walking velocity, it can induce more cognitive activities during the training with VR, which may enhance motor learning effects.     

Treadmill Sideways Gait Training with Visual Blocking for Patients with Brain Lesions

[Purpose] The aim of this study was to verify the effect of sideways treadmill training with and without visual blocking on the balance and gait function of patients with brain lesions. [Subjects] Twenty-four stroke and traumatic brain injury subjects participated in this study. They were divided into two groups: an experimental group (12 subjects) and a control group (12 subjects). [Methods] Each group executed a treadmill training session for 20 minutes, three times a week, for 6 weeks. The sideways gait training on the treadmill was performed with visual blocking by the experimental group and with normal vision by the control group. A Biodex Gait Trainer 2 was used to assess the gait function. It was used to measure walking speed, walking distance, step length, and stance time on each foot. The Five-Times-Sit-To-Stand test (FTSST) and Timed Up and Go test (TUG) were used as balance measures. [Results] The sideways gait training with visual blocking group showed significantly improved walking speed, walking distance, step length, and stance time on each foot after training; FTSST and TUG times also significantly improved after training in the experimental group. Compared to the control group, the experimental group showed significant increases in stance time on each foot. [Conclusion] Sideways gait training on a treadmill with visual blocking performed by patients with brain lesions significantly improved their balance and gait function.Key words: Brain lesions, Treadmill training, Visual block     

Effects of 12-week supervised treadmill training on spatio-temporal gait parameters in patients with claudication

The purpose of the study was to evaluate selected temporal and spatial gait parameters in patients with intermittent claudication after completion of 12-week supervised treadmill walking training. The study included 36 patients (26 males and 10 females) aged: mean 64 (SD 7.7) with intermittent claudication. All patients were tested on treadmill (Gait Trainer, Biodex). Before the programme and after its completion, the following gait biomechanical parameters were tested: step length (cm), step cycle (cycle/s), leg support time (%), coefficient of step variation (%) as well as pain-free walking time (PFWT) and maximal walking time (MWT) were measured. Training was conducted in accordance with the current TASC II guidelines. After 12 weeks of training, patients showed significant change in gait biomechanics consisting in decreased frequency of step cycle (p?p?p?p?p?p?>?0.05).

• Implications for Rehabilitation

• Twelve-week treadmill walking training programme may lead to significant improvement of temporal and spatial gait parameters in patients with intermittent claudication.

• Twelve-week treadmill walking training programme may lead to significant improvement of pain-free walking time and maximum walking time in patients with intermittent claudication.

     

Effects of treadmill training on gait in a hemiparetic patient

The purpose of this study was to investigate the effects of treadmill training on temporal-distance gait variables. An A-B-A treatment-withdrawal, single-subject experimental design was used on a hemiparetic patient who was 3 years post-injury. The inked footprint method was used to obtain the variables of walking velocity, cadence, base of support, stride length, and step length. Treatment was a maximum of 10 minutes on a motorized treadmill without elevation at a comfortable walking speed. Data collection for all three phases (A-B-A) and treadmill training during the treatment phase were performed three times per week for 3 weeks. Data were analyzed using a celeration line approach and a C statistic. Treatment was found to affect the base of support and right step length. An increase in symmetry between right and left step length was apparent after treadmill training. There was no effect on right or left stride length, left step length, cadence, or walking velocity. The results indicate improvement in some aspects of gait with treadmill training in the patient studied. Further research is needed to confirm the generalizability of these findings and to identify which patients might benefit from treadmill training.     

A comparison of the effects of visual deprivation and regular body weight support treadmill training on improving over-ground walking of stroke patients: a multiple baseline single subject design

Abstract

The body-weight-support treadmill (BWST) is commonly used for gait rehabilitation, but other forms of BWST are in development, such as visual-deprivation BWST (VDBWST). In this study, we compare the effect of VDBWST training and conventional BWST training on spatiotemporal gait parameters for three individuals who had hemiparetic strokes. We used a single-subject experimental design, alternating multiple baselines across the individuals. We recruited three individuals with hemiparesis from stroke; two on the left side and one on the right. For the main outcome measures we assessed spatiotemporal gait parameters using GAITRite, including: gait velocity; cadence; step time of the affected side (STA); step time of the non-affected side (STN); step length of the affected side (SLA); step length of the non-affected side (SLN); step-time asymmetry (ST-asymmetry); and step-length asymmetry (SL-asymmetry). Gait velocity, cadence, SLA, and SLN increased from baseline after both interventions, but STA, ST-asymmetry, and SL-asymmetry decreased from the baseline after the interventions. The VDBWST was significantly more effective than the BWST for increasing gait velocity and cadence and for decreasing ST-asymmetry. VDBWST is more effective than BWST for improving gait performance during the rehabilitation for ground walking.     

Effects of Hippotherapy on Recovery of Gait and Balance Ability in Patients with Stroke

[Purpose] The aim of this study was to examine the the effects of hippotherapy on gait and balance ability in patients with stroke. [Subjects and Methods] Thirty stroke patients were randomly divided into a hippotherapy group and a treadmill group and they conducted exercise for eight weeks. [Results] Berg Balance Scale score, gait velocity, and step length asymmetry ratio were significantly improved in the group receiving hippotherapy training. However, in the group receiving treadmill training, only step length asymmetry ratio was significantly improved. In the comparison between the hippotherapy group and treadmill group, there was no significant difference in Berg Balance Scale score, but a significant difference was found in gait velocity and step length asymmetry ratio. [Conclusion] The results of this study indicated that hippotherapy is a helpful treatment for stroke patients.Key words: Stroke, Balance, Hippotherapy     

Effects of gait training with horizontal impeding force on gait and balance of stroke patients

[Purpose] The purpose of this study was to investigate the effects of treadmill training with a horizontal impeding force applied to the center of upper body mass on the gait and balance of post-stroke patients. [Subjects and Methods] Twenty-four subjects with hemiplegia less than 3 months after stroke onset were randomly assigned to 2 groups: an applied horizontal impeding force on treadmill training (experimental) group (n = 12), and a control group (n = 12). Both groups walked on a treadmill at a comfortable or moderate speed for 20 minutes per day, 3 sessions per week for 8 weeks after a pre-test. The experimental group also had a horizontal impeding force applied to the center of their upper body mass. [Results] All groups demonstrated significant improvement after 8 weeks compared to baseline measurements. In intra-group comparisons, the subjects’ gait ability (CGS, MGS, cadence, and step length) and balance ability (TUG, BBS, and FRT) significantly improved. In inter-group comparisons, the experimental group’s improvement was significantly better in CGS MGS, cadence, step length, TUG, and BBS, but not in FRT. [Conclusion] Treadmill training was identified as an effective training method that improved gait and balance ability. A horizontal impeding force applied during treadmill training was more effective than treadmill walking training alone at improving the gait and dynamic balance of patients with stroke.Key words: Treadmill gait, Horizontal impeding force, Upper body     

Body weight support treadmill and overground ambulation training for two patients with chronic disability secondary to stroke.

BACKGROUND AND PURPOSE: Body weight support (BWS) treadmill training has recently been shown to be effective for gait training following stroke, but few researchers have measured the usefulness of this intervention in enhancing function, and there are no reports in which BWS overground ambulation was studied. The purposes of this case report were (1) to report the feasibility and patient tolerance for using a BWS system for overground ambulation, (2) to measure the function of patients with chronic stroke (2 years post-stroke) prior to and following BWS treadmill and overground ambulation training, and (3) to describe a protocol used for patient treatment progression using BWS treadmill training. CASE DESCRIPTIONS: The participants were 2 women, aged 87 and 93 years, who had strokes more than 2 years before data collection. A 10-m timed walk test, the Berg Balance Scale, the gait portion of the Tinetti Gait and Balance Assessment, and a measure of step length were administered. Intervention consisted of BWS ambulation training 3 times a week for 6 to 7 weeks. Each day there was BWS treadmill and overground training. OUTCOMES: Participant A improved most in 10-m walking time and Berg Balance Scale score. Participant B exhibited improvements in step length and 10-m walking time. DISCUSSION: The outcomes suggest that very old patients with chronic functional deficits secondary to cerebrovascular accident tolerated BWS treadmill and overground ambulation training and made improvements following this intervention.     

综合康复治疗对脑卒中急性期运动功能的疗效观察

目的：观察不同步行训练方法对脑卒中患者步行能力的疗效。方法：脑卒中患者60例,随机分为传统步行训练组（CGT组）、减重步行训练组（BWSTT组）和减重步行机器人训练组（GRT组）各20例。3组均行常规康复训练并行相应的步行训练。训练前后分别应用Berg平衡量表（BBS）、10米步行能力测试（10mWT）、足印法步态分析（GAF）、3min步行测试（3minWT）评估患者平衡及步行能力。结果：治疗8周后,3组BBS评分、步速、步长比均较治疗前明显提高,生理消耗指数（PCI）评分均较治疗前明显降低（均P〈0．05）;GRT组和BWSTT组的步速、步长比、PCI评分均明显优于CGT组（均P〈0．05）。治疗期间,GRT组所需的人工总量明显低于BWSTT组和CGT组（均P〈0．05）。结论：减重机器人步行训练能提高脑卒中患者的平衡和步行能力,并且节省人工。     

触发点针刺联合下肢机器人训练对脑性瘫痪患儿腘绳肌痉挛疗效的临床观察

目的:探讨触发点针刺联合下肢机器人训练对痉挛型双瘫的脑瘫患儿腘绳肌痉挛改善的影响。方法:将70例痉挛型双瘫的脑瘫患儿按随机数字表法分为观察组(35例,脱落1例)和对照组(35例,脱落3例)。两组均予康复治疗、传统针灸治疗等常规治疗,对照组在常规治疗的基础上给予下肢机器人训练,每日1次,每周5次,连续治疗4周;观察组在常规治疗的基础上给予触发点针刺联合下肢机器人训练,每日1次,每周5次,连续治疗4周。治疗前、治疗四周后分别采用改良Ashworth量表(MAS)、三维步态分析、粗大运动功能测试量表(GMFM)进行评定。结果:与治疗前比较,两组患儿治疗后MAS评分下降,平均速度、步频提高,跨步长、步长提高,膝关节活动度提高,GMFM-D区、E区评分提高(P<0.05);治疗后观察组MAS评分、平均速度、步频、膝关节活动度、GMFM-D区、E区评分的改善均优于对照组(P<0.05)。结论:触发点针刺联合下肢机器人训练有助于缓解脑瘫患儿腘绳肌痉挛,改善患儿步态及站立、步行功能。