上肢康复机器人辅助治疗在脑卒中偏瘫患者上肢功能康复中的应用

目的:分析上肢康复辅助训练系统在脑卒中偏瘫患者上肢功能恢复中的效果。方法:脑卒中偏瘫患者90例,随机分为对照组和观察组各45例,均采取常规康复训练,观察组还给予上肢康复机器人辅助治疗。比较2组患者治疗前和治疗1月后改良Ashworth量表(MAS)、Fugl-Meyer评定量表上肢部分(FMA-UE)及功能独立性评定(FIM)的评分情况。结果:观察组治疗1月后肘关节MAS评分较治疗前明显下降,且较对照组明显下降(P<0.01),对照组治疗前后评分比较差异无统计学意义(P>0.05)。2组治疗1月后肩关节MAS评分较治疗前均下降,且观察组较对照组显著降低(P<0.01)。2组治疗1月后FMA-UE评分较治疗前均升高,且观察组较对照组显著升高(P<0.01)。与治疗前相比,2组治疗1月后FIM量表评分均明显升高(P<0.01),且观察组较对照组明显升高(P<0.01)。结论:在常规康复训练的基础上,应用上肢康复机器人辅助治疗脑卒中偏瘫患者可有效改善上肢运动功能。

Application of Upper Limb Rehabilitation Robot in Rehabilitation of Upper Limb Function inStroke Patients with Hemiplegia

To analyze the application of upper limb rehabilitation robot assistant therapy in upperlimb function rehabilitation of stroke patients with hemiplegia. Methods: Ninety patients with hemiplegia afterstroke were randomly divided into the control group and observation group with 45 patients in each group. Bothgroups received routine rehabilitation training, and the observation group additionally received upper limbrehabilitation robot assistant treatment. The Modified Ashworth Scale (MAS), Fugl-Meyer Assessment of UpperExtremity (FMA-UE), and Function Independent Measure (FIM) scores of the two groups were compared beforetreatment and one month after treatment. Results: The MAS score of the elbow joint in the observation groupdecreased significantly one month after treatment compared with that of the control group (P<0.01), and therewas no significant difference in control group scores before and after treatment (P>0.05). The MAS score of theshoulder joint in both groups decreased one month after treatment, and furthermore, that of the observation groupwas decreased compared to the control group (P<0.01). The FMA-UE score of both groups was higher at onemonth after treatment than before treatment, and that of the observation group was increased compared to thecontrol group (P<0.01). Compared with before treatment, the FIM score in both groups were significantly higherone month after treatment, and that of the observation group was significantly higher compared to the controlgroup (P<0.01). Conclusion: When used in addition to a foundation of routine rehabilitation training, upperlimb rehabilitation robot assistant treatment of stroke patients with hemiplegia can effectively improve upperlimb motor function and promote motor function recovery.