MOTOmed运动训练对颈髓损伤患者平衡功能的影响

目的：探讨MOTOmed运动训练对颈髓损伤患者平衡的影响。方法将入选的205例患者，随机分为观察组99例，对照组106例，观察组卧床期，在常规康复训练的基础上加 MOTOmed 713．4/W41a型进行床边训练，能达坐位平衡后采用MOTOmed viva2上下肢型进行训练。经过康复训练后分别对两组进行Berg平衡量表（ BBS ）评定，日常生活活动能力采用四肢瘫功能指数（ QIF ）评定表。结果康复训练前两组患者BBS评分、QIF总分比较差异均无统计学意义（P＞0．05）；康复训练4，8个疗程后观察组患者BBS评分分别为（12．2±2．8），（17．6±2．8）分，均高于对照组，两组比较差异有统计学意义（t值分别为2．117，2．651；P＜0．05）；康复训练4，8个疗程后两组患者QIF总分及各项评分比较差异均有统计学意义（ P＜0．05）。结论 MOTOmed训练后颈髓损伤患者平衡控制能力得到明显改善。

Effect of MOTOmed movement training on enhancing the balance of patients with cervical spinal cord injury

Objective To investigate the impact of MOTOmed movement training on the balance of patients with cervical spinal cord injury （CSCI）.Methods 205 cases were included and divided into two groups randomly.The observation group had 99 cases and the control group had 106 cases.The observation group combined the conventional rehabilitation training and MOTOmed 713.4 /W41a type bed training, and then used the MOTOmed viva2 onset of type training when they can sit .The Berg balance scale （BBS） of the two groups after rehabilitation training were compared .Results The BBS and QIF score had no statistical significant before training （P〉0.05）.The BBS score after 4 courses and 8 courses rehabilitation training were （12.2 ±2.8） and （17.6 ±2.8） in the observation group, respectively, which were significantly higher than those in the control group （t=2.117,2.651, respectively; P〈0.05）.The QIF score after 4 courses and 8 courses rehabilitation training of the observation group were significantly different from the control group （ P〈0.05） .Conclusions The MOTOmed training can improve the balance control ability of patients with CSCI .