康复机器人训练对脑卒中偏瘫患者上肢功能的影响

目的:探讨上肢康复机器人训练结合常规康复治疗对脑卒中偏瘫患者上肢功能的影响。方法:80例脑梗死患者随机分为2组,均接受基础药物治疗和常规康复治疗;观察组增加上肢康复机器人训练。治疗前后分别进行上肢肌张力改良Ashworth量表(MAS)评分、上肢运动功能(FMA)评分及改良Barthel指数(MBI)评定。结果:治疗1个月后,2组患者上肢MAS评分均较治疗前明显下降(P<0.05),且观察组更低于对照组(P<0.05);FMA及改良Barthel指数(MBI)评分均较治疗前明显提高(P<0.05),且观察组较对照组更加显著(P<0.05)。结论:上肢康复机器人训练结合常规康复治疗不仅能改善脑梗死患者上肢功能,而且能促进日常生活活动能力的恢复。

Effect of rehabilitation robot on upper extremity function of hemiplegic patients

Objective: To observe the effect of the upper limb rehabilitation robot combined with conventional rehabilitation on upper extremity function of hemiplegic patients.Methods: 80 cases of hemiplegic upper limb dysfunction were divided into two groups.Both groups were given normal limb function training,at the same time the treatment group was given the upper limb rehabilitation robot training.Modified ashworth scale(MAS) score,simplified Fugl-Meyer upper limb motor function(FMA) score and the modified Barthel index(MBI) were compared before and after the treatment.Results: After 1 month of treatment,MAS scores in two groups were decreased as compared with those before treatment(P<0.05),and those in treatment group was reduced as compared with control group(P<0.05).FMA and ADL in two groups after treatment were improved as compared with those before treatment(P<0.05),and those in treatment group were improved more significantly(P<0.05).Conclusion: Combination of upper limb rehabilitation robot training with conventional rehabilitation can not only effectively improve the upper limb function of hemiplegic patients,but also can promote the recovery of activities of daily living.