| 王丙琰
，郑歆悦
，谢玉磊
，金晓庆
，张军卫
，刘舒佳.模块化运动模式康复机器人在脊髓损伤患者中的应用研究[J].神经损伤功能重建,2025,(知网首发): |
| 模块化运动模式康复机器人在脊髓损伤患者中的应用研究 |
| Research on the Application of Modular Motion Pattern Rehabilitation Robots in Patientswith Spinal Cord Injury |
| |
| DOI： |
| 中文关键词: 脊髓损伤 康复机器人 训练 |
| 英文关键词: pinal cord injury rehabilitation robot training |
| 基金项目:国家重点研发计划
项目（脊髓损伤康
复机器人临床试验
有效性评价及应用
示范，No. 2019YF
B1312505） |
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| 摘要点击次数: 11 |
| 全文下载次数: 12 |
| 中文摘要: |
| 目的：初步验证使用模块化运动模式康复机器人对脊髓损伤患者进行康复训练的疗效与安全性。方
法：纳入脊髓损伤住院患者100例，兼顾脊髓损伤节段、程度和个人意愿，分为对照组和试验组各50例。所
有患者均接受常规治疗，在此基础上对照组每天接受专业康复治疗师进行的常规运动疗法训练60 min，试
验组每天接受康复机器人训练60 min，共6周。治疗前后采用脊髓损伤神经学分类国际标准（ISNCSCI）、改
良Barthel指数（MBI）、脊髓损伤独立性评估量表第三版（SCIM-Ⅲ）、患者生命体征（血压、脉搏和呼吸）及不
良事件记录进行疗效和安全性评估。结果：治疗后，2 组运动评分、MBI、SCIM-Ⅲ评分均显著改善（P＜
0.001）。试验组轻触觉、针刺觉评分均显著改善（P＜0.05），对照组未见改善（P＞0.05）。治疗后，试验组
SCIM-Ⅲ评分优于对照组（P＜0.05），其余指标2组间差异无统计学意义（P＞0.05）。结论：模块化运动模式
康复机器人与常规运动疗法训练均有助于改善脊髓损伤患者的运动功能，提高日常生活活动能力及生活自
立度，且模块化运动模式康复机器人在提高患者生活自立度、改善感觉功能等方面疗效更佳，在辅助高位脊
髓损伤患者进行康复训练和体位变换等方面安全、有效。 |
| 英文摘要: |
| To preliminarily verify the efficacy and safety of using modular motion pattern
rehabilitation robots for rehabilitation training in patients with spinal cord injury. Methods: A total of 100
inpatients with spinal cord injury were enrolled and divided into a control group and an experimental group, with
50 cases in each group, taking into account the spinal cord injury segment, severity, and personal willingness. All
patients received conventional treatment. On this basis, the control group underwent conventional motor therapy
training conducted by professional rehabilitation therapists for 60 minutes daily, while the experimental group
received rehabilitation robot training for 60 minutes daily, both for a total of 6 weeks. Before and after treatment,
the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI), Modified Barthel
Index (MBI), Spinal Cord Independence Measure version III (SCIM- Ⅲ), patient vital signs (blood pressure,
pulse, and respiration), and adverse event records were used to evaluate efficacy and safety. Results: After
treatment, motor scores, MBI scores, and SCIM-Ⅲ scores significantly improved in both groups (P<0.001). The
experimental group showed significant improvements in light touch and pinprick sensation scores (P<0.05),
while the control group showed no improvement (P>0.05). After treatment, the SCIM- Ⅲ score in the
experimental group was superior to that in the control group (P<0.05), with no statistically significant differences
in other indicators between the two groups (P>0.05). Conclusion: Both modular motion pattern rehabilitation
robots and conventional motor therapy training contribute to improving motor function, enhancing activities of
daily living, and increasing independence in patients with spinal cord injury. However, modular motion pattern
rehabilitation robots demonstrate superior efficacy in improving patient independence and sensory function and
are safe and effective in assisting with rehabilitation training and positional changes for patients with high-level
spinal cord injuries. |
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