| 杨等
，刘文辉
，王丛笑
，汪杰
，郄淑燕
，彭彦平
，王莹.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[J].神经损伤功能重建,2019,14(9):447-449 |
| 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 |
| Application of Upper Limb Rehabilitation Robot in Rehabilitation of Upper Limb Function inStroke Patients with Hemiplegia |
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| DOI： |
| 中文关键词: 脑卒中 偏瘫 机器人 上肢功能 康复 |
| 英文关键词: stroke hemiplegia robot upper limb function rehabilitation |
| 基金项目: |
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| 摘要点击次数: 3514 |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| To analyze the application of upper limb rehabilitation robot assistant therapy in upper
limb function rehabilitation of stroke patients with hemiplegia. Methods: Ninety patients with hemiplegia after
stroke were randomly divided into the control group and observation group with 45 patients in each group. Both
groups received routine rehabilitation training, and the observation group additionally received upper limb
rehabilitation robot assistant treatment. The Modified Ashworth Scale (MAS), Fugl-Meyer Assessment of Upper
Extremity (FMA-UE), and Function Independent Measure (FIM) scores of the two groups were compared before
treatment and one month after treatment. Results: The MAS score of the elbow joint in the observation group
decreased significantly one month after treatment compared with that of the control group (P<0.01), and there
was no significant difference in control group scores before and after treatment (P>0.05). The MAS score of the
shoulder joint in both groups decreased one month after treatment, and furthermore, that of the observation group
was decreased compared to the control group (P<0.01). The FMA-UE score of both groups was higher at one
month after treatment than before treatment, and that of the observation group was increased compared to the
control group (P<0.01). Compared with before treatment, the FIM score in both groups were significantly higher
one month after treatment, and that of the observation group was significantly higher compared to the control
group (P<0.01). Conclusion: When used in addition to a foundation of routine rehabilitation training, upper
limb rehabilitation robot assistant treatment of stroke patients with hemiplegia can effectively improve upper
limb motor function and promote motor function recovery. |
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