文章摘要
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
Experimental application of modular motion mode rehabilitation robot in patients with spinal cord injury
投稿时间:2025-06-16  修订日期:2025-06-16
DOI:
中文关键词: 脊髓损伤  康复机器人  训练
英文关键词: spinal cord injury  rehabilitation robot  training
基金项目:
作者单位邮编
王丙琰 首都医科大学康复医学院 100043
郑歆悦 首都医科大学康复医学院 
谢玉磊 首都医科大学康复医学院 
金晓庆 山东中医药大学康复医学院 
张军卫* 首都医科大学康复医学院中国康复研究中心北京博爱医院脊柱脊髓外科首都医科大学骨外科学系 100068
刘舒佳(共同通讯作者) 首都医科大学康复医学院中国康复研究中心北京博爱医院脊柱脊髓外科首都医科大学骨外科学系 
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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:选择2019年12月至2023年10月,北京博爱医院脊髓损伤住院患者100例,兼顾脊髓损伤节段、程度和个人意愿,相对均衡地分为分为对照组(n=50)和试验组(n=50)。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60min,试验组每天接受康复机器人训练60min,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,两组运动评分、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),对照组未见显著改善(P > 0.05)。治疗后,试验组SCIM-III评分优于对照组(P < 0.05),其余指标两组间无统计学差异(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。此外,模块化运动模式康复机器人创新性地实现了同一台机器上的肢体联动和体位变换,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:
      Objective: To evaluate the efficacy and safety of modular motion mode rehabilitation robot for spinal cord injury patients. Methods: One handred patients with spinal cord injury hospitalized in the Beijing Bo'ai Hospital from December 2019 to October 2023 were recruited and divided into control group(n=50) and experimental group(n=50). All patients received routine treatment. Based on this, the control group received conventional physical therapy administered by professional rehabilitation therapists for 60min every day, and the experimental group received rehabilitation robot training for 60min every day for 6 weeks. The International Standard for Neurological Classification of Spinal Cord Injury(ISNCSCI), Modified Barthel Index(MBI), Spinal Cord Injury Independence Measure III(SCIM-III), vital signs(blood pressure, pulse, and respiration), and adverse event records were used to evaluate efficacy and safety before and after treatment. Results: After treatment, the motor score, MBI and SCIM-III scores of both groups were significantly improved(P < 0.001).The scores of light touch and pin prick in experimental group were significantly improved(P < 0.05), while no significant improvements were seen in control group(P > 0.05). After treatment, the SCIM-III score of the experimental group was better than that of the control group(P < 0.05), but there was no statistical difference in other indexes(P > 0.05). Conclusion: Both the modular motion mode rehabilitation robot and conventional physical therapy can improve motor function, enhance the activities of daily living and self-reliance of patients with spinal cord injury. Notably, the modular motion mode rehabilitation robot is more helpful to improve the self-reliance and the sensory function of patients. In addition, the robot innovatively enables limb linkage and postural transitions on a single device, providing safe and effective assistance for rehabilitation training and positional changes in patients with cervical or high-thoracic spinal cord injury.
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