1. 解放军总医院第一医学中心康复医学科,北京
2. 河北师范大学体育学院,石家庄
纸质出版:2025
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吴瑞宁, 周明, 高岩, 等. 两种外骨骼机器人训练亚急性期脑卒中患者平衡功能的临床疗效比较[J]. 中华物理医学与康复杂志, 2025,47(2):103-107.
吴瑞宁, 周明, 高岩, et al. 两种外骨骼机器人训练亚急性期脑卒中患者平衡功能的临床疗效比较[J]. 2025, 47(2): 103-107.
目的观察固定外骨骼机器人训练和外骨骼助行机器人训练对亚急性期脑卒中患者平衡功能的临床疗效
并进行比较。方法纳入符合入选和排除标准的亚急性期脑卒中患者30例
按随机数字表法将其分为固定机器人组15例和助行机器人组15例。2组患者均给予常规康复治疗
在此基础上固定机器人组增加基于跑台的固定外骨骼机器人训练
助行机器人组则增加外骨骼助行机器人训练。2组患者的机器人训练时间均为每日1次
每次20 min
每周训练5 d
连续训练2周。于治疗前和治疗2周后采用Berg平衡量表、坐位改良功能性伸展测试(SMFRT)、等速肌力训练测试系统和改良的Barthel指数分别评估2组患者的整体平衡能力、自动态平衡能力、膝关节本体感觉和日常生活活动能力。结果治疗后
2组患者的Berg评分、SMFRT前伸差值、患侧膝关节本体感觉绝对误差角度和改良Barthel指数评分较组内治疗前均显著改善
且助行机器人组治疗后的SMFRT前伸差值为(51.67±4.69)cm
显著优于固定机器人组治疗后的(46.13±6.28)cm
差异有统计学意义(P<0.05)
而固定机器人组治疗后的患侧膝关节本体感觉绝对误差角度为(2.71±1.63)°
显著优于助行机器人组治疗后的(4.13±1.97)°
差异有统计学意义(P<0.05)。结论基于跑台的固定外骨骼机器人训练和外骨骼助行机器人训练均可改善亚急性期脑卒中患者的平衡能力、患侧膝关节本体感觉和日常生活能力
且外骨骼助行机器人在改善亚急性期脑卒中患者的动态平衡能力方面优于基于跑台的固定外骨骼机器人
而基于跑台的固定外骨骼机器人在改善其患侧膝关节本体感觉方面则优于外骨骼助行机器人。
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