下肢康复机器人联合牵伸康复训练对脑出血后偏瘫患者的影响
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湖北省自然科学基金项目(2021CFB602);武汉市中医药科研项目(WZ24B20)


Influence of lower limb rehabilitation robot combined with stretching rehabilitation training on motor function, walking ability and balance ability in patients with hemiplegia after cerebral hemorrhage
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    摘要:

    目的 探讨下肢康复机器人联合牵伸康复训练对脑出血后偏瘫患者运动功能、步行能力及平衡能力的影响。方法 纳入2023年6月—2024年6月武汉市第三医院收治的106例脑出血后偏瘫患者,依据简单随机法分为对照组(n=53,牵伸康复训练)和联合组(n=53,下肢康复机器人联合牵伸康复训练)。评价两组治疗前后的运动功能、步行功能、肌张力、平衡能力及日常生活活动能力。结果 治疗后3个月,联合组的下肢运动功能评分高于对照组(P<0.05);治疗后3个月联合组的步行能力和肌张力明显优于对照组(P<0.05);治疗后3个月联合组的Berg平衡量表(BBS)评分和改良Barthel指数(MBI)高于对照组(P<0.05)。结论 对脑出血后偏瘫患者应用下肢康复机器人联合牵伸康复训练的效果明显,可有效改善运动功能、步行能力、肌张力和平衡能力,提升日常生活活动能力

    Abstract:

    Objective To analyze the influence of combination of lower limb rehabilitation robot and stretching rehabilitation training on motor function, walking ability and balance ability in patients with hemiplegia after cerebral hemorrhage. Methods Totally 106 patients with hemiplegia after cerebral hemorrhage in the hospital from June 2023 to June 2024 were divided into control group (n=53, stretching rehabilitation training) and combined group (n=53, lower limb rehabilitation robot combined with stretching rehabilitation training) by means of simple randomization method. The motor function, walking function, muscle tension, balance ability and daily living ability were evaluated in the two groups before and after treatment.Results At 3 months after treatment, the lower limb motor function score in the combined group was higher than that in the control group (P<0.05). The walking ability and muscle tension in the combined group at 3 months after treatment were significantly better than those in the control group (P<0.05). The Berg balance scale (BBS) score and modified Barthel index (MBI) score were higher in the combined group compared with those in the control group at 3 months after treatment (P<0.05). Conclusion The application of lower limb rehabilitation robot combined with stretching rehabilitation training has an obvious effect on patients with hemiplegia after cerebral hemorrhage, and it can effectively improve the motor function, walking ability, muscle tension and balance ability, and enhance the daily living ability

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  • 在线发布日期: 2026-06-18
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