中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (52): 9803-9807.doi: 10.3969/j.issn.1673-8225.2011.52.026

• 数字化骨科 digital orthopedics • 上一篇    下一篇

机器人治疗急性期脑卒中患者上肢功能的恢复

刘 震1，张盘德1，刘翠华1，容小川1，邓红艳1，张晋昕2   

  1. 1佛山市第一人民医院康复医学科，广东省佛山市  528000
    2中山大学公共卫生学院，广东省广州市  510000
  • 收稿日期:2011-10-13 修回日期:2011-11-11 出版日期:2011-12-24 发布日期:2011-12-24
  • 作者简介:刘震★，男，1977年生，山西省太原市人，汉族，2004年中山大学毕业，硕士，主治医师，主要从事神经与骨科康复的研究。 lzym3798@163.com

Effects of robot-assisted therapy on upper-limb function of acute stroke patients

Liu Zhen1, Zhang Pan-de1, Liu Cui-hua1, Rong Xiao-chuan1, Deng Hong-yan1, Zhang Jin-xin2   

  1. 1Department of Rehabilitation Medicine, First People’s Hospital of Foshan, Foshan 528000, Guangdong Province, China
    2School of Public Health, Sun Yat-sen University, Guangzhou  510000, Guangdong Province, China
  • Received:2011-10-13 Revised:2011-11-11 Online:2011-12-24 Published:2011-12-24
  • About author:Liu Zhen★, Master, Attending physician, Department of Rehabilitation Medicine, First People’s Hospital of Foshan, Foshan 528000, Guangdong Province, China lzym3798@163.com

PDF

415

被引次数

36

摘要：

背景：研究证实机器人治疗能促进慢性期和亚急性期脑卒中患者上肢功能的恢复，但是针对急性期患者的研究很少。
目的：观察机器人治疗急性期脑卒中患者上肢功能恢复的效果。
方法：30 例急性期脑卒中患者自愿选择治疗方式：常规治疗组按照成熟的常规康复治疗方案进行治疗，包括神经促进技术、神经肌肉电刺激、针刺等；机器人治疗组在常规康复治疗方案的基础上，进行上肢机器人治疗，该机器人具有可调节的上肢减重系统、智能反馈和三维空间训练系统，患者可以在计算机虚拟环境中完成单关节或多关节康复训练。
结果与结论：①两组治疗后Fugl-Meyer上肢功能评分与功能独立性评定量表评分均明显优于治疗前。②治疗后3周，两组间Fugl-Meyer上肢功能评分差异无显著性意义(P=0.075)；3个月时机器人治疗组Fugl-Meyer上肢功能评分明显高于常规治疗组(P < 0.01)。③治疗后3周、3个月，两组间功能独立性评定量表评分差异无显著性意义(P > 0.05)。④治疗后3周、3个月，机器人治疗组Fugl-Meyer上肢功能评分和功能独立性评定量表评分相对于治疗前的改变量大于常规治疗组(P < 0.05)。表明在常规治疗基础上，机器人治疗急性期脑卒中能获得更高的上肢运动功能，更好地改善运动和日常生活能力。

关键词: 机器人, 急性脑卒中, 上肢, 功能恢复, 数字化医学

Abstract:

BACKGROUND: Recently studies showed that robot-assisted therapy can improve recovery of upper-limb in subacute and chronic stroke patients, but the studies on robot-assisted therapy in acute stroke patients are few.
OBJECTIVE: To study the effects of robot-assisted therapy on upper-limb in acute stroke patients.
METHODS: A total of 30 acute stroke patients were divided into two groups according to the wish. The patients in conventional therapy group received a conventional rehabilitative program including usual facilitation techniques, neuromuscular electrical stimulation, acupuncture therapy and so on. The patients in robot-assisted therapy group received robot-assisted therapy on the basis of conventional rehabilitative program. This kind of robot consists of adaptive upper-limb weight support, intelligence feedback and three-dimension training systems. A single or multiple joint training can be carried out in the virtual reality environment.
RESULTS AND CONCLUSION: ①After treatment Fugl-Meyer Score of the upper extremity assessment (FMA) and the functional independence measure (FIM) were better than the scores before treatment both in the two groups significantly. ②At 3 weeks after treatment, there was no statistical difference in the FMA Scores in the two groups (P=0.075), but at 3 months the patients in robot-assisted therapy group gained better scores than conventional therapy group significantly (P < 0.01). ③The differences were not significant in the FIM Scores between the two groups both at 3 weeks or 3 months after treatment (P > 0.05). ④The changes of scores both on FMA and FIM compared with before treatment in robot-assisted therapy group were better than conventional therapy group statistically (P < 0.05). It could be concluded that robot-assisted therapy gained better motor function of upper limb in acute stroke patients on the basis of conventional therapy. Robot-assisted therapy also could change much more motor function and activities of daily living.

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