中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (13): 2324-2327.doi: 10.3969/j.issn.1673-8225.2012.13.010

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

Lokomat全自动机器人步态训练与评定系统对不完全性脊髓损伤患者步行功能的影响★

郭素梅1，李建民1，吴庆文2，沈海涛2   

  1. 1河北联合大学附属医院，河北省唐山市  063000；  2河北联合大学康复护理学院，河北省唐山市 063000
  • 收稿日期:2011-10-18 修回日期:2012-01-09 出版日期:2012-03-25 发布日期:2012-03-25
  • 通讯作者: 李建民，博士，教授，河北联合大学附属医院，河北省唐山市 063000 lijianmints@sina.com 并列通讯作者：吴庆文，博士，教授，河北联合大学康复护理学院，河北省唐山市063000 wxywqw@163.com
  • 作者简介:郭素梅★，女，1973年生， 河北省唐山市人，汉族，2011年河北联合大学毕业，硕士，主管护师，主要从事骨科康复方面的研究。zxmqaz@126.com

Effect of gait training and assessment system of Lokomat automatic robot on walking ability of  patients with incomplete spinal cord injury

Guo Su-mei1, Li Jian-min1, Wu Qing-wen2, Shen Hai-tao2   

  1. 1Affiliated Hospital of Hebei Union University, Tangshan  063000, Hebei Province, China; 2College of Rehabilitation and Nursing, Hebei Union University, Tangshan  063000, Hebei Province, China
  • Received:2011-10-18 Revised:2012-01-09 Online:2012-03-25 Published:2012-03-25
  • Contact: author: Li Jian-min, Doctor, Professor, Affiliated Hospital of Hebei Union University, Tangshan 063000, Hebei Province, China lijianmints@sina.com Corresponding author: Wu Qing-wen, Doctor, Professor, College of Rehabilitation and Nursing, Hebei Union University, Tangshan 063000, Hebei Province, Chinawxywqw@163.com
  • About author:Guo Su-mei★, Master, Nurse-in-charge, Affiliated Hospital of Hebei Union University, Tangshan 063000, Hebei Province, China zxmqaz@126.com

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摘要：

背景：机器人设备能够在精确控制的环境下为患者提供安全可重复性的高强度较长时间的步态训练，其在康复领域的应用有其明显的优势。
目的：探讨Lokomat-全自动机器人步态训练与评定系统在改善不完全性脊髓损伤患者步行功能方面的作用。
方法：2名男性不完全性脊髓损伤患者参加Lokomat步态训练5.5个月，于训练前、训练后6，12周及训练5.5个月后对患者进行下肢运动功能评分(Lower Extremity Motor Scores, LEMS)、10 m最快步速、6 min步行耐力及Berg平衡量表测试。
结果与结论：两名患者经过Lokomat自动步态训练，虽然LEMS分数无明显提高，但其10 m最快步速、6 min步行耐力、Berg平衡量表评分均较训练前改善。这说明机器人自动步态训练能够有助于改善不完全性脊髓损伤患者的步行能力。
关键词：机器人；Lokomat自动步态训练；脊髓损伤；步态；康复；运功
doi:10.3969/j.issn.1673-8225.2012.13.010

关键词: 机器人, Lokomat自动步态训练, 脊髓损伤, 步态, 康复, 运功

Abstract:

BACKGROUND: Robotic devices can provide safe, repetitive, high-intensity and long time gait training for patients under precisely control. Application of robotic devices in the field of rehabilitation has obvious advantages.
OBJECTIVE: To investigate the role of Lokomat-system in recovery of walking ability in people with incomplete spinal cord injury.
METHODS: Two male patients with motor-incomplete spinal cord injury were selected to join in Lokomat gait training for 5.5 months. Lower extremity motor scores, 10-meter walk test, the 6-minute walk test, the Berg test were assessed prior to, at 6, 12 weeks and 5.5 months after training.
RESULTS AND CONCLUSION: After finishing automatic gait training with Lokomat, although lower extremity motor scores was not improved apparently, the 10-meter walk test, the 6-minute and Berg test of the two patients were improved as compared with the pretraining. Automatic gait training with Lokomat is helpful to improve walking ability of patients with incomplete spinal cord injury.

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