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目的探讨下肢机器人与核心稳定性训练方法联合对脑卒中患者的步行能力改善效果。方法 80例脑卒中偏瘫患者随机分为治疗组和对照组,每组40例。两组患者均给予常规康复干预及核心稳定性训练,治疗组在此基础上增加下肢机器人训练。治疗前、后采用简化Fugl-Meyer运动功能量表(FMA)评定下肢运动功能、Berg平衡量表(BBS)评定平衡功能、功能性步行分级(FAC)评定步行能力。结果治疗后两组FMA、FAC分级评分及BBS评分均明显优于治疗前(P<0.05),且治疗组上述指标分别为(28.68±2.71)、(3.62±0.41)、(39.41±2.62)分,均明显优于对照组的(16.12±2.16)、(2.76±1.13)、(23.62±3.14)分(P<0.05)。结论下肢机器人与核心稳定性训练联合对脑卒中偏瘫患者步行能力有较好的改善作用。
Objective To explore the effect of lower limb robot and core stability training method on walking ability of patients with stroke. Methods 80 stroke patients with hemiplegia were randomly divided into treatment group and control group, 40 cases in each group. Two groups of patients were given conventional rehabilitation intervention and core stability training, the treatment group based on the increase in lower limb robot training. The simplified Fugl-Meyer motor function scale (FMA) was used to evaluate the motor function of lower extremities before and after treatment. The balance function was assessed by Berg balance scale (BBS), and the walking ability was evaluated by functional walking grading (FAC). Results The scores of FMA, FAC and BBS in the two groups were significantly better than those before treatment (P <0.05), and the above indexes in the treatment group were (28.68 ± 2.71), (3.62 ± 0.41) and (39.41 ± 2.62) (16.12 ± 2.16), (2.76 ± 1.13) and (23.62 ± 3.14) points respectively (P <0.05) in the control group. Conclusions The combination of lower limb robot and core stability training can improve the walking ability of stroke patients with hemiplegia.