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短期上肢机器人辅助治疗对亚急性期脑卒中患者康复的影响。

Effects of short-term upper limb robot-assisted therapy on the rehabilitation of sub-acute stroke patients.

出版信息

Technol Health Care. 2021;29(2):295-303. doi: 10.3233/THC-202127.

Abstract

BACKGROUND

Robot-assisted therapy (RT) has become a promising stroke rehabilitation intervention.

OBJECTIVE

To examine the effects of short-term upper limb RT on the rehabilitation of sub-acute stroke patients.

METHODS

Subjects were randomly assigned to the RT group (n= 23) or conventional rehabilitation (CR) group (n= 22). All subjects received conventional rehabilitation therapy for 30 minutes twice a day, for 2 weeks. In addition, the RT group received RT for 30 minutes twice a day, for 2 weeks. The outcomes before treatment (T0) and at 2 weeks (T1) and 1 month follow-up (T2) were evaluated in the patients using the upper limb motor function test of the Fugl-Meyer assessment (FMA) the Motricity Index (MI), the Modified Ashworth Scale (MAS), the Functional Independence Measure (FIM), and the Barthel Index (BI).

RESULTS

There were significant improvements in motor function scales (P< 0.001 for FMA and MI) and activities of daily living (P< 0.001 for FIM and BI) but without muscle tone (MAS, P> 0.05) in the RT and CR groups. Compared to the CR group, the RT group showed improvements in motor function and activities of daily living (P< 0.05 for FMA, MI, FIM, BI) at T1 and T2. There was no significant difference between the two groups in muscle tone (MAS, P> 0.05).

CONCLUSIONS

RT may be a useful tool for sub-acute stroke patients' rehabilitation.

摘要

背景

机器人辅助治疗(RT)已成为一种有前途的中风康复干预手段。

目的

检验短期上肢 RT 对亚急性期中风患者康复的影响。

方法

将受试者随机分为 RT 组(n=23)或常规康复(CR)组(n=22)。所有受试者均接受常规康复治疗,每天两次,每次 30 分钟,持续 2 周。此外,RT 组还接受每天两次、每次 30 分钟的 RT,持续 2 周。在治疗前(T0)、2 周(T1)和 1 个月随访(T2)时,采用 Fugl-Meyer 上肢运动功能评估(FMA)、运动指数(MI)、改良 Ashworth 量表(MAS)、功能独立性测量(FIM)和 Barthel 指数(BI)评估患者的结果。

结果

RT 组和 CR 组的运动功能评分(FMA 和 MI,P<0.001)和日常生活活动能力(FIM 和 BI,P<0.001)均显著改善,但肌肉张力(MAS,P>0.05)无改善。与 CR 组相比,RT 组在 T1 和 T2 时运动功能和日常生活活动能力均有改善(FMA、MI、FIM、BI,P<0.05)。两组间肌肉张力(MAS,P>0.05)无显著差异。

结论

RT 可能是亚急性期中风患者康复的有用工具。

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