机器人辅助步态训练对亚急性脑卒中患者运动和行走功能的影响：一项随机对照研究。

Effect of Robot Assisted Gait Training on Motor and Walking Function in Patients with Subacute Stroke: A Random Controlled Study.

机构信息

Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, China.

出版信息

J Stroke Cerebrovasc Dis. 2021 Jul;30(7):105807. doi: 10.1016/j.jstrokecerebrovasdis.2021.105807. Epub 2021 Apr 22.

DOI:10.1016/j.jstrokecerebrovasdis.2021.105807

PMID:33895428

Abstract

BACKGROUND

Robot-assisted gait training has been confirmed to have beneficial effect on the rehabilitation of stroke patients. An exoskeleton robot, named BEAR-H1, is designed to help stroke patients with walking disabilities.

METHODS

17 subjects in experimental group and 15 subjects in control group completed the study. The experimental group received 30 minutes of BEAR-H1 assisted gait training(BAGT), and the control group received 30 minutes of conventional training, 5 times/week for 4weeks. All subjects were evaluated with 6-minute walk test (6MWT), Fugl-Meyer Assessment for lower extremity (FMA-LE), Functional Ambulatory Classification (FAC), Modified Ashworth Scale (MAS), and gait analysis at baseline and after 4 weeks intervention.

RESULTS

The improvements of 6MWT, FMA-LE, gait speed, cadence, step length and cycle duration in BAGT group were more noticeable than in the control group. However, there was no difference in the assessment of MAS between two groups.

CONCLUSIONS

Our results showed that BAGT is an effective intervention to improve the motor and walking ability during 4 weeks training for subacute stroke patients.

摘要

背景

机器人辅助步态训练已被证实对脑卒中患者的康复具有有益的效果。一种名为 BEAR-H1 的外骨骼机器人被设计用来帮助有步行障碍的脑卒中患者。

方法

实验组 17 名受试者和对照组 15 名受试者完成了这项研究。实验组接受 30 分钟 BEAR-H1 辅助步态训练（BAGT），对照组接受 30 分钟常规训练，每周 5 次，共 4 周。所有受试者在基线和干预 4 周后均进行 6 分钟步行测试（6MWT）、下肢 Fugl-Meyer 评估（FMA-LE）、功能性步行分类（FAC）、改良 Ashworth 量表（MAS）和步态分析评估。