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MOTOmed智能运动训练联合强化步行训练对脑卒中偏瘫患者步行、神经及下肢功能康复的临床疗效

Clinical Effects of MOTOmed Intelligent Exercise Training Combined with Intensive Walking Training on the Rehabilitation of Walking, Nerve and Lower Limb Functions among Patients with Hemiplegia after Stroke.

作者信息

Hu Yajing, Tian Jingjing, Wen Xiaoliang, Lu Can, Tian Ningning

机构信息

Yajing Hu, School of Nursing and Health, Hebei College of Science and Technology, Baoding 071000, Hebei, China.

Jingjing Tian, School of Nursing and Health, Hebei College of Science and Technology, Baoding 071000, Hebei, China.

出版信息

Pak J Med Sci. 2022 May-Jun;38(5):1222-1227. doi: 10.12669/pjms.38.5.5259.

Abstract

OBJECTIVES

To investigate the clinical effects of MOTOmed intelligent exercise training combined with intensive walking training on the rehabilitation of walking, nerve and lower limb functions among patients with hemiplegia after stroke.

METHODS

Randomized controlled trial was used in this study. Fifty-two patients with hemiplegia after stroke treated in 82nd Army Group Military Hospital from February 2017 to February 2018 were selected as the subjects and randomly divided into the control group and the observation group, each with 26 cases. The control group underwent intensive walking training, and the observation group underwent MOTOmed intelligent exercise training on the control group basis. Both groups' rehabilitation of walking function, nerve function and lower limb function were observed.

RESULTS

Both groups had significantly increased FAC score and 10-m maximum walking speed ( < 0.05), and the observation group had significantly higher results than those of the control group ( < 0.05); both groups had significantly higher FMA scores than before treatment ( < 0.05), and the observation group had significantly higher scores than those of the control group ( < 0.05); both groups after two months of treatment had significantly increased NGF, NT-3 and BDNF (<0.05), and the observation group had significantly higher levels than those of the control group (<0.05).

CONCLUSION

MOTOmed intelligent exercise training combined with intensive walking training can significantly improve the walking function, nerve function and lower limb function among patients with hemiplegia after stroke.

摘要

目的

探讨MOTOmed智能运动训练结合强化步行训练对脑卒中偏瘫患者步行、神经及下肢功能康复的临床效果。

方法

本研究采用随机对照试验。选取2017年2月至2018年2月在第82集团军医院治疗的52例脑卒中偏瘫患者作为研究对象,随机分为对照组和观察组,每组26例。对照组进行强化步行训练,观察组在对照组基础上进行MOTOmed智能运动训练。观察两组患者的步行功能、神经功能和下肢功能康复情况。

结果

两组患者的FAC评分和10米最大步行速度均显著提高(P<0.05),且观察组的结果显著高于对照组(P<0.05);两组患者的FMA评分均显著高于治疗前(P<0.05),且观察组的评分显著高于对照组(P<0.05);两组患者治疗两个月后NGF、NT-3和BDNF均显著升高(P<0.05),且观察组的水平显著高于对照组(P<0.05)。

结论

MOTOmed智能运动训练结合强化步行训练可显著改善脑卒中偏瘫患者的步行功能、神经功能和下肢功能。

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