Graduate School of Physical Therapy, Sahmyook University, Seoul 01795, Republic of Korea.
Department of Physical Therapy, Sahmyook University, Seoul 01795, Republic of Korea.
Medicina (Kaunas). 2024 May 15;60(5):811. doi: 10.3390/medicina60050811.
Stroke often results in sensory deficits, muscular weakness, and diminished postural control, thereby restricting mobility and functional capabilities. It is important to promote neuroplasticity by implementing task-oriented exercises that induce changes in patients. Therefore, this study aimed to investigate the effects of rehabilitation robot training on physical function, functional recovery, and activities of daily living (ADLs) in patients with subacute stroke. The study participants were patients with subacute stroke receiving treatment at Hospitals A and B. They were selected as research subjects based on selection and exclusion criteria. The experimental group received rehabilitation robot training in sessions of 30 min, five times weekly, for a total of 20 sessions over four weeks. Conversely, the control group underwent standard rehabilitation equipment training with an identical frequency, duration, and number of sessions. Measurements were taken before and after the training period to assess changes in physical function, functional recovery, and activities of daily living using tools such as the MMT, BBS, FBG, FAC, FIM, and MBI. The results were as follows: in the within-group comparison, the rehabilitation robot training group showed significant differences in MMT, BBS, FBG, FAC, FIM, and MBI ( < 0.05), while the control group showed significant differences in FIM ( < 0.05). Statistically significant differences were observed in the time, group, and time × group interaction effects among the MMT, static seated FBG, dynamic seated FBG, FIM, and MBI ( < 0.05). Based on these results, rehabilitation robotic training resulted in significant improvements in physical function, functional recovery, and activities of daily living in patients with subacute stroke. Based on these findings, providing a basic protocol for a rehabilitation program that applies rehabilitation robot training to patients with subacute stroke may offer more effective treatment and outcomes in the future.
脑卒中常导致感觉缺失、肌肉无力和姿势控制能力下降，从而限制了患者的活动能力和功能能力。通过实施任务导向的练习来促进神经可塑性是很重要的，这些练习可以使患者产生变化。因此，本研究旨在探讨康复机器人训练对亚急性脑卒中患者的身体功能、功能恢复和日常生活活动（ADL）的影响。
研究对象为在医院 A 和 B 接受治疗的亚急性脑卒中患者。他们根据选择和排除标准被选为研究对象。实验组接受 30 分钟/次，每周 5 次，共 4 周 20 次的康复机器人训练。相反，对照组接受相同频率、时长和次数的标准康复设备训练。在训练前后进行测量，使用 MMT、BBS、FBG、FAC、FIM 和 MBI 等工具评估身体功能、功能恢复和日常生活活动的变化。
在组内比较中，康复机器人训练组的 MMT、BBS、FBG、FAC、FIM 和 MBI 均有显著差异（<0.05），而对照组仅 FIM 有显著差异（<0.05）。MMT、静态坐姿 FBG、动态坐姿 FBG、FIM 和 MBI 的时间、组间和时间×组间交互效应均有统计学意义（<0.05）。
综上所述，康复机器人训练可显著改善亚急性脑卒中患者的身体功能、功能恢复和日常生活活动。基于这些发现，为亚急性脑卒中患者提供应用康复机器人训练的康复方案基本方案，可能为未来提供更有效的治疗和结果。
