摘要
目的观察基于运动想象的手部机器人辅助训练对脑卒中患者手功能及上肢运动功能的影响。方法 2016年11月至2018年5月,脑卒中后手功能障碍患者55例,随机分为对照组(n=25)和观察组(n=30),对照组采用常规手功能活动,观察组采用手部机器人辅助训练,共4周。于治疗前(t0)、治疗1周(t1)、治疗后即刻(t2)、治疗后2个月(t3)采用简式Fugl-Meyer评定量表上肢部分(FMA-UE)、Wolf上肢运动功能评价量表(WMFT)和改良Barthel指数(MBI)进行评定。结果 t1时,观察组WMFT评分较t0改善(P <0.05),两组间无显著性差异(Z=-0.901, P> 0.05)。t2、t3时,两组FMA-UE评分、MBI评分和WMFT评分均较t0时改善(P <0.05),观察组FMA-UE评分和MBI评分优于对照组(Z>-2.073, t> 2.034, P <0.05)。结论基于运动想象的手部机器人辅助训练比常规手训练更有效。
Objective To investigate the effect of hand robot-assisted training based on motor imagery on upper limb function of stroke patients.Methods From November,2016 to May,2018,55 hemiplegic patients with upper limb dysfunction were randomly assigned to control group(n=25)and experimental group(n=30).The control group received routine hand motor training,while the experimental group received hand robot-assisted training,for four weeks.They were assessed with simplified Fugl-Meyer Assessment-Upper Extremity(FMA-UE),Wolf Motor Function Test(WMFT)and Modified Barthel Index(MBI)before treatment(t0),one week of treatment(t1),immediately after treatment(t2)and 2 months after treatment(t3).Results The score of WMFT improved in the experimental group at t1(P<0.05),with no significant difference between groups(Z=-0.901,P >0.05).The scores of FMA,WMFT and MBI improved in both groups at t2 and t3(P<0.05),and the scores of FMA and MBI improved more in the experimental group than in the control group(Z >-2.073,t >2.034,P<0.05).Conclusion Hand robot-assisted training based on motor imagery can promote recovery of upper limb function in stroke patients more effective than routine hand function training.
作者
侯莹
高琳
陈苗苗
张茹椒
王庆娟
HOU Ying;GAO Lin;CHEN Miao-miao;ZHANG Ru-jiao;WANG Qing-juan(Department of Rehabilitation Medicine,Xinghai Hosiptal of Suzhou Industrial Park,Suzhou,Jiangsu 215021,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2019年第1期81-85,共5页
Chinese Journal of Rehabilitation Theory and Practice
基金
苏州市科研项目(No.SYS201510)~~
关键词
脑卒中
上肢功能
运动想象
手部机器人
机器人辅助训练
康复
stroke
upper limb function
motor imagery
hand robot
robot-assisted training
rehabilitation
