机器人辅助训练改善脑卒中患者上肢功能障碍的系统评价

发布时间：2018-03-23 20:35

本文选题：机器人　切入点：脑卒中　出处：《中国老年学杂志》2015年09期

【摘要】：目的系统评价机器人辅助训练对脑卒中患者上肢功能障碍的康复效果。方法计算机检索国内外数据库中关于机器人辅助训练改善脑卒中患者上肢运动功能障碍的随机对照试验,同时检索已纳入文献的参考文献。研究人员对纳入文献进行严格评估及资料提取,采用RevMan 5.1软件进行Meta分析。结果共纳入23个随机对照试验。Meta分析显示:机器人辅助治疗4 w、4 w及随访3个月时的Fulg-Meyer运动功能量表上肢总的评分与对照组比较,总体差异有统计学意义〔WMD(95%CI)的值为6.86(3.25,10.46)〕;训练6 w,脑卒中患者的Fugl-Meyer运动功能量表上肢近端的评分与对照组比较,差异有统计学意义〔WMD(95%CI)的值为1.38(0.52,2.23)〕,上肢远端的评分与对照组比较,差异无统计学意义〔WMD(95%CI)的值为1.75(-2.63,6.14)〕。结论机器人辅助训练在一定程度上能改善脑卒中患者的上肢运动功能,尤其是肩肘关节的运动功能。
[Abstract]:Objective to evaluate the effect of robot-assisted training on the rehabilitation of upper limb dysfunction in stroke patients. At the same time, they searched the references that had been included in the literature. Meta analysis was carried out with RevMan 5.1 software. Results A total of 23 randomized controlled trials. Meta-analysis showed that the total upper limb score of Fulg-Meyer motor function scale was compared with that of the control group after 4 weeks of robot-assisted therapy and 3 months of follow-up. The total difference was statistically significant (6.86 卤3.25 卤10.46) and the scores of the upper extremity proximal end of Fugl-Meyer motor function scale of stroke patients were 1.38 卤0.522.233.The scores of upper extremity of stroke patients were higher than those of control group, and the scores of distal upper limbs were higher than that of the control group, and the scores of the distal end of the upper limbs were higher than those of the control group. The difference was not statistically significant (1.75 ~ 2.63). Conclusion Robot assisted training can improve the upper limb motor function of stroke patients, especially the shoulder and elbow joint motor function to a certain extent. [WT5HZ] [WT5 "BZ] [WT5BZ] [WT5BZ] [WT5BZ] [WT5BZ] [WT5HZ] [WT5BZ] [
【作者单位】：南京中医药大学第二临床医学院;江苏省人民医院钟山康复分院;
【基金】：十二五国家科技支撑计划资助项目(2012BAI10B00) 2012年江苏省“青蓝工程”资助项目南京中医药大学中医学一级学科开放课题(YS2012ZYX408) 江苏省高等院校大学生实践创新训练计划项目(No.201302)
【分类号】：R743.3

【参考文献】