振动触觉感觉统合训练在偏瘫治疗中的有效性验证

发布时间：2018-04-16 07:20

本文选题：感觉统合训练 + 振动触觉　；参考：《中国康复医学杂志》2017年08期

【摘要】：目的:对脑损伤偏瘫患者下肢进行运动训练,并用振动触觉提示方法,验证感觉统合训练对偏瘫患者的有效性。方法:将研制的康复训练平台应用到偏瘫患者的临床实验中,结合振动触觉反馈方式进行训练,以健侧肢体作为康复标准,对患者进行振动触觉提示。训练前后对患者患侧下肢进行Brunnstrom分期。利用角度传感器测量患者下肢的运动,并在频域上进行处理分析,计算出一种康复指标,同训练后的Brunnstrom分期结果进行对比。结果:患肢膝关节在健侧提示下的运动频率,相对于患侧振动提示下的更高,患者在健侧振动提示下更能准确地完成运动;健侧振动提示时,患肢的运动频率仍低于理论值,无法非常准确地与感觉刺激提示相配合完成运动;Brunnstrom分期评价与计算出的康复指标有很强的相关性。结论:健侧的感觉功能较为正常,而患肢感觉及运动功能存在障碍;振动触觉提示方案的康复指标能有效描述患者的运动和感觉功能恢复情况,振动触觉与运动统合训练对偏瘫患者下肢康复有一定效果。
[Abstract]:Objective: to evaluate the effectiveness of sensory integration training in hemiplegia patients with cerebral injury by motor training and vibration tactile cues.Methods: the developed rehabilitation training platform was applied to the clinical experiment of hemiplegic patients, and the vibration tactile feedback was used to train the patients. The healthy limbs were used as the rehabilitation standard, and the patients were given vibration tactile cues.Brunnstrom staging was performed on the affected lower extremities before and after training.The movement of lower extremity was measured by angle sensor and analyzed in frequency domain. A rehabilitation index was calculated and compared with the results of Brunnstrom staging after training.Results: the motion frequency of the knee joint under the healthy side was higher than that under the vibration of the affected side, the patient could complete the movement more accurately under the healthy side vibration, and the motion frequency of the affected limb was still lower than the theoretical value when the healthy side vibration indicated.There is a strong correlation between Brunnstrom stage evaluation and the calculated rehabilitation index.Conclusion: the sensory function of the healthy side is normal, but the sensory and motor function of the affected limb is impaired, and the rehabilitation index of the vibratory tactile hint scheme can effectively describe the recovery of the patients' motor and sensory function.Vibration tactile and motor integration training has certain effect on lower limb rehabilitation of hemiplegic patients.
【作者单位】：清华大学摩擦学国家重点实验室智能与生物机械分室;中国航天员科研训练中心人因工程重点实验室;烟台市烟台山医院康复医学科;
【分类号】：R493;R743.3

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