运用三维步态分析评价下肢机器人对偏瘫患者步行能力的影响
发布时间：2019-01-03 07:41
【摘要】：目的 偏瘫步态是脑卒中患者的最大后遗症之一,严重影响了患者的康复治疗效果和生活自理能力。步行能力的康复是临床上研究的重点和热点,现在临床应用的下肢机器人训练相比传统步行训练是否效果更佳,两种方法在效果上优劣能否量化评估,本研究创新性的使用三维步态分析这一先进、客观的评估工具,从多个不同步态参数多角度探讨下肢机器人对偏瘫患者步行能力的影响方法将60例符合要求的偏瘫病人分为实验组和对照组,两组各30人,60人都进行传统康复的药物治疗和物理治疗,此外实验组采用下肢机器人进行步行训练,对照组按照传统步行训练方法。两种训练时长都为每次30分钟,每周训练5天,4周为1个疗程,共训练2个疗程、疗程问歇3天。在治疗前和训练8周后,使用三维步态分析评估分析两组的时间参数、时相参数、关节角度、地反力大小。结果偏瘫患者在使用下肢机器人训练之后,步速、步频、跨步长显著提高,步宽显著缩小；患侧下肢摆动相百分比增加,患侧支撑相百分比、健侧与患侧支撑相比值、双支撑相百分比减小；髋关节和膝关节的最大活动角度增大,垂直和向前两项地反力峰值增大。而且与对照组相比,变化有显著性(P0.05)结论对偏瘫患者来说,相比传统步行训练,下肢机器人训练可以更有效地改善偏瘫患者的步行能力。
[Abstract]:Objective Hemiplegic gait is one of the biggest sequelae of stroke patients, which seriously affects the rehabilitation effect and self-care ability of patients. The rehabilitation of walking ability is the focus and focus of clinical research. Whether the clinical training of lower limb robot is more effective than traditional walking training, can the two methods be evaluated quantitatively. The innovative use of three-dimensional gait analysis as an advanced, objective evaluation tool, The influence of lower limb robot on walking ability of patients with hemiplegia from different gait parameters 60 patients with hemiplegia were divided into two groups: experimental group and control group. 60 patients were treated with traditional rehabilitation medicine and physical therapy. In addition, the experimental group was trained by lower limb robot, while the control group was trained by traditional walking training method. The duration of each training was 30 minutes, 5 days a week, 4 weeks as a course of treatment, a total of 2 courses of training, the course of three days of rest. Three dimensional gait analysis was used to evaluate and analyze the time parameters, phase parameters, joint angle and ground reaction force of the two groups before treatment and 8 weeks after training. Results after using lower limb robot training, the speed, frequency and stride length of the hemiplegic patients were significantly increased, and the width of the step was significantly reduced. The percentage of swinging phase of the affected lower extremity increased, the percentage of the support phase of the affected side increased, the percentage of the double bracing phase of the healthy side decreased compared with the value of the affected side support, and the maximum motion angle of the hip joint and the knee joint increased, and the peak value of the vertical and forward ground reaction increased. And compared with the control group the change was significant (P0.05) conclusion compared with the traditional walking training lower limb robot training can improve the walking ability of hemiplegic patients more effectively.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R743.3
本文编号：2399075
[Abstract]:Objective Hemiplegic gait is one of the biggest sequelae of stroke patients, which seriously affects the rehabilitation effect and self-care ability of patients. The rehabilitation of walking ability is the focus and focus of clinical research. Whether the clinical training of lower limb robot is more effective than traditional walking training, can the two methods be evaluated quantitatively. The innovative use of three-dimensional gait analysis as an advanced, objective evaluation tool, The influence of lower limb robot on walking ability of patients with hemiplegia from different gait parameters 60 patients with hemiplegia were divided into two groups: experimental group and control group. 60 patients were treated with traditional rehabilitation medicine and physical therapy. In addition, the experimental group was trained by lower limb robot, while the control group was trained by traditional walking training method. The duration of each training was 30 minutes, 5 days a week, 4 weeks as a course of treatment, a total of 2 courses of training, the course of three days of rest. Three dimensional gait analysis was used to evaluate and analyze the time parameters, phase parameters, joint angle and ground reaction force of the two groups before treatment and 8 weeks after training. Results after using lower limb robot training, the speed, frequency and stride length of the hemiplegic patients were significantly increased, and the width of the step was significantly reduced. The percentage of swinging phase of the affected lower extremity increased, the percentage of the support phase of the affected side increased, the percentage of the double bracing phase of the healthy side decreased compared with the value of the affected side support, and the maximum motion angle of the hip joint and the knee joint increased, and the peak value of the vertical and forward ground reaction increased. And compared with the control group the change was significant (P0.05) conclusion compared with the traditional walking training lower limb robot training can improve the walking ability of hemiplegic patients more effectively.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R743.3
【参考文献】
相关期刊论文 前2条
1 赵雅宁;郝正玮;李建民;陈长香;张晓伟;刘晨;;下肢康复机器人训练对缺血性脑卒中早期偏瘫患者步行能力的影响[J];实用医学杂志;2013年05期
2 潘钰;郄淑燕;;下肢康复机器人及其在脊髓损伤康复中应用的研究进展[J];中国脊柱脊髓杂志;2013年11期
，本文编号：2399075
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