智能电刺激运动机器人在胸腰段不完全性脊髓损伤患者中的应用效果

发布时间：2018-08-22 09:40

【摘要】：目的探讨智能电刺激运动机器人在胸腰段不完全性脊髓损伤(SCI)患者中的应用效果。方法选取胸腰段不完全性SCI患者40例,将其随机分为治疗组及对照组,两组均给予常规康复治疗,治疗组同时辅以智能电刺激运动机器人训练,对照组分别在不同时间辅以功能电刺激和四肢联动自行车训练。于治疗前、治疗8周后采用Fugl-Meyer量表(FMA评分)、改良Barthel指数(MBI评分)、徒手肌力检查对两组下肢运动功能、日常生活活动能力(ADL)、下肢肌力进行评定。结果治疗8周后,两组FMA评分均升高,以治疗组为著(P均0.05);两组MBI评分均升高(P均0.01),两组间比较,P0.05。治疗后两组下肢肌力均较治疗前提高(P均0.05),治疗组下肢近端肌力高于对照组(P均0.05)。结论智能电刺激运动机器人能改善胸腰段不完全性SCI患者下肢运动功能及肌力;并提高日常生活活动能力。
[Abstract]:Objective to investigate the effect of intelligent electrical stimulation robot in (SCI) patients with thoracolumbar incomplete spinal cord injury. Methods 40 patients with incomplete thoracolumbar SCI were randomly divided into treatment group and control group. The control group was treated with functional electrical stimulation and limb combined bicycle training at different time. Before and after 8 weeks of treatment, Fugl-Meyer scale (FMA score), modified Barthel index (MBI score) and unarmed muscle strength test were used to evaluate the lower extremity motor function and ADL of the two groups. Results after 8 weeks of treatment, the FMA scores in both groups were increased, especially in the treatment group (P 0.05), and the MBI scores in the two groups were all increased (P 0.01), compared with those in the two groups (P 0.05). After treatment, the muscle strength of lower extremity in both groups was higher than that before treatment (P 0.05), and the proximal muscle strength of lower extremity in treatment group was higher than that in control group (P 0.05). Conclusion Intelligent electrical stimulation robot can improve the lower limb motor function and muscle strength of patients with incomplete thoracolumbar SCI and improve their daily life activities.
【作者单位】：重庆医科大学附属四川省康复医院·四川省八一康复中心;遂宁市中心医院;
【基金】：四川省卫生厅科研基金资助项目(130494)
【分类号】：R651.2

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