《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (4): 369-371.

• 论文 • 上一篇    下一篇

上肢康复机器人在脑卒中单侧空间忽略康复中的作用

梁天佳，吴小平，莫明玉   

  1. 广西医科大学第一附属医院康复医学科，广西南宁市 530021。
  • 收稿日期:2011-12-13 修回日期:1900-01-01 出版日期:2012-04-25 发布日期:2012-04-25

Effect of Upper Limb Rehabilitation Robot Training on Unilateral Spatial Neglect in Stroke Patients

LIANG Tian-jia, WU Xiao-ping, MO Ming-yu.   

  1. Department of Rehabilitation, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021,Guangxi, China
  • Received:2011-12-13 Revised:1900-01-01 Published:2012-04-25 Online:2012-04-25

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摘要： 目的观察上肢康复机器人对脑卒中偏瘫患者单侧空间忽略的治疗效果。方法脑卒中单侧空间忽略(USN)患者分为对照组(n=15)和观察组(n=15)，对照组在生命体征稳定后进行常规康复治疗及USN 综合训练，观察组在接受上述治疗同时进行上肢康复机器人训练，治疗前和治疗8 周后进行简式Fugl-Meyer 运动功能量表(FMA)、改良Barthel 指数(MBI)、USN评定。结果治疗后两组FMA、MBI、USN评定均有明显好转(P<0.01)，且观察组3 项指标均明显优于对照组(P<0.01)。结论上肢康复机器人训练可有效提高USN患者上肢运动功能及日常生活活动能力，改善USN程度。

关键词: 脑卒中, 单侧空间忽略, 上肢康复机器人

Abstract: Objective To observe the effect of upper limb rehabilitation robot training on unilateral spatial neglect (USN) in stroke patients.Methods 30 stroke patients with USN were divided into control group (n=15) and observation group (n=15). Both 2 groups receivedroutine rehabilitation and USN comprehensive training after vital signs were stable. The observation group received upper limb rehabilitationrobot training additionally. Fugl-Meyer Assessment (FMA), Modified Barthel Index (MBI) and USN were assessed before and 8 weeksafter treatment. Results The scores of FMA and MBI and USN status were significantly improved (P<0.01), and they were better in the observationgroup than in the control group (P<0.01). Conclusion Upper limb rehabilitation robot training can improve USN patients' upperlimb motor function and activities of daily living, and improve the degree of USN.

Key words: stroke, unilateral spatial neglect, upper limb rehabilitation robot