《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (07): 676-679.

• 论文 • 上一篇    下一篇

步态训练机器人对不完全性脊髓损伤患者步态的影响

郭素梅，李建民，吴庆文， 沈海涛，刘广天
   

  1. 1.唐山工人医院，河北唐山市063000；2.河北联合大学附属医院，河北唐山市063000；3.河北联合大学护理与康复学院，河北唐山市063009。
  • 收稿日期:2012-10-15 修回日期:1900-01-01 出版日期:2013-07-25 发布日期:2013-07-25
  • 通讯作者: 吴庆文

Effect of Robot-assisted Walking Therapy on Gait of Patients with Incomplete Spinal Cord Injury

GUO Su-mei, LI Jian-min, WU Qing-wen, et al.   

  1. Tangshan Gongren Hospital, Tangshan 063000, Heibei, China
  • Received:2012-10-15 Revised:1900-01-01 Published:2013-07-25 Online:2013-07-25

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摘要： 目的探讨全自动步态机器人训练与评定系统在改善不完全性脊髓损伤患者步行功能方面的作用。方法不完全性脊髓损伤患者10 例采用Lokomat 系统行步态训练12 周。分别于训练前，训练后6 周、12 周记录患者下肢运动功能评分(LEMS)、步速、步长、双支撑期、单支撑期及对称指数(SI)、运动平板速度、运动平板步行距离、减重量。结果全部患者完成规定训练。LEMS、左下肢步长、右下肢步长、左下肢双支撑期、右下肢双支撑期、左下肢单支撑期、右下肢单支撑期及对称指数、运动平板速度、运动平板步行距离、地面步速、减重量，训练前、中、后比较均有非常高度显著性差异(P<0.001)。结论步态训练机器人有助于改善不完全性脊髓损伤患者的异常步态。

关键词: 不完全性脊髓损伤, 康复机器人, 步态, 康复

Abstract: Objective To investigate the effect of robot-assisted walking therapy on gait of patients with incomplete spinal cord injury.Methods 10 patients with incomplete spinal cord injury accepted robot-assisted walking therapy with Lokomat for 12 weeks. The Lower Extremity Motor Scores (LEMS), step lenth (left and right), double support (left and right), single support (left and right), Symmetry Index (SI), overground gait speed, treadmill training speed, treadmill training distance and the amount of body-weight unload were recorded before,6 weeks and 12 weeks after training. Results All the patients finished the training. There was significant difference in all the indices among those were before, 6 weeks and 12 weeks after training (P<0.001). Conclusion Robot-assisted walking therapy with Lokomat facilitates to improve gait in patients with incomplete spinal cord injury.

Key words: incomplete spinal cord injury, robot-assisted rehabilitation, gait, rehabilitation