早期悬吊保护下智能助行训练对脑卒中后运动和行走功能的效果

doi:10.3969/j.issn.1006-9771.2024.04.008

Abstract

Abstract:

Objective To explore the effect of early intelligent assisted walking under suspension protection on lower limb motor function in stroke patients with hemiplegia.

Methods From October, 2020 to March, 2023, 42 early stroke inpatients with hemiplegia from Beijing Bo'ai Hospital were randomly divided into control group (n = 21) and experimental group (n = 21). Both groups received routine rehabilitation, and the control group received routine walking training under sky rail suspension protection, while the experimental group received walking training wearing an intelligent assistive walking device under suspension protection, for four weeks. They were assessed with Fugl-Meyer Assessment (FMA), FMA-Balance (FMA-B), and wireless sensing 3D gait analysis before and after treatment.

Results The scores of FMA and FMA-B of affected limb improved in both groups, as well as the stride frequency, stride speed, affected step length, support phase of the affected limb, maximum hip joint flexion angle and maximum knee joint flexion angle of the affected limb (|t| > 2.230, P < 0.05), and they were better in the experimental group than in the control group (|t| > 2.140, P < 0.05).

Conclusion Early intervention of intelligent assisted walking training under suspension protection can improve motor and balance function, as well as walking in stroke patients with hemiplegia.

Key words: stroke, hemiplegia, intelligent assisted walking training, gait, motor, lower limb, rehabilitation

CLC Number:

R743.3

ZHENG Jianling, LIU Huilin, ZHU Lin, GU Bin, YAN Ruxiu, ZHAO Qi, SONG Luping. Effect of early intelligent assisted walking under suspension protection on motor and walking function for stroke patients[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(4): 431-436.

Figures/Tables 9

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References 25

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组别	n	性别(男/女)/n	年龄/岁	偏瘫侧(左/右)/n	下肢Brunnstrom分期(Ⅱ/Ⅲ/Ⅳ)/n
对照组	21	14/7	51.10±11.50	10/11	8/8/5
试验组	21	15/6	47.60±12.37	10/11	6/11/4
t值			-1.088
P值		1.000^a	0.290	1.000^a	1.000^a

组别	n	训练前	训练后	t值	P值
对照组	20	25.95±14.72	33.30±16.10	-8.743	< 0.001
试验组	20	33.25±20.62	51.15±22.35	-7.862	< 0.001
训练前均值差		7.30±19.16		1.289	0.206
训练后均值差			17.85±18.94	4.347	< 0.001

组别	n	训练前	训练后	t值	P值
对照组	20	6.20±2.44	8.65±2.23	-9.561	< 0.001
试验组	20	6.00±2.18	10.15±1.66	-10.758	< 0.001
训练前均值差		-0.20±3.14		-0.274	0.786
训练后均值差			1.75±2.55	3.671	0.001

组别	n	训练前	训练后	t值	P值
对照组	20	55.70±17.97	60.70±19.03	-5.910	< 0.001
试验组	20	54.50±13.21	69.10±17.41	-5.277	< 0.001
训练前均值差		-1.35±19.38		-0.241	0.811
训练后均值差			9.06±26.03	3.318	0.002

组别	n	训练前	训练后	t值	P值
对照组	20	21.15±20.60	23.90±22.61	-2.230	0.038
试验组	20	20.75±11.80	31.60±18.55	-5.248	< 0.001
训练前均值差		-1.88±21.28		-0.075	0.940
训练后均值差			6.53±24.47	2.871	0.007

Effect of early intelligent assisted walking under suspension protection on motor and walking function for stroke patients

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组别	n	训练前	训练后	t值	P值
对照组	20	14.15±11.68	18.85±12.18	-6.202	< 0.001
试验组	20	17.10±8.05	24.80±9.58	-6.286	< 0.001
训练前均值差		2.35±13.14		0.930	0.359
训练后均值差			5.12±14.43	2.140	0.039

组别	n	训练前	训练后	t值	P值
对照组	20	73.55±7.17	71.25±5.79	2.869	0.010
试验组	20	74.00±7.00	66.60±5.49	5.162	< 0.001
训练前均值差		0.45±8.41		0.201	0.842
训练后均值差			-4.65±7.63	-2.605	0.013

组别	n	训练前	训练后	t值	P值
对照组	20	15.70±9.20	19.55±9.69	-3.807	0.001
试验组	20	17.45±10.09	26.55±7.58	-7.207	< 0.001
训练前均值差		1.75±11.58		0.573	0.570
训练后均值差			7.00±8.96	3.245	0.003

组别	n	训练前	训练后	t值	P值
对照组	20	22.80±14.65	26.55±14.44	-4.589	< 0.001
试验组	20	23.45±13.35	36.85±12.52	-36.734	< 0.001
训练前均值差		0.65±16.04		0.147	0.884
训练后均值差			10.30±17.84	4.878	< 0.001

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