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胡彩虹,李小军,刘莹莹.运用三维步态分析评价下肢机器人训练对偏瘫患者步行能力的影响[J].浙江中西医结合杂志,2021,31(6):
运用三维步态分析评价下肢机器人训练对偏瘫患者步行能力的影响
Evaluation of the effect of lower limb robot training on walking ability of hemiplegic patients using three-dimensional gait analysis
投稿时间:2020-07-06  修订日期:2020-12-13
DOI:
中文关键词:  下肢机器人  本体感觉训练  偏瘫  步态时空参数  步态时相参数  下肢关节最大活动角度  地面反作用力峰值
英文关键词:Lower limb robot  Proprioception training  Hemiplegia  Gait spatiotemporal parameters  Gait phase parameters  Maximum movement angle of lower limb joints  Peak ground reaction force
基金项目:台州市科技计划项目, 编号:XM20190385
作者单位E-mail
胡彩虹 :浙江省台州医院 ghjh5699@163.com 
李小军 :浙江省台州医院中医科  
刘莹莹 :浙江省台州医院中医科  
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中文摘要:
      目的 以三维步态分析系统评价下肢机器人训练对偏瘫患者步行能力的改善作用。方法 本研究选择的脑卒中后偏瘫病患来源,为2017年10月至2018年8月期间在我院康复医学科住院患者。本实验受试者共有106例,以随机数字表法分成两组:观察组53例(下肢机器人结合膝关节本体感觉训练)以及对照组53例(膝关节本体感觉训练)。比较两组患者入院时和干预8周后的步态时空参数、步态时相参数、下肢关节最大活动角度与地面反作用力峰值。结果 干预后,观察组患者步速、跨步长、步频大于对照组,步宽小于对照组,差异显著(均P<0.05);观察组患者患侧站立相百分比大于对照组,健侧与患侧站立相比值、双站立相百分比小于对照组,差异显著(均P<0.05);观察组患者患侧髋关节屈曲伸展活动度、患侧膝关节屈曲伸展活动度、患侧垂直地面反作用力峰值占体重百分比、患侧向前地面反作用力峰值占体重百分比大于对照组,差异显著(P<0.05)。结论 针对站姿不平衡、行走动作不协调的脑卒中偏瘫患者除了进行一般的本体感觉训练之外,应该再配合下肢机器人的积极介入治疗,以期能够达到更有效提升患者的肢体活动功能的康复效果。
英文摘要:
      Objective To evaluate the effect of lower limb robot training on walking ability of hemiplegic patients with a three-dimensional gait analysis system. Methods The source of post-stroke hemiplegic patients selected in this study was inpatients in the Department of Rehabilitation Medicine of our hospital from October 2017 to August 2018. A total of 106 subjects in this experiment were randomly divided into two groups: 53 cases in the observation group (lower limb robot combined with knee proprioception training) and 53 cases in the control group (knee proprioception training). The gait spatiotemporal parameters, gait time phase parameters, maximum movement angle of lower extremity joints and peak ground reaction force were compared between the two groups of patients before and after 8 weeks of treatment. Results After treatment, the pace, stride length, and stride frequency of the observation group were greater than the control group, and the step width was smaller than the control group, the difference was statistically significant (both P<0.05); the percentage of the standing side of the observation group was greater than that of the control group, The comparison between the healthy side and the affected side and the percentage of the double-stand phase were less than that of the control group, the difference was statistically significant (both P<0.05); the observation group patients had hip flexion and extension mobility, affected knee flexion and extension mobility, The peak value of vertical reaction force on the affected side as a percentage of body weight, and the peak value of forward reaction force on the affected side as a percentage of body weight were greater than those of the control group (P<0.05). Conclusion In addition to general proprioception training for stroke hemiplegia patients with unbalanced standing posture and uncoordinated walking movements, they should cooperate with active intervention therapy of lower extremity robots in order to achieve a more effective rehabilitation effect of improving patients" physical activity functions .
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