目的:观察下肢康复机器人辅助步态训练与常规物理治疗对脑卒中患者偏瘫侧膝关节本体感觉影响的差异性。方法:选取脑卒中恢复期偏瘫患者29例,按随机数字表法随机分为下肢康复机器人治疗组(15例)和对照组(14例)。对照组接受常规物理治疗,治疗组在常规物理治疗的基础上增加下肢康复机器人训练。两组患者均于治疗前及治疗3周后应用被动定位被动复位(passive reproduction of passive positioning protocol,PRPP)、运动变化阈值(threshold to detect passive motion,TDPM)的方法测量偏瘫侧膝关节本体感觉位置觉、运动觉,以及站立位前伸试验(standing forward reach test,SFRT)、躯干平衡量表测试(trunk impairment Scale,TIS),并比较。结果:两组患者经不同治疗后,发现机器人治疗组偏瘫侧膝关节45°目标PRPP(7.5±1.08)°、15°目标PRPP(14.9±2.71)°,伸膝TDPM(5.4±1.98)°、屈膝TDPM(4.3±1.25)°,SFRT(11.1±1.72)cm,TIS动态坐...
【英文摘要】
Objective: To compare the effects of robot-assisted gait training and conventional physical therapy on proprioception of the affected knee after stroke.Method:Twenty-nine participants with hemiparetic stroke within 1 month after onset were recruited and allocated to either the robot-assisted gait training group(n=15) or conventional physical therapy group(n=14). The robot-assisted gait training group received 30 minutes of robot-assisted gait training and 30 minutes of conventional physical therapy each day...
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