摘要
目的观察上肢康复机器人辅助训练联合镜像疗法对脑卒中单侧空间忽略(unilateral spatial neglect,USN)的治疗效果。方法选取2017年1月-2018年12月南通大学第二附属医院康复医学科收治的脑卒中USN患者40例,将其随机分成试验组和对照组,每组20例。试验组采用上肢康复机器人辅助训练联合镜像疗法及USN综合康复治疗,对照组患者只进行USN综合康复治疗,持续治疗4周。治疗前和治疗4周后采用改良Barthel指数(modified Barthel index,MBI)评估日常生活活动能力,Fugl-Meyer量表(Fugl-Meyer assessment,FMA)评估运动功能,凯瑟琳-波哥量表评估USN程度。结果两组患者的一般资料差异无统计学意义(P>0.05)。两组患者治疗前MBI、FMA及USN程度评分比较,差异无统计学意义(P>0.05)。治疗4周后,两组患者MBI、FMA及USN程度评分均较治疗前有改善(P<0.05)。试验组患者MBI、FMA及USN程度评分的改善程度均优于对照组,治疗前后差值分别为试验组(14.75±1.97)、(17.05±3.93)和(5.25±2.29)分,对照组(9.75±4.44)、(8.30±2.06)和(3.10±0.72)分,差异均有统计学意义(P<0.05)。结论上肢康复机器人辅助训练联合镜像疗法可有效改善USN患者的空间忽略程度,提高日常生活能力和运动功能。
Objective To observe the effects of upper limb rehabilitation robot-assisted training combined with mirror therapy on unilateral spatial neglect(USN)in stroke patients.Methods A total of 40 patients with USN admitted to the Department of Rehabilitation Medicine of the Second Affiliated Hospital of Nantong University from January 2017 to December 2018 were selected and randomly divided into the trial group and the control group,with 20 cases in each group.The trial group used upper limb rehabilitation robot-assisted training combined with mirror therapy and USN comprehensive rehabilitation treatment.The control group patients only received USN comprehensive rehabilitation treatment.All patients continued treatment for 4 weeks.Before treatment and after 4 weeks of treatment,the modified Barthel index(MBI)was used to assess the activities of daily living,the Fugl-Meyer assessment(FMA)was used to assess motor function,and the Catherine-Bergego scale was used to assess the degree of USN.Results There was no statistically significant difference in general information between the two groups of patients(P>0.05).There was no significant difference in MBI,FMA or USN degree scores between the two groups before treatment(P>0.05).After 4 weeks of treatment,the MBI,FMA and USN degree scores of the two groups were improved compared with those before treatment(P<0.05).The improvements in MBI,FMA and USN degree scores of the trial group were 14.75±1.97,17.05±3.93 and 5.25±2.29,respectively,and those of the control group were 9.75±4.44,8.30±2.06 and 3.10±0.72,respectively,and the differences were statistically significant(P<0.05).Conclusions Upper limb rehabilitation robot-assisted training combined with mirror therapy can effectively improve the spatial neglect of USN patients,and improve the ability of daily living and motor functions.
作者
王梁
朱冬燕
徐倩
韩珍真
周三连
黄志东
WANG Liang;ZHU Dongyan;XU Qian;HAN Zhenzhen;ZHOU Sanlian;HUANG Zhidong(Department of Rehabilitation Medicine,the Second Affiliated Hospital of Nantong University,Nantong,Jiangsu 226001,P.R.China)
出处
《华西医学》
CAS
2021年第4期471-475,共5页
West China Medical Journal
基金
南通市科技计划项目(MS12018064)。
关键词
上肢康复机器人辅助训练
镜像疗法
单侧空间忽略
Upper limb rehabilitation robot-assisted training
Mirror therapy
Unilateral spatial neglect
作者简介
通信作者:黄志东,Email:winterhzd@163.com。
