Effect of respiratory function training combined with lower limb rehabilitation robot on lower limb function of stroke patients
TANG Di, ZHANG Guizhi, LI Yue, CUI Xianghong, LIU Dongjie, WANG Lili
Military Rehabilitation Center of Diseases of Nervous System of Dalian Rehabilitation and Recuperation Center,PLA Joint Logistics Support Force,Dalian 116013,China
AbstractObjective To explore the effect of respiratory function training combined with lower limb rehabilitation robot on lower limb function in stroke patients. Methods A total of 48 stroke patients (first onset and disease course of 1 to 3 months) admitted to Dalian Rehabilitation and Recuperation Center of PLA Joint Logistics Support Force from 2020 to 2021 were randomly divided into control group(n=24)and experiment group(n=24). Both groups received routine rehabilitation treatment and robot-assisted therapy for 4 weeks, while the experiment group received extra respiratory training. Before and after 4 weeks of treatment, lower limb function were evaluated with functional ambulation category scale (FAC), Fugl-Meyer assessment-lower extremities (FMA-LE), Berg balance scale (BBS) and Rivermead mobility index (RMI). Results There were no significant different scores of FAC、FMA-LE、BBS、RMI between the two groups before treatment (P>0.05). All the scores of the two groups after treatment were better than those before treatment (P<0.05). The scores of FAC [3.0 (1.0, 4.0) vs. 2.0 (1.0, 4.0),P=0.029], FMA-LE[(22.38±6.42) vs. (18.62±6.18),P=0.045], BBS[(32.83±5.74) vs. (28.67±7.17),P=0.031], RMI[(7.83±1.63) vs. (6.75±1.70),P=0.029]were all significantly higher than those of control group. Conclusions Respiratory function training combined with robot-assisted therapy can further improve walking function, lower limb motor function, balance function and functional independence of stroke patients.
TANG Di,ZHANG Guizhi,LI Yue等. Effect of respiratory function training combined with lower limb rehabilitation robot on lower limb function of stroke patients[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2024, 35(11): 952-955.
Menezes K K, Nascimento L R, Ada L, et al. Respiratory muscle training increases respiratory muscle strength and reduces respiratory complications after stroke: a systematic review [J]. J Physiother, 2016, 62(3): 138-144.
[5]
Infarinato F, Romano P, Goffredo M, et al. Functional gait recovery after a combination of conventional therapy and overground robot-assisted gait training is not associated with significant changes in muscle activation pattern: an EMG preliminary study on subjects subacute post stroke[J]. Brain Sci, 2021, 11(4): 448.
Yeung L F, Lau C C Y, Lai C W K, et al. Effects of wearable ankle robotics for stair and over-ground training on subacute stroke: a randomized controlled trial[J]. J Neuroeng Rehabil, 2021, 18(1): 19-21.
[9]
Jayaraman A, O'brien M K, Madhavan S, et al. Stride management assist exoskeleton vs functional gait training in stroke: a randomized trial[J]. Neurology, 2019, 92(3): e263-e273.
[10]
Arsh A, Darain H, Ullah I, et al. Diagnostic tests to assess balance in patients with spinal cord injury: a systematic review of their validity and reliability[J]. Asian Biomed, 2021(3):111-118.
Song K J, Chun M H, Lee J, et al. The effect of robot-assisted gait training on cortical activation in stroke patients: a functional near-infrared spectroscopy study[J]. Neuro Rehabilitation, 2021, 49(1): 65-73.
[15]
Moucheboeuf G, Griffier R, Gasq D, et al. Effects of robotic gait training after stroke: a meta-analysis[J]. Ann Phys Rehabil Med, 2020, 63(6): 518-534.
Roger G, Volker D. Rehabilitation robots for the treatment of sensorimotor deficits: a neurophysiological perspective [J]. J Neuroeng Rehabil, 2018, 15(1): 138-146.