呼吸功能训练联合下肢康复机器人对脑卒中患者下肢功能的影响

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Abstract Objective 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.

Key words： stroke lower limb rehabilitation robot respiratory function training lower limb rehabilitation

Received: 21 June 2024

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	TANG Di
	ZHANG Guizhi
	LI Yue
	CUI Xianghong
	LIU Dongjie
	WANG Lili

Cite this article:

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.

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https://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR https://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2024/V35/I11/952

[1]	中国心血管健康与疾病报告编写组. 中国心血管健康与疾病报告2020概要[J]. 中国循环杂志, 2021, 36(6): 521-545.
[2]	钟毅林,李季. 治疗脑卒中后功能障碍的研究进展[J]. 反射疗法与康复医学, 2020, 29(5): 197-198.
[3]	张微峰, 姜冬蕾, 马跃文. 核心稳定性训练对脑卒中偏瘫患者上肢联合反应的效果[J]. 中国康复理论与实践, 2016, 22(12): 1375-1379.
[4]	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.
[6]	中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组. 中国各类主要脑血管病诊断要点2019[J]. 中华神经科杂志, 2019, 52(9): 710-715.
[7]	中华医学会神经病学分会中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2014[J]. 中华神经科杂志, 2015, 48(4): 146-153.
[8]	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.
[11]	张晶晶,李艳. 脑卒中偏瘫步态特点及康复策略[J]. 中国老年学杂志, 2019, 39(5): 1044-1047.
[12]	涂美,王剑雄,张驰,等. 不同下肢体位振动对脑卒中患者下肢肌力及运动功能的影响[J]. 中国康复医学杂志, 2021, 36(2): 166-192.
[13]	王路,陈艳,苏久龙,等. 三维运动平台训练对脑卒中患者平衡与步行功能的效果[J]. 中国康复理论与实践, 2023, 29(4): 485-490.
[14]	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.
[16]	程枭,杨威,陈林,等. 镜像疗法联合下肢康复机器人治疗对脑卒中偏瘫患者下肢运动和平衡功能的影响[J]. 浙江中西医结合杂志, 2021, 31(12):1118-1111.
[17]	张绍华,张天奉,王玉龙,等. 头针联合下肢康复机器人对脑卒中患者足底静态平衡的影响[J]. 南京中医药大学学报,2018,34(1):58-62.
[18]	刘陵鑫,陈攀,杨帅,等. 下肢机器人训练联合呼吸训练对脑卒中患者肺功能及运动耐力的影响[J].中国康复医学杂志, 2022,37(8):1063-1067.
[19]	陈沛, 任超学, 李新通, 等. 呼吸功能训练在非特异性腰痛防治中的研究进展[J]. 中国康复理论与实践, 2020, 26(8): 913-915.
[20]	符卫卫, 燕文娟. 体轴回旋结合节律性呼吸功能训练对脑卒中偏瘫下肢功能的效果[J]. 中国康复理论与实践, 2021, 27(11): 1323-1328.
[21]	邹玉婵, 吴钊泓, 陈杏清, 等. 针刺配合呼吸功能训练对卒中后气管切开患者呼吸功能的影响[J]. 中国康复医学杂志, 2019, 34(12): 1470-1473.
[22]	吴登宠, 周瑜欢. 呼吸功能训练对基底节区脑梗死并发阻塞性睡眠呼吸暂停综合征的效果[J]. 中国康复理论与实践, 2018, 24(4): 462-466.
[23]	Roger G, Volker D. Rehabilitation robots for the treatment of sensorimotor deficits: a neurophysiological perspective [J]. J Neuroeng Rehabil, 2018, 15(1): 138-146.