医学研究与教育 ›› 2018, Vol. 35 ›› Issue (1): 37-41.DOI: 10.3969/j.issn.1674-490X.2018.01.007

• 临床医学 • 上一篇    下一篇

虚拟情景MOTOmed智能训练对脑卒中偏瘫患者下肢功能的影响

王宁1,杨信才2,隗麒轩1,覃亮2,邓赟2,王燕2,李颖蕾1   

  1. 1.河北大学医学院, 河北 保定 071000;
    2.河北大学附属医院康复医学科, 河北 保定 071000
  • 收稿日期:2017-12-12 出版日期:2018-02-25 发布日期:2018-02-25
  • 通讯作者: 杨信才(1965—),男,河北保定人,主任医师,硕士,硕士生导师,主要从事脑卒中康复方面的研究。E-mail: yxcyxc8866@sina.com
  • 作者简介:王宁(1992—),女,河北保定人,医师,在读硕士,主要从事脑卒中康复方面研究。 E-mail: wangningn1211@163.com

  • Received:2017-12-12 Online:2018-02-25 Published:2018-02-25

摘要: 目的 探讨虚拟情景MOTOmed智能训练与普通MOTOmed智能训练相比对脑卒中偏瘫患者下肢功能恢复的影响。方法 40例脑卒中偏瘫患者随机分为2组,各20例。对照组患者给予常规康复训练和普通MOTOmed智能训练,观察组给予常规康复训练与虚拟情景MOTOmed智能训练。2组患者均在治疗前和治疗8周后采用Fugl-Meyer下肢运动功能评分、改良Barthel指数、FAC步行功能分级进行评定。结果 2组患者一般资料比较差异无统计学意义(P>0.05);治疗8周后下肢运动功能及日常生活活动能力较治疗前均有改善(P<0.05),但观察组改善情况优于对照组,差异有统计学意义(P<0.05);2组患者治疗8周后FAC步行功能分级情况观察组较对照组差异有统计学意义(P<0.05)。结论 与常规的MOTOmed智能运动训练相比,虚拟情景MOTOmed智能运动训练更有助于促进脑卒中偏瘫患者下肢功能的恢复,提高其日常生活活动能力。

关键词: 虚拟情景MOTOmed, 脑卒中, 下肢功能, 步行能力

Abstract: Objective To investigate the effects of MOTOmed viva virtual scene training treatment compared with MOTOmed viva training treatment on function recovery of lower limb of stroke patient with hemiplegia.Methods 40 cases with stroke hemiplegia were randomly divided into two groups,and each group had 20 cases.The patients in the control group were treated with routine rehabilitation therapy and MOTOmed training treatment,while the patients in the observation group were treated with routine rehabilitation therapy and MOTOmed virtual scene training treatment,before treatment and after treatment for 8 weeks all the patients were evaluated using Fugl-Meyerassessment FMA,modified Barthel index,MBI,and functional ambulation category,FAC. Results There was no significant difference in general data between the two groups;After the treatment for 8 weeks,all the observation indexes above were improved in both groups(P<0.05),But the effectiveness in the observation group was superior to that in the control group,the difference was significant(P<0.05).After the treatment for 8 weeks,FAC grade of patients in the observation group was superior to that in the control group with significant difference(P<0.05).Conclusion Compared with general MOTOmed training treatment,MOTOmed viva virtual scene training treatment is more helpfuli for the improvement of ability to act daily life and recovery of lower limb function of patients with stroke hemiplegia.

Key words: MOTOmed virtual scene training, stroke, lower limb function, walking ability

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