基于不同减重参数的下肢康复机器人辅助步态训练对下肢骨折患者康复效果的影响

doi:10.3760/cma.j.cn441417-20250120-13019

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (13): 2206-2210.DOI: 10.3760/cma.j.cn441417-20250120-13019

基于不同减重参数的下肢康复机器人辅助步态训练对下肢骨折患者康复效果的影响

刘艳¹ 李红银²

¹榆林市第一医院康复医学科，榆林 719000；²安康市中心医院康复医学科，安康 725000

收稿日期:2025-01-20 出版日期:2025-07-01 发布日期:2025-08-04
通讯作者: 李红银，Email：945496846@qq.com
基金资助:
陕西省自然科学基础研究一般项目（2024JQ-968）

The impact of lower limb rehabilitation robot-assisted gait training based on different weight loss parameters on the rehabilitation outcomes of patients with lower limb fractures

Liu Yan¹, Li Hongyin²

¹Department of Rehabilitation Medicine, The First Hospital of Yulin, Yulin 719000, China; ²Department of Rehabilitation Medicine, Ankang Central Hospital, Ankang 725000, China

Received:2025-01-20 Online:2025-07-01 Published:2025-08-04
Contact: Li Hongyin, Email:945496846@qq.com
Supported by:
General Project of Natural Science Foundation of Shaanxi Province (2024JQ-968)

摘要/Abstract

摘要： 目的　探究基于不同减重参数的下肢康复机器人辅助步态训练对下肢骨折患者康复效果的影响。方法　本研究为前瞻性队列研究。选取2021年1月至2023年12月榆林市第一医院康复医学科收治的98例下肢骨折患者作为研究对象。采用随机数字表法，将患者分为观察组和对照组，各49例。观察组男30例，女19例；年龄（65.89±7.33）岁；体重（62.54±3.57）kg。对照组男26例，女23例；年龄（63.64±7.71）岁；体重（62.67±3.62）kg。两组均于内固定术后接受常规+下肢康复机器人辅助步态训练方案，观察组机器人辅助训练初始减重40%，对照组初始减重60%。两组均持续训练8周。比较训练前和训练4周后、8周后两组髋关节功能（Harris髋关节功能评分）、步行能力（Holden功能性步行量表）、10 m步行速度（10 m步行试验）。采用独立样本t检验、χ²检验和秩和检验进行统计学分析。结果　训练8周后，观察组Harris髋关节功能评分高于对照组［（83.89±6.62）分比（78.37±8.59）分］（P<0.05）；观察组Holden步行能力分级优于对照组（P<0.05）；观察组10 m步行速度高于对照组［（0.39±0.08）m/s比（0.27±0.05）m/s］（P<0.05）。结论　在初始的减重方案中，接受内固定术治疗的下肢骨折患者建议从较低的减重参数开始训练，有助于改善患者下肢运动功能，提高步行能力，促进康复。

关键词: 下肢骨折, 下肢康复机器人, 步态训练, 运动功能

Abstract:

Objective　To explore the impact of lower limb rehabilitation robot-assisted gait training based on different weight loss parameters on the rehabilitation outcomes of patients with lower limb fractures. Methods　This study is a prospective cohort study. A total of 98 patients with lower limb fractures who were admitted to the Rehabilitation Medicine Department of the First Hospital of Yulin from January 2021 to December 2023 were selected as the study subjects. Using the random number table method, the patients were divided into the observation group and the control group, with 49 cases in each group. There were 30 males and 19 females in the observation group, aged (65.89±7.33) years, weight (62.54±3.57) kg. There were 26 males and 23 females in the control group, aged (63.64±7.71) years, weight (62.67±3.62) kg. Both groups received the conventional + lower limb rehabilitation robot-assisted gait training program after internal fixation surgery. The initial weight reduction for the observation group was 40%, while that for the control group was 60%. Both groups underwent continuous training for 8 weeks. The hip joint function (Harris hip function score), walking ability (Holden functional walking scale), and 10-meter walking speed (10-meter walking test) were compared between the two groups before training and 4 weeks, and 8 weeks after training. Independent sample t test, χ² test, and rank sum test were used for statistical analysis. Results　After 8 weeks of training, the Harris hip function score of the observation group was higher than that of the control group [(83.89±6.62) points vs. (78.37±8.59) points] (P<0.05); the Holden walking ability grade of the observation group was better than that of the control group (P<0.05); the 10-meter walking speed of the observation group was higher than that of the control group [(0.39±0.08) m/s vs. (0.27±0.05) m/s] (P<0.05). Conclusion　In the initial weight loss plan, patients with lower limb fractures who received internal fixation surgery were advised to start the training with lower weight loss parameters, which is helpful for improving the patients' lower limb movement function, enhancing their walking ability, and promoting recovery.

Key words: Lower limb fracture, , Lower limb rehabilitation robot, , Gait training, , Motor function

刘艳李红银. 基于不同减重参数的下肢康复机器人辅助步态训练对下肢骨折患者康复效果的影响 [J]. 国际医药卫生导报, 2025, 31(13): 2206-2210.

Liu Yan, Li Hongyin.

The impact of lower limb rehabilitation robot-assisted gait training based on different weight loss parameters on the rehabilitation outcomes of patients with lower limb fractures [J]. International Medicine and Health Guidance News, 2025, 31(13): 2206-2210.

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基于不同减重参数的下肢康复机器人辅助步态训练对下肢骨折患者康复效果的影响

The impact of lower limb rehabilitation robot-assisted gait training based on different weight loss parameters on the rehabilitation outcomes of patients with lower limb fractures

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