上肢机器人联合肌肉激活技术对脑卒中后软瘫期患者上肢的疗效

doi:10.3760/cma.j.cn441417-20250117-11023

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (11): 1886-1890.DOI: 10.3760/cma.j.cn441417-20250117-11023

上肢机器人联合肌肉激活技术对脑卒中后软瘫期患者上肢的疗效

常发旺¹ 万彩玲² 王付涛¹ 吕运良¹ 吴淑会³ 崔茂峰¹

¹聊城市第三人民医院康复医学科，聊城 252000；²聊城市妇幼保健院康复科，聊城 252000；³聊城市第三人民医院中医科，聊城 252000

收稿日期:2025-01-17 出版日期:2025-06-01 发布日期:2025-06-14
通讯作者: 万彩玲，Email：495477710@qq.com
基金资助:
聊城市重点研发计划政策引导类项目（2024YD51）；山东省中医药科技项目（Q-2023166）

Therapeutic effect of upper limb robot combined with muscle activation technology on the upper limbs in patients with flaccid paralysis after stroke

Chang Fawang¹, Wan Cailing², Wang Futao¹, Lyu Yunliang¹, Wu Shuhui³, Cui Maofeng¹

¹Department of Rehabilitation Medicine, Liaocheng Third People's Hospital, Liaocheng 252000, China; ²Department of Rehabilitation Medicine, Liaocheng Maternal and Child Health Hospital, Liaocheng 252000, China; ³Department of Traditional Chinese Medicine, Liaocheng Third People's Hospital, Liaocheng 252000, China

Received:2025-01-17 Online:2025-06-01 Published:2025-06-14
Contact: Wan Cailing, Email: 495477710@qq.com
Supported by:
Policy Guidance Project of Liaocheng Key R&D Program (2024YD51); Traditional Chinese Medicine Science and Technology Project of Shandong Province (Q-2023166)

摘要/Abstract

摘要：

目的　研究上肢机器人联合肌肉激活技术对脑卒中后软瘫期患者上肢的治疗效果。方法　纳入聊城市第三人民医院康复医学科2023年10月至2024年10月收治的脑卒中后软瘫期患者74例，通过随机数字表法将患者分为治疗组和对照组，每组37例。治疗组男27例，女10例，年龄（55.78±11.85）岁，左侧17例，右侧20例；对照组男25例，女12例，年龄（59.83±12.69）岁，左侧19例，右侧18例。对照组接受肌肉激活技术治疗（20 min/次，5 d/周），治疗组接受上肢机器人联合肌肉激活技术治疗（20 min/次，5 d/周），持续4周。治疗前后采用Fugl-Meyer上肢运动功能评估量表（Fugl-Meyer Assessment Upper Extremity Scale，FMA-UE）、改良Barthel指数（modified Barthel index，MBI）、上肢Brunnstrom分期、功能独立性评定量表（Functional Independence Measure，FIM）对两组患者上肢功能及日常生活活动能力进行评分。采用t检验、χ2检验进行统计学分析。结果　治疗前，两组FMA-UE、MBI、Brunnstrom、FIM评分差异均无统计学意义（均P>0.05）。治疗4周后，两组FMA-UE、MBI、Brunnstrom、FIM评分均高于治疗前，且治疗组FMA-UE、MBI、Brunnstrom、FIM评分均高于对照组［（42.89±3.13）分比（38.76±2.96）分、（46.08±5.29）分比（42.16±3.82）分、（4.05±0.81）分比（2.57±0.60）分、（50.57±3.82）分比（45.86±3.54）分］，差异均有统计学意义（t=5.846、3.654、8.922、5.495，均P<0.05）。结论　上肢机器人联合肌肉激活技术能够有效改善脑卒中后软瘫期患者的上肢运动功能，是一种值得推广的康复治疗方法。

关键词: 脑卒中, 软瘫期, 上肢机器人, 肌肉激活技术

Abstract:

Objective　To study the therapeutic effect of upper limb robot combined with muscle activation technology on the upper limbs in patients with flaccid paralysis after stroke. Methods　A total of 74 patients with flaccid paralysis after stroke who were admitted to the Department of Rehabilitation Medicine of Liaocheng Third People's Hospital from October 2023 to October 2024 were included. The patients were divided into a treatment group and a control group by the random number table method, with 37 cases in each group. In the treatment group, there were 27 males and 10 females, with an age of (55.78±11.85) years old, 17 cases on the left side and 20 cases on the right side. In the control group, there were 25 males and 12 females, with an age of (59.83±12.69) years old, 19 cases on the left side and 18 cases on the right side. The control group received muscle activation technology (20 minutes each time, 5 days per week), and the treatment group received upper limb robot combined with muscle activation technology (20 minutes each time, 5 days per week) for 4 weeks. Before and after treatment, the Fugl-Meyer Assessment Upper Extremity Scale (FMA-UE), modified Barthel index (MBI), Brunnstrom stage of upper limbs, and Functional Independence Measure (FIM) were used to evaluate the upper limb function and activities of daily living of the two groups. Statistical analysis was performed using t-test and χ² test. Results　Before treatment, there was no statistically significant difference in the score of FMA-UE, MBI, Brunnstrom, or FIM between the two groups (all P>0.05). After 4 weeks of treatment, the scores of FMA-UE, MBI, Brunnstrom, and FIM in both groups were higher than those before treatment; the scores of FMA-UE, MBI, Brunnstrom, and FIM in the treatment group were all higher than those in the control group [(42.89±3.13) points vs. (38.76±2.96) points, (46.08±5.29) points vs. (42.16±3.82) points, (4.05±0.81) points vs. (2.57±0.60) points, (50.57±3.82) points vs. (45.86±3.54) points], with statistically significant differences (t=5.846, 3.654, 8.922, and 5.495, all P<0.05). Conclusions　Upper limb robot combined with muscle activation technology can effectively improve the upper limb motor function in patients with flaccid paralysis after stroke, which is worthy of promotion.

Key words: Stroke, , Flaccid paralysis, , Upper limb robot, , Muscle activation technology

常发旺万彩玲王付涛吕运良吴淑会崔茂峰. 上肢机器人联合肌肉激活技术对脑卒中后软瘫期患者上肢的疗效 [J]. 国际医药卫生导报, 2025, 31(11): 1886-1890.

Chang Fawang, Wan Cailing, Wang Futao, Lyu Yunliang, Wu Shuhui, Cui Maofeng.

Therapeutic effect of upper limb robot combined with muscle activation technology on the upper limbs in patients with flaccid paralysis after stroke [J]. International Medicine and Health Guidance News, 2025, 31(11): 1886-1890.

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上肢机器人联合肌肉激活技术对脑卒中后软瘫期患者上肢的疗效

Therapeutic effect of upper limb robot combined with muscle activation technology on the upper limbs in patients with flaccid paralysis after stroke

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