本文選題：機(jī)器人　切入點(diǎn)：腦卒中　出處：《中國(guó)老年學(xué)雜志》2015年09期

【摘要】：目的系統(tǒng)評(píng)價(jià)機(jī)器人輔助訓(xùn)練對(duì)腦卒中患者上肢功能障礙的康復(fù)效果。方法計(jì)算機(jī)檢索國(guó)內(nèi)外數(shù)據(jù)庫(kù)中關(guān)于機(jī)器人輔助訓(xùn)練改善腦卒中患者上肢運(yùn)動(dòng)功能障礙的隨機(jī)對(duì)照試驗(yàn),同時(shí)檢索已納入文獻(xiàn)的參考文獻(xiàn)。研究人員對(duì)納入文獻(xiàn)進(jìn)行嚴(yán)格評(píng)估及資料提取,采用RevMan 5.1軟件進(jìn)行Meta分析。結(jié)果共納入23個(gè)隨機(jī)對(duì)照試驗(yàn)。Meta分析顯示:機(jī)器人輔助治療4 w、4 w及隨訪3個(gè)月時(shí)的Fulg-Meyer運(yùn)動(dòng)功能量表上肢總的評(píng)分與對(duì)照組比較,總體差異有統(tǒng)計(jì)學(xué)意義〔WMD(95%CI)的值為6.86(3.25,10.46)〕;訓(xùn)練6 w,腦卒中患者的Fugl-Meyer運(yùn)動(dòng)功能量表上肢近端的評(píng)分與對(duì)照組比較,差異有統(tǒng)計(jì)學(xué)意義〔WMD(95%CI)的值為1.38(0.52,2.23)〕,上肢遠(yuǎn)端的評(píng)分與對(duì)照組比較,差異無(wú)統(tǒng)計(jì)學(xué)意義〔WMD(95%CI)的值為1.75(-2.63,6.14)〕。結(jié)論機(jī)器人輔助訓(xùn)練在一定程度上能改善腦卒中患者的上肢運(yùn)動(dòng)功能,尤其是肩肘關(guān)節(jié)的運(yùn)動(dòng)功能。
[Abstract]:Objective to evaluate the effect of robot-assisted training on the rehabilitation of upper limb dysfunction in stroke patients. At the same time, they searched the references that had been included in the literature. Meta analysis was carried out with RevMan 5.1 software. Results A total of 23 randomized controlled trials. Meta-analysis showed that the total upper limb score of Fulg-Meyer motor function scale was compared with that of the control group after 4 weeks of robot-assisted therapy and 3 months of follow-up. The total difference was statistically significant (6.86 鹵3.25 鹵10.46) and the scores of the upper extremity proximal end of Fugl-Meyer motor function scale of stroke patients were 1.38 鹵0.522.233.The scores of upper extremity of stroke patients were higher than those of control group, and the scores of distal upper limbs were higher than that of the control group, and the scores of the distal end of the upper limbs were higher than those of the control group. The difference was not statistically significant (1.75 ~ 2.63). Conclusion Robot assisted training can improve the upper limb motor function of stroke patients, especially the shoulder and elbow joint motor function to a certain extent. [WT5HZ] [WT5 "BZ] [WT5BZ] [WT5BZ] [WT5BZ] [WT5BZ] [WT5HZ] [WT5BZ] [
【作者單位】： 南京中醫(yī)藥大學(xué)第二臨床醫(yī)學(xué)院;江蘇省人民醫(yī)院鐘山康復(fù)分院;
【基金】：十二五國(guó)家科技支撐計(jì)劃資助項(xiàng)目(2012BAI10B00) 2012年江蘇省“青藍(lán)工程”資助項(xiàng)目 南京中醫(yī)藥大學(xué)中醫(yī)學(xué)一級(jí)學(xué)科開(kāi)放課題(YS2012ZYX408) 江蘇省高等院校大學(xué)生實(shí)踐創(chuàng)新訓(xùn)練計(jì)劃項(xiàng)目(No.201302)
【分類號(hào)】：R743.3

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本文編號(hào)：1655082