视觉反馈结合MOTOmed智能运动训练系统对脑卒中患者平衡以及步行能力的疗效观察

目的 观察视觉反馈结合MOTOmed智能运动训练系统治疗对脑卒中患者平衡以及步行能力的影响。方法 将脑卒中30例患者随机分为观察组和对照组各15例,2组均进行常规康复治疗以及MOTOmed智能运动训练系统训练,观察组在进行MOTOmed智能运动训练系统训练时引导并督促患者将仪器显示器上显示的两侧对称性尽量都保持在50%,直到训练结束; 对照组在进行MOTOmed智能运动训练系统训练时遮蔽显示器上的对称性显示。结果 治疗3周后2组Berg平衡量表(BBS)评分、简式Fugl-Meyer下肢运动功能评定量表(FMA)评分以及起立步行实验(TUGT)评分均较治疗前明显提高(P<0.05),且观察组3项评分均高于对照组(P<0.05)。MOTOmed智能运动训练系统中的患侧对称性所占比、训练距离以及训练强度也较对照组有了明显的进步(P<0.05)。结论 视觉反馈结合MOTOmed智能运动训练系统通过患者自身的参与以及自我调整可以更好地提高患者的平衡及步行能力。

The effects of visual feedback combined with MoTomed intelligent training system training on balance function and walking ability in stroke patients

ObjectiveTo investigate the effects of visual feedback combine with MoTomed intelligent training system training on balance function and walking ability in stroke patients.Methods 30 stroke patients were randomly divided into observation group(n=15)and control group(n=15).Both groups were treated with routine rehabilitation training,such as strength training、endurance training、balance training、ambulation training and MoTomed intelligent training.The observation group were supervised and urged their best to pay attention to the training system and keep the symmetry in fifty percent during the training.The control group were obstructed the view of symmetry on the training system.They were evaluated with Berg balance scale(BBS)、Fugl-Meyer assessment(FMA)and Timed up and go test(TUGT)before and 3 weeks after treatment.Results There was no difference in the score of BBS、FMA and TUGT between 2 groups before treatment(P﹥0.05).The scores of BBS、FMA and TUGT increased obviously in the observation group 3 weeds after treatment(P<0.05).All paraimeters were better in the observation group than those in the control group(P<0.05).Conclusion Visual feedback combined with MoTomed intelligent training system could improve the balance and walking ability in stroke patients by their participation and self-correction.