End-driven lower limb rehabilitation robot-assisted training improves three-dimensional gait,lower limb function and balance ability in hemiplegic patients
10.3969/j.issn.1005-202X.2025.05.017
- VernacularTitle:末端驱动型下肢康复机器人训练对偏瘫患者三维步态、下肢功能及平衡能力的影响
- Author:
Lei ZOU
1
;
Yun ZOU
1
;
Yu ZHOU
1
;
Yeyi SHEN
1
Author Information
1. 上海交通大学医学院附属第九人民医院全科医学科,上海 201900
- Publication Type:Journal Article
- Keywords:
stroke;
hemiplegia;
rehabilitation robot;
three-dimensional gait;
motor function
- From:
Chinese Journal of Medical Physics
2025;42(5):667-672
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve the three-dimensional gait and walking function of hemiplegic patients and enhance their quality of life through training with an end-driven lower limb rehabilitation robot.Methods Seventy elderly stroke patients with hemiplegia were enrolled and randomly divided into control group(n=35)and observation group(n=35).The patients in control group received conventional rehabilitation therapy after their conditions were stable,while the patients in observation group were trained by therapists with an end-driven lower limb rehabilitation robot besides the same treatment as control group.The rehabilitation efficacy was analyzed in terms of National Institute of Health Stroke Scale(NIHSS)score,Barthel Index(BI)score,Berg Balance Scale(BBS)score,Fugl-Meyer Assessment:Lower Extremity(FMA-LE),three-dimensional gait and satisfaction with nursing care.Results Before intervention,there was no significant difference between two groups in NIHSS score,BI score,BBS score,FMA-LE score,gait spatiotemporal parameters,gait temporal phase parameters,and ranges of motion of lower limb joints(P>0.05).After intervention,NIHSS score decreased,while BI score,BBS score and FMA-LE score increased in both groups(P<0.05),and the improvements were more obvious in observation group than in control group(P<0.05).The interventions in both groups increased step speed,step frequency and stride length,while reducing step width(P<0.05),with more significant improvements observed in observation group than in control group(P<0.05).Compared with those before intervention,the percentage of support period of the affected lower limb increased,and the ratio of the support period of the healthy side to that of the affected side and the percentage of double support period decreased(P<0.05),and these indexes were improved more prominent in observation group(P<0.05).The ranges of motion of lower limb joints in both groups were significantly greater than those before intervention(P<0.05),with greater ranges of motion in observation group than in control group(P<0.05).The total satisfaction with nursing care in observation group was higher than that in control group(97.14%vs 82.86%,P<0.05).Conclusion End-driven lower limb rehabilitation robot-assisted training can further improve the neurological function,lower limb function and balance ability in hemiplegic patients,with high patient satisfaction.The rehabilitation efficacy can be objectively assessed through three-dimensional gait analysis.
