Study on the effect of intelligent lower limb rehabilitation robot assisted walking training on the walking function in patients with hemineglect after stroke
10.3969/j.issn.1001-1242.2025.09.003
- VernacularTitle:智能下肢康复机器人辅助步行训练对卒中后偏侧忽略患者步行功能的疗效研究
- Author:
Lei CAO
1
;
Linlin YE
1
;
Xiaolong YANG
1
Author Information
1. 首都医科大学宣武医院康复医学科,北京市,100053
- Publication Type:Journal Article
- Keywords:
stroke;
hemispatial neglect;
repeated transcranial magnetic stimulation;
robot-assisted walking train-ing;
gait analysis system
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(9):1308-1313
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore whether gait training facilitated by an intelligent lower limb rehabilitation robot can en-hance the walking capabilities of post-stroke patients with hemineglect.Method:A total of forty patients,who had suffered from hemilateral neglect post-stroke,were randomly as-signed to either a control group or an experimental group,with twenty individuals in each.All patients re-ceived conventional pharmacotherapy,repetitive transcranial magnetic stimulation(rTMS),and standard rehabili-tation training.Additionally,the experimental group underwent robot-assisted gait training,whereas the control group was engaged in traditional walking training.Parameters such as hemineglect symptom scores,Fugl-Mey-er assessment for lower extremity(FMA-LE)scores,and various gait metrics(including stride speed,stride length time,stride frequency,stride length time disparity,and impact difference)were evaluated and com-pared between both groups pre-and post-treatment.Result:Initially,no significant disparities were observed in the baseline data of the two groups(all P>0.05).Subsequently,improvements in line segmentation,line bisecting,and star cancellation test scores were noted in both groups post-treatment(all P<0.05).Moreover,the post-treatment FMA-LE scores exhibited a signifi-cant enhancement compared to the pre-treatment scores(all P<0.01),with the experimental group demonstrat-ing a more pronounced improvement(P<0.01).Furthermore,post-treatment assessments indicated notable ad-vancements in walking speed,stride length time,stride frequency,stride length time variance,and impact dif-ference in both groups(all P<0.01),with the experimental group showing superior progress(P<0.01).Conclusion:The findings suggest that gait training using an intelligent lower limb rehabilitation robot not only ameliorates hemineglect symptoms but also significantly improves the walking abilities of stroke patients afflict-ed with hemineglect.
