摘要
目的探讨腕关节机器人联合局部振动对脑卒中后腕关节痉挛的疗效。方法选择2021年1月至2023年4月脑卒中伴腕关节痉挛患者90例,采用随机数字表法分为腕关节机器人联合局部振动组(A组)、局部振动组(B组),常规治疗组(C组),各30例。治疗8周后,比较三组患者治疗前后腕关节主动关节活动度(AROM)、改良Ashworth量表(MAS)、Fugl-Meyer评估量表(FMA)和改良Barthel指数(MBI)。结果三组患者治疗后AROM、Ashworth、FMA和MBI比较,差异有统计学意义(P<0.05),且A组疗效明显优于B组和C组。结论采用腕关节机器人联合局部振动对脑卒中后腕关节痉挛的患者进行干预,可明显降低患者腕关节的痉挛程度,提高腕关节的活动能力。
Objective To study on the therapeutic effect of wrist joint robot combined with local vibration on wrist joint spasms after stroke.Methods 90 stroke patients with wrist spasms from January 2021 to April 2023 were randomly divided into the wrist joint robot combined with local vibration group(Group A),the local vibration group(Group B),and the conventional treatment group(Group C)using a random number table method,with 30 patients in each group.After 8 weeks of treatment,the wrist active joint range of motion(AROM),modified Ashworth scale(MAS),Fugl Meyer evaluation scale(FMA),and modified Barthel index(MBI)were compared among three groups of patients before and after the treatment.Results Three groups of patients after treatment AROM,Ashworth,FMA and MBI comparison,the difference was statistically significant(P<0.05),and the efficacy of Group A was significantly better than that of Group B and Group C and the efficacy of Group B was better than that of Group C.Conclusion The use of wrist joint robots combined with local vibration to intervene in patients with wrist joint spasms after stroke can significantly reduce the degree of spasms in the patient's wrist joint and improve the mobility of the wrist joint.
出处
《浙江临床医学》
2024年第8期1162-1164,共3页
Zhejiang Clinical Medical Journal
基金
嘉兴市科技计划项目(2020AY30013、2022AY30029)
浙江省医药卫生科技计划项目(2020KY316、2022KY387)。
关键词
腕关节机器人
局部振动
脑卒中
痉挛
Wrist joint robot
Local vibration
Cerebral apoplexy
Spasm
