|
|
|
| Effect of upper limb robot combined with scalp acupuncture on upper limb motor function after stroke |
| CHEN Ruiquan XIAO Hongbo ZHU Zongjun CHEN Dongdong |
The First Department of Acupuncture Rehabilitation, the First Affiliated Hospital of Anhui University of Chinese Medicine, Anhui Province, Hefei 230031, China
|
|
|
|
Abstract Objective To observe the effect of upper limb robot combined with scalp acupuncture on upper limb motor function after stroke. Methods From December 2020 to July 2021, 60 stroke patients who were hospitalized in the First Department of Acupuncture Rehabilitation, the First Affiliated Hospital of Anhui University of Chinese Medicine were selected, they were divided into control group and observation group according to the random number table method, with 30 cases in each group. The control group was treated with scalp acupuncture, and the observation group was given upper limb robot training on the basis of control group, treatment for three weeks. Fugl-meyer assessment (FMA), modified Barthel index (MBI), and active angle repositioning (AAR) before and after treatment were compared between two groups. Results After treatment, the scores of FMA and MBI in both groups were higher than those before treatment, and those of observation group were higher than those of control group (P＜0.05). AAR scores of 30° and 60° shoulder flexion in two groups were lower than those before treatment, and those of observation group were lower than those of control group (P＜0.05). Conclusion Upper limb robot combined with scalp acupuncture can significantly improve the upper limb motor function and the ability of daily living activities of stroke patient.
|
|
|
|
|
|
[1] 陈泽健，王纯，夏楠，等.上肢机器人在脑卒中上肢本体感觉评估中应用的研究进展[J].中华物理医学与康复杂志，2020，42（3）：280.
[2] 贾杰.“中枢-外周-中枢”闭环康复——脑卒中后手功能康复新理念[J].中国康复医学杂志，2016，31（11）：1180- 1182.
[3] 张超，刘璇，侯增广，等.上肢机器人辅助疗法对恢复期脑卒中患者上肢运动功能及日常生活活动能力的效果[J].中国康复理论与实践，2016，22（12）：1365-1370.
[4] 袁丹，初晓，王菊花，等.通督醒神针法联合头针治疗卒中后偏瘫患者上肢运动功能障碍临床研究[J].针灸临床杂志，2021，37（10）：15-18.
[5] 中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组.中国各类主要脑血管病诊断要点2019[J].中华神经科杂志，2019，52（9）：710-715.
[6] 龚泽辉，王义亮，袁柯，等.改良强制性运动疗法对偏瘫患者下肢Brunnstrom分期的影响[J].中国康复，2013，28（2）：132-134.
[7] 石学敏.针灸学[M].北京：中国中医药出版社，2002：170-173.
[8] 恽晓平.康复疗法评定学[M].北京：华夏出版社，2005：393-396.
[9] 王赛华，施加加，孙莹，等.简体版改良Barthel指数在脑卒中恢复期中的信度与效度研究[J].中国康复，2020，35（4）：179-182.
[10] 李岩，何雯雯，董燕飞，等.全身振动训练对脑卒中偏瘫患者本体感觉及平衡功能的影响[J].中国康复医学杂志，2021，36（6）：709-712.
[11] Khan MA，Das R，Iversen HK，et al. Review on motor imagery based BCI systems for upper limb post-stroke neurorehabilitation：From designing to application [J]. Comput Biol Med，2020，123（2020）：103843.
[12] 孙亚，金敏敏，李岩，等.上肢机器人辅助训练对恢复期脑卒中患者肩关节本体感觉的影响[J].中华物理医学与康复杂志，2017，39（11）：806-810.
[13] 吴海霞，林夏妃，潘晶晶，等.运动想象联合优化运动技能训练干预脑卒中后上肢功能障碍的效果[J].中国康复，2021，36（6）：327-330.
[14] Majeed YA，Awadalla S，Patton J. Effects of robot viscous forces on arm movements in chronic stroke survivors：a randomized crossover study [J]. J Neuroeng Rehabil，2020，17（1）：156.
[15] Feingold P，Oren B，Levy T，et al. A robot goes to rehab：a novel gamified system for long-term stroke rehabilitation using a socially assistive robotm-ethodology and usability testing [J]. J Neuroeng Rehabil，2021，18（1）：122.
[16] Marcus YB，Terranova TT，Simis M，et al. The Combined Use of Transcranial Direct Current Stimulation and Robotic Therapy for the Upper Limb [J]. J Vis Exp，2018（139）：e58495.
[17] 高旸，陈爽白，徐放明.浅谈患者守神与互动式针刺法[J].中国针灸，2004，25（5）：333-334.
[18] 任圣，鲍春龄.从取穴分布探析各家头皮针的临床应用与机理研究[J].上海针灸杂志，2018，37（5）：575-582.
[19] 贾澄杰，张宏如，倪光夏，等.头针加音乐联合康复治疗脑卒中后痉挛性偏瘫：随机对照研究[J].中国针灸，2017， 37（12）：1272-1275.
[20] 孟巧玲，汪晓铭，郑金钰，等.基于上肢康复机器人的人机交互软件系统设计与实现[J].中华物理医学与康复杂志，2019，41（5）：388-391.
[21] 朱琳，席艳玲，严会荣，等.上肢康复机器人在脑卒中上肢屈肌痉挛患者肘伸展功能恢复中的应用效果[J].临床和实验医学杂志，2022，21（10）：1110-1114.
[22] 王舒娅，王佳，刘坤，等.头针与脑联系的捷径通路[J].针刺研究，2020，45（12）：947-953.
[23] 刘明阳，罗邵涵，谢丽娜，等.电针配合董氏奇穴治疗中风偏瘫的临床效果[J].中国当代医药，2021，28（27）：180- 183.
[24] 钟利民，张校涢，张潇.通脉活络祛痰汤联合头针、体针治疗脑卒中后偏瘫的效果[J].中外医学研究，2022，20（22）：137-140. |
|
|
|
