Effects of robot-aided bilateral force-induced isokinetic arm training combined with conventional rehabilitation on arm motor function in patients with chronic stroke
Effects of robot-aided bilateral force-induced isokinetic arm training combined with conventional rehabilitation on arm motor function in patients with chronic stroke
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DOI：
10.1016/j.apmr.2007.07.016
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发表时间：
2007-10-01
影响因子：
4.3
通讯作者：
Su, Fong-Chin
中科院分区：
文献类型：
--
作者：
Chang, Jyh-Jong;Tung, Wen-Lin;Su, Fong-Chin
目的：分析常规康复结合双侧用力诱导等速手臂运动训练对慢性脑卒中患者上肢运动功能恢复的影响。设计：单队列、伸展前后设计。地点：某医科大学康复科。受试者：入选前至少6个月有单侧中风患者20例。干预：常规康复训练(40min/次，3次/wk，共8wk)，包括常规康复训练10分钟和机器人辅助的双侧用力诱导等速手臂运动训练30分钟，以改善偏瘫上肢运动功能。主要观察指标：预测试间隔，后测和保留试验设定为8周。以临床手臂运动功能(Fugl-Meyer评定、上肢运动功能、Frenchay Ann测验、改良Ashworth量表)、偏瘫患者的肢体力量(握力、手臂推力和拉力)和达到运动学分析(峰值速度、达到峰值速度的时间百分比、运动时间、归一化挺举评分)作为结果指标。结果：比较两组分数后，手臂运动功能的后测和保持测验在握力(P=0.009)、推力(P=.001)、拉力(P=.001)和FMA上肢评分(P=.001)方面均有显著改善
Objective: To analyze the effects of conventional rehabilitation combined with bilateral force-induced isokinetic arm movement training on paretic upper-limb motor recovery in patients with chronic stroke.Design: Single-cohort, pre- and postretention design.Setting: Rehabilitation department at a medical university.Participants: Twenty subjects who had unilateral strokes at least 6 months before enrolling in the study.Intervention: A training program (40min/session, 3 sessions/wk for 8wk) consisting of 10 minutes of conventional rehabilitation and 30 minutes of robot-aided, bilateral force-induced, isokinetic arm movement training to improve paretic upper-limb motor function.Main Outcome Measures: The interval of pretest, post-test and retention test was set at 8 weeks. Clinical arm motor function (Fugl-Meyer Assessment [FMA], upper-limb motor function, Frenchay Ann Test, Modified Ashworth Scale), paretic Lipper-limb strength (grip strength, arm push and pull strength), and reaching kinematics analysis (peak velocity, percentage of time to peak velocity, movement time, normalized jerk score) were used as outcome measures.Results: After comparing the sets of scores, we found that the post-test and retention test in arm motor function significantly improved in terms of grip (P=.009), push (P=.001), and pull (P=.001) strengths, and FMA upper-limb scale (P