下肢外骨骼机器人辅助踝关节运动训练对缺血性脑梗死后偏瘫患者下肢功能及步态参数的影响

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Effect lower limb exoskelen robot-assisted ankle joint exercise training on lower extremity function and gait parameters in hemiplegia patients after ischemic stroke

SHI Lijie'， TAN Jian'，ZHANG Yan'，MA Ping2，YAN Ying³，WANG Hanming1 （1.，Afiliated，lO144，China; 2.DepartmenfIntervention Treatment，，，0029; 3. ， Fangshan District ， 1O24O1，China）

AbstractObjectiveToexploretheefecflowerlimbexoskelerobot-asistedanklejointexercisetrainngolowerlmfunction andgaitparametersinpatintswithmiplegiaafterischemicstroke.Methods：86patientswithemiplegiaafterischemicstrokewho weretreatedatBeijigRhablitationAfilatedfroMay23August2O24wereicludedhey were divided in the observation group （n=43）and the control group scriptstyle（n=43 ）using the random number table method. The control group underwentconvetioalnklejtexerisetraiing，hileteoservationgroupunderentlower-libexoselenobotaistedankle jointexerciseg.Tfeensiowerbucoitpramesndisfaclvelforedfeailang werecomparedbetweenthetwo groupspatients.Results：After12 weks training，thescoresFugl-MeyerAssessmnt（FMA） lowerlimbpart，FunctioalAmbulationClassficationScale（FAC），ndBergBalanecaleB）intheobservationgroupwrehigher than those in the control group （P<0.05） ，and the 1OMWT completion time was shorter than that the control group （P<0.05） . Parameters suchasstridelengthwalingspeed，adene，andgaitsmmetythebservationgrouprealleterthanthosetheotrolgoup （ P <0.05），with a higher tal satisfaction rate 97.67% than 88.37% the control group （P<0.05） . Conclusion： Lower limb exoskelen robot-asistedanklejointexercisetraininghavesignificantefectsonimprovinglowerlibfunctionsandgaitparametersinpatientswith hemiplegia after ischemic stroke， which isworthy promotion and application.

KeyWordsLower-limbExoskelenRobot;AnkleJointExerciseTraining;Ischemic Stroke;Hemiplegia;LowerLimbFunction;Gait Parameters

缺血性脑梗死是一种常见的脑血管疾病，主要由于脑部血管发生堵塞或狭窄，导致血液供应不足，进而引发脑组织缺血坏死，临床表现为肢体无力、言语障碍、视觉异常以及认知功能下降等[1-2]。（剩余9313字）