机器人辅助步行训练联合下肢功能性电刺激对脑卒中患者的影响

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中图分类号 R473.6 R743.3 文献标识码A文章编号 2096-7721（2025）06-0994-06

Effects of robot-assisted gait training combined with functional electrical stimulation of the lower limbs in stroke patients

HE Ouqin， XU Rongzhen （DepartmentofRehabilitation Medicine，Nanjing GaochunPeople'sHospital，Nanjing2113Oo，China）

AbstractObective：Toinvestigatethefectsofrobot-aistedgaittrainngcombiedwithfuncionalelectricalstimulation（FES） onlowerlimbmusclestrength，balanceabilityandmotorfunctioninstrokepatients.Methods：96patients withconvalescentstroke whowere treatedatNanjingGaochunPeople'sHospitalfromJanuary2O22toJanuary2O24wereselectedandrandomlydividedinto the FES group （ n =48，receiving lower limb FES） and the combined group （ n=48 ，receiving robot-assisted walking training combined withlowerlimbFES）.Lowerlibusclestrength，alanceabilityjntangeofmotion，motorfunctio，andactivitisofdailylving （ADL）werecomparedbetweenthetwogroupsbeforeandaftertraining.Results：Aftertraining，kneeextensionmusclestregthand hip flexion muscle strength of combined group were higher than those of FES group （P<0.05） .Higher Berg Balance Scale （BBS） scores andgreaterhip/kneejointrangeofmotionwerefoundinthecombinedgroupafter training（P

Key WordsGait Training;Lower Limb Functional Eectrical Stimulation; Stroke; Motor Function

脑卒中是中枢神经系统局灶性损伤引起的神经功能障碍，已成为成年人致残或致死的首要因素[1]脑卒中后存活患者约 70%～80% 存在功能障碍，尤其是中下肢运动功能障碍，通常表现为肌力减弱、协调运动不足、平衡功能障碍等[2]。（剩余8505字）