基于脑卒中Brunnstrom分期的下肢机器人精准剂量训练在足下垂康复中的应用观察OA

Objective:To investigate the rehabilitation efficacy of precision dosing training of lower limb rehabilitation robot based on Brunnstrom staging on patients with food drop after stroke.Methods:A total of 100 patients with stroke at Brunnstrom stages Ⅲ-Ⅳ,who admitted to the Rehabilitation Medicine Center of Lu'an People's Hospital between March 2021 and June 2023,were enrolled.They were randomly divided into observation group(49 cases)and control group(51 cases)according to random number table.The observation group adopted robotic gait training system(Lokomat Pro)to conduct staged dynamic adjustment training,while the control group adopted standardized rehabilitation plan to conduct training.Ankle dorsiflexion active range of motion(AROM),walking function,and safety indicators before and after the intervention were assessed.Results:After the intervention,the enhance value of AROM of the observation group was(8.62±2.15)°,which was significantly greater than(4.73±1.84)° of the control group,and the difference was significant(t=6.327,P<0.05).The increased value of 10-meter walking speed was(0.28±0.09)m/s in the observation group,which was 0.13 m/s higher than that in the control group,with statistically significant difference(t=8.135,P<0.05).The score of Fugl-Meyer scale improved by(10.07±3.84)points in the observation group,which was significantly superior to(5.22±2.67)points of the control group(t=6.724,P<0.05).According to the Holden Functional Ambulation Classification,the rate of independent walking(63.27％)in the observation group was significantly higher than 37.25％in the control group,with statistically significant difference(Z=3.127,P<0.05).In terms of safety,the incidence of adverse events in the observation group was 26.53％,which was significantly lower than 58.82％in the control group(x2=10.367,P<0.05).Conclusion:Brunnstrom staging-guided precision dosage training of robot can significantly improve motor function of patients with foot drop caused by stroke.The therapeutic advantages appear enhancement of ankle mobility,improvement of walking speed,increase of independent walking capacity,and superior safety.