下肢机器人联合运动疗法对脑卒中下肢痉挛性瘫痪患者运动耐力、认知功能及肢体功能的影响OA

Objective To explore the effects of lower limb robot-assisted training combined with exercise therapy on the exercise endurance,cognitive function and limb function in stroke patients with spastic hemiplegia.Methods A total of 110 stroke patients with spastic paralysis of the lower extremities admitted to Beijing Rehabilitation Hospital Affiliated to Capital Medical University from January 2023 to January 2025 were selected and divided into a conventional group(n=55)and a combined group(n=55)by the random number table method.The conventional group received conventional rehabilitation treatment,while the combined group received a modified regimen on the basis of conventional rehabilitation treatment,where part of the exercise therapy was replaced by lower limb robot-assisted training combined with exercise therapy.The 6-Minute Walk Test(6MWT)was used to evaluate the changes in patients' exercise endurance.Peak Oxygen Uptake(VO2peak)and Anaerobic Threshold(Anaerobic threshold,AT)were determined by cardiopulmonary exercise test;The Modified Ashworth Scale(MAS)was used to evaluate the degree of lower extremity muscle spasm in patients.The Berg Balance Scale(BBS)was used to assess the balance ability of patients.The Fugl-Meyer Assessment Scale(FMA)was used to evaluate the motor function of patients.Neurological deficit severity was measured with the National Institutes of Health Stroke Scale(NIHSS).The Montreal Cognitive Assessment(MoCA)was used to evaluate the cognitive function of patients.Activities of daily living were evaluated using the Modified Barthel Index(MBI).The Modified Barthel Index(MBI)assesses the daily living ability of patients.A self-made satisfaction questionnaire was used to evaluate patients' subjective feelings about the treatment process and effect.Results After treatment,the Combined Group showed significantly higher values in 6MWT,VO2peak and AT compared to the conventional group(P＜0.05);the improvement in MAS in the combined group was greater than that in the conventional group(P＜0.05);both BBS and FMA scores were significantly elevated in the combined group relative to the conventional group(P＜0.05);the NIHSS scores in the combined group were lower than that in the conventional group,and the MoCA scores were higher than that in the conventional group(P＜0.05);the MBI in the combined group was higher than that in the conventional group(P＜0.05);The satisfaction rate of patients in the combined group was higher than that in the conventional group(P＜0.05).Conclusion Lower limb robot-assisted training combined with exercise therapy can effectively improve the exercise endurance,cognitive function and limb function of patients with spastic hemiplegia after stroke.