机器人辅助联合等速肌力训练在老年脑卒中偏瘫患者中的康复效果分析OA

Objective:To investigate the clinical effect of lower limb rehabilitation robot-assisted training combined with isokinetic muscle strength training on improving neurological function and motor ability in elderly stroke patients with hemiplegia.Methods:A retrospective analysis was conducted on the clinical data of 118 elderly stroke patients with hemiplegia who were treated at our hospital from January 2024 to January 2025.According to the rehabilitation program,they were divided into the the control group(n=50,receiving only conventional rehabilitation training)and the observation group(n=68,receiving lower limb rehabilitation robot-assisted training combined with isokinetic muscle strength training in addition to conventional rehabilitation).Both groups underwent a 12-week rehabilitation program.The lower limb motor function[Fugl-Meyer assessment of lower extremity(FMA-LE)score],balance function and gait parameters[Berg balance scale(BBS)score,timed up-and-go test(TUGT)and 10-meter walk test(10MWT)],isokinetic muscle strength test,activities of daily living(ADLs)and neurological function[modified Barthel index(MBI)and National Institutes of Health stroke scale(NIHSS)score],adverse reactions,and training compliance were compared between the two groups before and after treatment.Results:After treatment,the observation group showed significantly higher scores than the control group in all dimensions and total scores of FMA-LE,BBS score,walking speed,step length,step frequency,and step length symmetry index(P<0.05).TUGT time and 10MWT time were significantly shorter in the observation group than those in the control group(P<0.05).The peak torque/body weight ratio or total work of each muscle group of the knee and hip joints was significantly greater in the observation group than that in the control group(P<0.05).The MBI score was significantly higher and the NIHSS score was significantly lower in the observation group than those in the control group(P<0.05).There were no significant differences in the incidence of adverse reactions and compliance between the two groups(P>0.05).Conclusion:Lower limb rehabilitation robot-assisted training combined with isokinetic muscle strength training can comprehensively improve motor function,balance ability,gait parameters,muscle strength level and ADLs in elderly stroke patients with hemiplegia.With good safety,its comprehensive rehabilitation effect is significantly better than that of conventional rehabilitation training alone,and it is worthy of clinical promotion and application.