MOTOmed下肢运动训练联合等速肌力训练对脑卒中偏瘫患者下肢运动功能、下肢肌张力和步行步态功能的影响

摘要 目的：观察MOTOmed下肢运动训练联合等速肌力训练在脑卒中偏瘫患者的应用价值。方法：根据随机数字表法将2019年5月-2022年12月期间南京医科大学附属脑科医院收治的158例脑卒中偏瘫患者分为对照组（n=79，接受等速肌力训练）和观察组（n=79，对照组基础上接受MOTOmed下肢运动训练）。对比两组下肢运动功能、下肢肌张力、步行步态功能。结果：干预12周后，两组Fugl-Meyer运动功能评定量表（FMA）、Berg平衡量表（BBS）评分升高，且观察组高于对照组同期（P<0.05）。干预12周后，两组膝关节后伸（FKE）、前屈（FKF）、髋关节后伸（FHE）、前屈（FHF） 肌张力升高，且观察组高于对照组同期（P<0.05）。干预12周后，两组步速、步频、步长、功能性步行分级量表（FAC）评分升高，且观察组高于对照组同期（P<0.05）。结论：MOTOmed下肢运动训练联合等速肌力训练治疗脑卒中偏瘫患者，可有效改善下肢运动功能、下肢肌张力以及步行步态功能。

Effects of MOTOmed Lower Limb Exercise Training Combined with Isokinetic Muscle Strength Training on Lower Limb Motor Function, Lower Limb Muscle Tension and Walking Gait Function in Stroke Patients with Hemiplegia

ABSTRACT Objective: To observe the application value of MOTomed lower limb motor training combined with isokinetic muscle strength training in stroke patients with hemiplegia. Methods: 158 stroke hemiplegic patients who were admitted to The Affiliated Brain Hospital of Nanjing Medical University from May 2019 to December 2022 were divided into control group (n=79, received isokinetic muscle strength training) and observation group (n=79, received MOTomed lower limb motor training on the basis of the control group) according to the random number table method. The lower limb motor function, lower limb muscle tension and walking gait function were compared between two groups. Results: 12 weeks after intervention, the scores of Fugl-Meyer motor function rating scale(FMA) and Berg balance scale (BBS) in two groups increased, and those in observation group were higher than control group at the same time (P<0.05). 12 weeks after intervention, the muscle tension of knee extension (FKE), flexion (FKF), hip extension (FHE) and flexion (FHF) in two groups increased, and those in observation group were higher than those in control group(P<0.05). 12 weeks after intervention, the scores of walking speed, step frequency, step length and functional walking classification scale (FAC) in two groups increased, and those in observation group were higher than control group at the same time(P<0.05). Conclusion: MOTOmed lower limb exercise training combined with isokinetic muscle strength training can effectively improve lower limb motor function, lower limb muscle tension and walking gait function in stroke patients with hemiplegia.