The Effect Of Lower Limb Rehabilitation Robot On Motor Function Of Lower Limb In Patients With Early Ischemic Stroke

Objective: To investigate the effect of lower limb rehabilitation robot on motor function of lower limb in patients with early ischemic stroke.Methods: From September 2018 to August 2019,ischemic stroke patients from the Department of Rehabilitation Medicine and Department of Neurology of Affiliated Hospital of Hebei University were included into this study.Patients were randomly divided into two groups: observation group and control group.Both groups were given post-stroke medical treatment,while the observation group was given routine rehabilitation treatment and lower limb rehabilitation robot treatment.The control group was given routine rehabilitation treatment and electric standing bed treatment.Robot parameters(lower limb intelligent feedback training system A1 from Guangzhou Yikang): robot parameters: stand-up bed angle80°,training speed 40steps/min,30 min each time,once a day,treatment 6 days a week.Both groups were treated continuously for 8 weeks.FAC,FMA-LE and BI scores were performed in the two groups before,4 weeks after and 8 weeks after treatment.The results are statistically analyzed.Results: 1.Comparison of baseline data: there were 33 cases in the observation group,including 15 males and 18 females,aged(55.00 ± 4.92)years,with a course of(8.15 ± 2.88)days,17 left hemiplegia and 16 right hemiplegia.There were 33 cases in the control group,including 14 males and 19 females,aged(53.27 ± 5.08)years,with a course of(8.33 ± 2.62)days,18 left hemiplegia and 15 right hemiplegia.There was no significant difference in general data between the two groups(P>0.05).There was no significant difference between the two groups in previous medical history of hypertension,hyperlipidemia,diabetes,smoking,sleep apnea syndrome and hyperhomocysteinemia(P>0.05).There was no significant difference in FAC,FMA-LE and BI scores between the two groups before treatment(P >0.05).2.FAC score: After 4 weeks of treatment,the mean score of FAC in the observation group was increased from(1.24±0.44)to(2.36±0.78)and(4.52±0.67)after 8 weeks oftreatment.After 4 weeks of treatment,the mean of FAC score in the control group increased from(1.21±0.42)to(2.00±0.66)and(3.39±0.70)after 8 weeks of treatment.Within each group,the difference between 4 weeks before and after treatment,8 weeks before and after treatment was statistically significant(P<0.05).The difference between the two groups after4 weeks and 8 weeks treatment was statistically significant(P<0.05).3.FMA-LE score: After 4 weeks of treatment,the mean score of FMA-LE in the observation group was increased from(5.79±2.58)to(10.06±1.62)and(17.48±4.15)after 8weeks of treatment.After 4 weeks of treatment,the mean of FMA-LE score in the control group increased from(5.36±2.81)to(9.91±2.02)and(12.70±2.58)after 8 weeks of treatment.Within each group,the difference between 4 weeks before and after treatment,8 weeks before and after treatment was statistically significant(P<0.05).The difference between the two groups after 4 weeks and 8 weeks treatment was statistically significant(P<0.05).4.BI score: After 4 weeks of treatment,the mean score of BI in the observation group was increased from(29.70±6.37)to(40.30±7.17)and(57.58±6.75)after 8 weeks of treatment.After 4 weeks of treatment,the mean of BI score in the control group increased from(28.94±6.09)to(34.09±5.79)and(41.67±6.58)after 8 weeks of treatment.Within each group,the difference between 4 weeks before and after treatment,8 weeks before and after treatment was statistically significant(P<0.05).The difference between the two groups after4 weeks and 8 weeks treatment was statistically significant(P<0.05).Conclusion: 1.Lower limb intelligent feedback training system A1 robot can improve lower limb motor function in early ischemic stroke hemiplegic patients.2.Lower limb intelligent feedback training system A1 robot can improve the Activity of Daily Living of hemiplegic patients with early ischemic stroke.