Effects Of Lower Limb Rehabilitation Robot Combined With Routine Rehabilitation On Lower Limb Motor Function In Stroke Patients With Hemiplegia

Objectives:To explore the effects of lower limb rehabilitation robot combined with routine rehabilitation on lower limb motor function in hemiplegia patients after stroke,and the correlation between lower limb motor function,activities of daily living and cognitive function.Methods:Forty stroke patients with hemiplegia who met the inclusion and exclusion criteria were randomly divided into experimental group and control group with 20 cases in each group.The experimental group was given lower limb rehabilitation robot training combined with routine rehabilitation training,while the control group was given routine rehabilitation training.Both before and after therapy,all objects were assessed in terms of lower limb motor function,walking ability,balance function,transfer ability,activity of daily living and cognitive function with Fugl-Meyer Assessment Lower Extremity(FMA-LE),Functional Ambulation Category Scale(FAC),Berg Balance Scale(BBS),Rivermead Mobility Index(RMI),Modified Barthel Index(MBI),Mini-Mental State Examination(MMSE),the muscular tension of thigh adductor,quadriceps femoris and triceps surae were evaluated by Modified Ashworth Scale(MAS),and the above results were analyzed statistically.Results:1.There was no significant difference in FMA-LE score,FAC score,BBS score,RMI score,MBI score,the muscular tension of thigh adductor,quadriceps femoris and triceps surae between the two groups before treatment(P>0.05).2.After 2 weeks of treatment,the FMA-LE score,FAC score,BBS score,RMI score and MBI score,as well as the muscular tension of thigh adductor,quadriceps femoris and triceps surae in the experimental group,were improved compared with those before treatment before and after treatment,the difference was significant(P<0.05).3.After 2 weeks of treatment,the FMA-LE score,FAC score,BBS score,RMI score,MBI score,as well as the muscular tension of thigh adductor,quadriceps femoris and triceps surae in the control group,were improved compared with those before treatment,before and after treatment,the difference was significant(P<0.05).4.After 2 weeks of treatment,the improvement of FMA-LE score,FAC score,BBS score,RMI score,MBI score and the muscular tension of quadriceps femoris and triceps surae in the experimental group were better than that in the control group(P<0.05).There was no significant difference in muscular tension of thigh adductor between the experimental group and the control group(P>0.05).5.After 2 weeks of treatment,there was a significant correlation between FAM-LE score and MMSE score in the experimental group(r=0.507,P=0.022),and a low correlation in the control group(r=0.453,P=0.045).There was a significant correlation between MBI score and MMSE score in the experimental group(r=0.532,P=0.016),and a low correlation in the control group(r=0.489,P=0.029).Conclusions:1.Lower limb rehabilitation robot training combined with routine rehabilitation training and simple routine rehabilitation training can significantly improve the lower limb muscular tension,motor function,walking function,balance function,transfer ability and activities of daily living of stroke patients with hemiplegia.Lower limb rehabilitation robot training combined with routine rehabilitation training was better than simple routine rehabilitation training in improving lower limb motor function,walking function,balance function,transfer ability,activities of daily living and muscular tension of quadriceps femoris and triceps surae,there was no significant difference in muscular tension of thigh adductor.2.The lower limb motor function and activities of daily living of stroke patients with hemiplegia are correlated with cognitive function,and show a positive correlation.