Effects Of Different Types Of Exoskeleton Rehabilitation Robot Training On Walking And Balance Function Of Stroke Hemiplegic Patients

Stroke is a common disease and multiple onset of my country,which causes high disability and seriously affects the quality of survival of patients.After stroke,due to hemiplegia,patients often have impaired walking and balance function.The stable walking ability is one of the most important life demands of patients with stroke.In the past,the training of stroke walking and balance function was performed in one-to-one artificial way.The huge patient base puts great pressure on Dr.Rehabilitation and Rehabilitation Therapist.At the same time,the training effect was greatly affected by the level of individual therapist’s ability.In recent years,as one of the representatives of emerging sports rehabilitation technology,lower limb exoskeleton rehabilitation robots have shown huge potential in improving stroke walking and balanced functions.A variety of lower limb exoskeleton rehabilitation robots used for post-stroke training are applied to the clinic.The lower limb exoskeleton rehabilitation robot can be divided into tread mill-based exoskeleton robot and over-ground exoskeleton robot based on the structure and operation posture.There are studies have shown that tread mill-based exoskeleton robot can improve the balance,walking ability and gait of stroke patients,and studies have also proved that the use of over-ground exoskeleton robot for stroke patients walking training is safe and effective.Valid,but the two types of lower limb exoskeleton rehabilitation robots have different training effects of patients with stroke para hematic patients.There are blindness when choosing which exoskeleton rehabilitation robots are selected in clinical practice.Objective: In this study,the two different types of lower limb exoskeleton rehabilitation robots are applied to patients with stroke stroke,respectively,and observe the rehabilitation efficacy of different types of lower limb exoskeleton rehabilitation robot training for the walking and balance of stroke patients,and further compare the two between the two efficacy advantage provides experimental basis for choosing more targeted robotic training programs for patients with stroke patients.Methods: From December 2021 to November 2022,the Department of Hospital of the First Medical Center of the General Hospital of the People’s Liberation Army General Hospital meets 40 patients with selected standards in the selected standard 20 cases.All patients were collected and evaluated before the group entered the group.Patients in the fixed robot group receive conventional training and 5 times a week,once a day,20 minutes of Lokomat robot walking training for two weeks each;patients in the aid robot group receive the same conventional training as the fixed robot group as the running robot group,robotic training,robotic training uses Ai Kang robot,and the time and frequency are the same as the fixed robot group.After the training cycle is completed,the training will be completed within two days.Evaluate the affected FMA-LE,the muscle strength of the lower limb,AE of the knee joint of the affected side,BBS,SMFRT distance,Jerk value in the front and rear directions when sitting in front of the seat,gait parameters,FAC score,TUG time,6MWT distance,MBI,ESES,in order to explore the impact of different types of lower limb exoskeleton rehabilitation robotic training on pedestrian hemiplegia patients and their respective efficacy advantages.Results:(1)Before the training,the general information of the two groups of patients,including age,gender,time of onset,stroke type,lesion site,lower limb Brunnstrom,and MBI(P>0.05);(2)Comparison in the front and rear groups,the two groups of the affected FMA-LE,the hip flexion PT of the affected side,the hip extension PT,the PT of the knee flexion,the PT of the knee,AE of the knee joint of the affected side,BBS,SMFRT to affected side distance,SMFRT to non-affected side distance,walking speed,FAC score,TUG time,6MWT distance,MBI,ESES.There are significant differences in statistical differences in the differences(P<0.05);There are significant statistical differences in the steps and walking cycles of fixed robot groups(P< 0.05);The front and rear direction of the sitting front and backward direction of the sitting position of the aid robot group,SMFRT-forward distance are significant statistical differences(P<0.05);(3)Before and after training,there was no significant difference in all indicators between the two groups(P>0.05);After training,the AE angle of the knee joint of the side knee after training the fixed robot group is better than the aid robot group,and there is significant statistical differences(P<0.05);After training,in the aid robot group,the front and rear direction of Jerk,SMFRT-forward distance,and ESES are better than fixed robot groups,and there are significant differences in statistical differences(P<0.05).Conclusion:(1)After short-term training of stroke hemiplegia patients,the two types of lower limb exoskeleton rehabilitation robots can effectively improve their lower limb hip,knee flexion/extensor muscle strength,knee proprioception,walking function,balance function,confidence in participating in sports exercise and daily living ability;(2)Tread mill-based exoskeleton robot is superior to the over-ground exoskeleton robot training in improving knee proprioception of the affected side with stroke patients;(3)The over-ground exoskeleton robot training is superior to the tread mill-based exoskeleton robot in improving the balance function and confidence participating in exercise of stroke patients.