The Effect Of The Lokomat Robot On The Lower Limbs Function Of Ischemic Stroke Patients

Obiective To explore the effect of the gait training and assessment system of Lokomatautomatic robot（referred as the Lokomat robot）on the walking ability of patients afterischemic stroke. To provide a safe and reliable method of rehabilitation training forischemic stroke patients with hemiplegia.Methods1Collectted the patients who met the inclusion criteria admitted by theNeurology Department and Physiatry Department of Affiliated Hospital of Hebei UnionUniversity from March2012to May2013, a total of40case.2According to age, pasthistory, the illness as pairing factors, the grouped individual pairs were divided intointervention group and control group,20cases each group. Intervention group: Lokomatrobot rehabilitation training. Control group: The traditional rehabilitation.3All patientswere assessed at the beginning of the training and6weeks,12weeks after treatment,assessment includes the NIHSS assessment scale, hip joint motion, knee joint motion,Fugl-Meyer motor function scale（FMA）scale, walking function scale（FAC）score,Berg Balance Scale（BBS）for balance, Barthel Index（BI）for activities of dailyliving and gait parameters. The evaluation results were statistically analyzed.Results1Before training, both intervention group and control group of the NIHSSassessment scale, hip joint motion, knee joint motion, Fugl-Meyer motor function scale（FMA）scale, walking function scale（FAC）score, Berg Balance Scale（BBS）forbalance, Barthel Index（BI）for activities of daily living and gait parameters have nostatistically significant difference（P>0.05）.2Comparison within group After training:The assessment results at6week and12week were betteer than before training, thedifference has statistical significance（P<0.05）. And the assessment results at12weekwas betteer than6week, he difference has statistical significance（P<0.05）.3Comparison of two groups before and after training:①Comparison between twogroups：The intervention group were better than the control group of the assessmentresults, the difference has statistical significance （P<0.001）.②Comparison of thetraining time: Comparisons of the assessment results were significant difference in thetraining times.③The interaction of the groups and training times:in hip joint motion,knee joint motion, Fugl-Meyer motor function scale（FMA）scale, Berg Balance Scale （BBS）for balance, Barthel Index（BI）for activities of daily living and gaitparameters at the groups and training times have the interaction（P<0.001）, but in thethe NIHSS assessment scale have no the interaction,（P>0.05）.Conclusion1. The traditional rehabilitation and Lokomat robot rehabilitation trainingcan provide safe and effective rehabilitation for patients with ischemic stroke.2. Lokomatrobot rehabilitation training is the most effective training program in this study.