| Objective: To explore the effect of lokomat rehabilitation training combine d with cognitive rehabilitation on walking ability of lower extremities in stroke patients,so as to provide a more effective treatment for stroke patients with l ower limb rehabilitation.Methods: From September 2016 to February 2017,patients in Inpatient De partment of Rehabilitation Section of Rongjun Hospital,Wuhan City,Hubei Pro vince were divided into intervention group(7 cases).A total of 10 patients ad mitted to Department of Rehabilitation,Tongji Hospital affiliated to Tongji Med ical College of Huazhong University of Science and Technology between Janua ry 2015 and May 2015 were selected as the control group.The intervention gr oup patients,conventional rehabilitation,cognitive rehabilitation training and LO KOMAT lower limb rehabilitation robot training.Patients in the control group were treated with conventional rehabilitation and weight loss treadmill training.Two groups of patients were trained 5 times a week,a total of training for 8weeks.FAC,BBS,FMA,and 10 mWT scores were performed on two patients before and after training four weeks and eight weeks after training,respectivel y,and MMSE scores were separately administered to the intervention group.T he results of the above assessment Statistical analysis.Results: 1.After 4 weeks of treatment,the average FAC score of the inter vention group increased from0.43±0.53 fraction to2.29±0.49 fraction,increased to3.86±0.69 fraction after 8 weeks of treatment,and the FAC score increased fro m0.60±0.52 fraction to1.80±0.92 fraction in the control group,and increased to2.90±0.88 fraction after 8 weeks treatment.Two groups of patients before and after4 weeks of treatment,8 weeks before treatment and 8 weeks after treatment,4 weeks after treatment and 8 weeks after the treatment have a very significan t difference(p<0.01).2.After 4 weeks of treatment,the average BBS score of the intervention g roup increased from9.14±1.68 fraction to23.14±5.37 fraction,increased to42.29±5.09 fraction after 8 weeks of treatment,and the BBS score increased from 11.20±4.89 fraction to18.30±6.52 fraction in the control group,and increased to 26.80±9.08 fraction after 8 weeks treatment.Two groups of patients before and after 4weeks of treatment,8 weeks before treatment and 8 weeks after treatment,4weeks after treatment and 8 weeks after the treatment have a very significant difference(p<0.01).3.After 4 weeks of treatment,the average FMA score of the intervention group increased from7.14±1.57 fraction to17.14±3.85 fraction,and increased to25.57±3.36 fraction after 8 weeks of treatment.There was a significant difference between before treatment and 4 weeks after treatment,after treatment for 8 we eks and 4 weeks after treatment,respectively(p<0.01).The mean value of FM A in the control group increased from7.60±3.72 fraction to13.00±4.71 fraction,a nd increased to18.30±5.98 fraction after 8 weeks treatment.There was a signific ant difference between before treatment and 4 weeks after treatment(p<0.05).There was a very significant difference between before treatment and 8 weeks after treatment,after treatment for 4 weeks and 8 weeks after treatment(p<0.01).4.After 4 weeks of treatment,the mean value of 10 mWT score in the inte rvention group increased from0.02±0.03m/s to0.25±0.04m/s,and increased to0.41±0.04m/s after 8 weeks of treatment.4 weeks before and after treatment,afte r treatment and 8 weeks after treatment,4 weeks after treatment and 8 weeks after treatment,compared with a very significant difference(p<0.01).The mean value of 10 mWT in the control group increased from0.05±0.05m/s to0.14±0.05m/s,and increased to0.22±0.07m/s after 8 weeks treatment.There was a signifi cant difference between before treatment and 4 weeks after treatment(p<0.05).There was a very significant difference between before treatment and 8 weeks after treatment,after treatment for 4 weeks and 8 weeks after treatment(p<0.01).5.After 4 weeks of treatment,the MMSE score in the intervention group i ncreased from12.14±2.41 fraction to14.29±2.81 fraction,and increased to17.14±3.29 fraction after 8 weeks of treatment.There was a very significant difference between before treatment and 8 weeks after treatment(p<0.01).Conclusion: 1.Lokomat lower limb rehabilitation robot combined with cogn itive rehabilitation and routine rehabilitation can effectively improve walking ab ility,exercise capacity,balance ability,walking speed and cognitive function of patients.2.Lokomat lower limb rehabilitation robot combined with cognitive rehabili tation is more effective than weight loss treadmill training in improving walkin g ability,exercise ability,balance ability and walking speed of patients.3.The effect of treatment for 8 weeks is better than that of 4 weeks,and the longer the training time is,the better the effect.However,the sample size of this study is too small and the duration is short.In order to further confirm the improvement effect of Lokomat lower limb rehabilitation robot combined with cognitive rehabilitation on walking function of stroke patients,a large nu mber of long-term,multi index studies should be carried out. |
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