Effects Of Lower Extremity Exoskeleton Walking Robot On Lower Limb Function And Electromyography Signal In Patients With Stroke

Background and ObjectiveAs a common and frequently-occurring disease in middle-aged and elderly people,stroke has a high morbidity and disability rate in the clinic,which has a huge impact on the quality of life of patients.Most stroke patients are accompanied by different degrees of lower limb motor dysfunction,mainly manifested as loss of balance or loss of body balance,which also leads to the increasing incidence of falls,which makes the patient full of fear of exercise and seriously affects the patient's Daily life self-care ability and quality of life.In clinical practice,the rehabilitation treatment of stroke patients,including limb function training and physical therapy,etc.,is used to promote the effective rehabilitation of stroke patients.However,previous clinical studies have found that patients with traditional rehabilitation models have relatively poor compliance and longer rehabilitation treatment cycles,which is not conducive to early rehabilitation of patients.The lower limb rehabilitation robot,as a modern neuro-rehabilitation treatment technology,is currently widely used in clinical rehabilitation treatment,and the effect of rehabilitation treatment is remarkable.Clinical studies have shown that rehabilitation robots,as an advanced rehabilitation training method,can use machines to drive patients' affected limbs,enabling hemiplegic patients to exercise passively.By stimulating the patient's limb motor nerves,it has benefited the recovery of patients' motor function Impact.Based on this,this study analyzes the effects of exoskeleton walking robot on lower extremity motor function,walking ability,quality of life and myoelectric signal of lower extremity in stroke hemiplegic patients.It is hoped that this will provide the promotion of exoskeleton walking robot in clinical practice in accordance with.Subjects and MethodsFrom January 2018 to October 2019,60 patients with confirmed stroke and hemiplegia who were hospitalized in the Department of Rehabilitation of the Fifth Affiliated Hospital of Zhengzhou University were selected as the research object,and were randomly divided into an experimental group and a control group.The control group received routine rehabilitation training,the experimental group added walking training of lower extremity exoskeleton walking robot on this basis.Before the training,4 weeks and 8 weeks after the training,the Fugl-Meyer scale(FMA),the Berg balance scale(BBS),the functional walking ability scale(FAC),and the modified Barthel index evaluation scale were used for all patients(MBI)and surface electromyography(sEMG)were evaluated.ResultsThere was no significant difference between the general data of the two groups of patients in terms of gender,site of involvement,stroke type,age and course of disease(P>0.05);before treatment,there were no differences in FMA,BBS,FAC,MBI and RMS between the two groups of patients Significant difference(P>0.05),4 weeks and 8 weeks after training,the FMA,BBS,MBI,RMS of the two groups of patients were significantly improved compared with before treatment,and the experimental group was better than the control group;the two groups of patients walked 4 weeks after training There was no significant difference between the grades 1,3,4 and 5 in the ability classification(P>0.05),but there were more people in the 2nd grade in the walking ability classification 4 weeks after training in the experimental group than in the control group(P<0.05),And the number of people in level 0 is less than that in the control group(P<0.05),there is no significant difference between the two groups of patients in the walking ability classification at 1 week,level 1,level 2,level 3 and level 5(P>0.05),However,the number of people in grade 4 in the walking ability classification in the experimental group was more than that in the control group at 8 weeks after training(P<0.05),and the number of people in grade 0 was less than the control(P<0.05).ConclusionThe lower extremity exoskeleton walking robot can effectively improve the lower limb motor function of stroke hemiplegic patients,improve the patient's balance ability and walking ability,and also help to improve the patient's quality of life,so that the patient's lower extremity muscle excitability has been improved.The restoration of physical health has a beneficial effect and can be widely used and promoted in the clinic.