本文選題：感覺統(tǒng)合訓(xùn)練 + 振動(dòng)觸覺　； 參考：《中國康復(fù)醫(yī)學(xué)雜志》2017年08期

【摘要】：目的:對腦損傷偏癱患者下肢進(jìn)行運(yùn)動(dòng)訓(xùn)練,并用振動(dòng)觸覺提示方法,驗(yàn)證感覺統(tǒng)合訓(xùn)練對偏癱患者的有效性。方法:將研制的康復(fù)訓(xùn)練平臺(tái)應(yīng)用到偏癱患者的臨床實(shí)驗(yàn)中,結(jié)合振動(dòng)觸覺反饋方式進(jìn)行訓(xùn)練,以健側(cè)肢體作為康復(fù)標(biāo)準(zhǔn),對患者進(jìn)行振動(dòng)觸覺提示。訓(xùn)練前后對患者患側(cè)下肢進(jìn)行Brunnstrom分期。利用角度傳感器測量患者下肢的運(yùn)動(dòng),并在頻域上進(jìn)行處理分析,計(jì)算出一種康復(fù)指標(biāo),同訓(xùn)練后的Brunnstrom分期結(jié)果進(jìn)行對比。結(jié)果:患肢膝關(guān)節(jié)在健側(cè)提示下的運(yùn)動(dòng)頻率,相對于患側(cè)振動(dòng)提示下的更高,患者在健側(cè)振動(dòng)提示下更能準(zhǔn)確地完成運(yùn)動(dòng);健側(cè)振動(dòng)提示時(shí),患肢的運(yùn)動(dòng)頻率仍低于理論值,無法非常準(zhǔn)確地與感覺刺激提示相配合完成運(yùn)動(dòng);Brunnstrom分期評(píng)價(jià)與計(jì)算出的康復(fù)指標(biāo)有很強(qiáng)的相關(guān)性。結(jié)論:健側(cè)的感覺功能較為正常,而患肢感覺及運(yùn)動(dòng)功能存在障礙;振動(dòng)觸覺提示方案的康復(fù)指標(biāo)能有效描述患者的運(yùn)動(dòng)和感覺功能恢復(fù)情況,振動(dòng)觸覺與運(yùn)動(dòng)統(tǒng)合訓(xùn)練對偏癱患者下肢康復(fù)有一定效果。
[Abstract]:Objective: to evaluate the effectiveness of sensory integration training in hemiplegia patients with cerebral injury by motor training and vibration tactile cues.Methods: the developed rehabilitation training platform was applied to the clinical experiment of hemiplegic patients, and the vibration tactile feedback was used to train the patients. The healthy limbs were used as the rehabilitation standard, and the patients were given vibration tactile cues.Brunnstrom staging was performed on the affected lower extremities before and after training.The movement of lower extremity was measured by angle sensor and analyzed in frequency domain. A rehabilitation index was calculated and compared with the results of Brunnstrom staging after training.Results: the motion frequency of the knee joint under the healthy side was higher than that under the vibration of the affected side, the patient could complete the movement more accurately under the healthy side vibration, and the motion frequency of the affected limb was still lower than the theoretical value when the healthy side vibration indicated.There is a strong correlation between Brunnstrom stage evaluation and the calculated rehabilitation index.Conclusion: the sensory function of the healthy side is normal, but the sensory and motor function of the affected limb is impaired, and the rehabilitation index of the vibratory tactile hint scheme can effectively describe the recovery of the patients' motor and sensory function.Vibration tactile and motor integration training has certain effect on lower limb rehabilitation of hemiplegic patients.
【作者單位】： 清華大學(xué)摩擦學(xué)國家重點(diǎn)實(shí)驗(yàn)室智能與生物機(jī)械分室;中國航天員科研訓(xùn)練中心人因工程重點(diǎn)實(shí)驗(yàn)室;煙臺(tái)市煙臺(tái)山醫(yī)院康復(fù)醫(yī)學(xué)科;
【分類號(hào)】：R493;R743.3

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