终端效应机器人训练对中风患者下肢运动功能和平衡的影响:系统性审查和元分析
Zejian Lou1, Fuhai Wang1, Difu Guan1
1College of Sports Science, Shenyang Normal University, Shenyang, China.
Frontiers in neurology
|January 26, 2026
概括
终端效应机器人训练显著改善下肢运动功能和中风幸存者的平衡. 然而,它对步行距离的影响尚不清楚,因此需要进一步调查其有效性和机制.
科学领域:
- 康复医学 康复医学 康复医学
- 医疗保健中的机器人技术
- 神经科学是一个神经科学.
背景情况:
- 脑卒中是导致长期残疾的主要原因,通常导致下肢运动功能和平衡受损.
- 传统疗法在完全恢复这些功能方面存在局限性.
- 机器人辅助疗法提供了一种新的方法来提高康复结果.
研究的目的:
- 系统评估终端效应机器人训练对中风患者下肢运动功能和平衡的影响.
- 综合来自随机对照试验 (RCT) 的证据,将终端效应机器人训练与传统治疗进行比较.
主要方法:
- 在2025年12月之前发表的RCT的系统审查和元分析.
- 包括的研究重点是对中风患者进行终端效应机器人训练,以提高下肢功能和平衡.
- 数据使用PEDro尺度和RevMan 5.4软件进行分析.
主要成果:
- 分析了16个涉及789名患者的RCT.
- 终端执行机器人训练显示下肢运动功能 (例如,FAC,FMA-L分数) 和平衡 (BBS分数) 显著改善.
- 在6分钟步行测试 (6MWT) 中,机器人训练和传统治疗组之间的距离没有显著差异.
结论:
- 终端效应机器人训练在提高下肢运动功能和中风后平衡方面显示出前景.
- 这种训练对步行耐力 (6MWT距离) 的影响需要进一步澄清.
- 需要进行额外的研究来优化培训协议,并了解机器人治疗的潜在长期机制.
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