Abstract：【Objective】 To explore the influence of acupuncture and moxibustion combined with rehabilitation robot training on the rehabilitation process of elderly patients with lower limb fracture. 【Methods】 A total of 96 elderly patients with lower limb fracture were divided into the observation group and the control group by random table method,with 48 cases in each group. The control group received rehabilitation robot training,while the observation group received acupuncture combined with rehabilitation robot training. The lower extremity simplified Fugl-Meyer Motor Function Scale (FMA) score,Traditional Chinese Medicine symptom score (TCM),Berg Balance Scale (BBS) score,Ability of Daily Living Scale (ADL) score,Holden Functional Walking Scale (FAC) score,joint function (HSS) score,and joint maximum range of motion before and after treatment were compared between the two groups. Complications were compared between the two groups as well. 【Results】 The TCM symptom scores of pain,swelling and ecchymosis in the observation group after treatment were significantly lower than those before treatment in the observation group and after treatment in the control group (P<0.05). After treatment,the scores of ADL,BBS and FMA in the observation group were higher than those before treatment in the observation group and after treatment in the control group (P<0.05). FAC,HSS and range of motion were significantly higher in the observation group after treatment than before treatment in the observation group and after treatment in the control group (P<0.05). There was no difference in the total complication rate between the two groups (P>0.05). 【Conclusion】 Acupuncture combined with rehabilitation robot training for elderly patients with lower limb fractures can accelerate the rehabilitation process and improve the joint function and joint range of motion of patients.
任天鹏, 马昀欣, 周晓刚. 针灸联合康复机器人训练对老年下肢骨折患者康复的影响[J]. 医学临床研究, 2023, 40(3): 418-420.
REN Tian-peng, MA Yun-xin, ZHOU Xiao-gang. Effect of Acupuncture Combined with Rehabilitation Robot Training on Rehabilitation Process of Elderly Patients with Lower Limb Fracture. JOURNAL OF CLINICAL RESEARCH, 2023, 40(3): 418-420.
[1] RANZANI R,LAMBERCY O,METZGER J C,et al. Neurocognitive robot-assisted rehabilitation of hand function:A randomized control trial on motor recovery in subacute stroke[J].J Neuroeng Rehabil,2020,17(1):115-116. [2] ZHANG S H. Effects of interactive dynamic scalp acupuncture on motor function and gait of lower limbs after stroke:A multicenter,randomized,controlled clinical trial[J].Chin J Integr Med,2022,28(6):483-491. [3] HAN I,AHMAD A,SADIQ S,et al. Effects of dry needling in lower extremity myofascial trigger points[J].J Pak Med Assoc,2021,71(11):2596-2603. [4] 中华医学会.临床诊疗指南:骨科分册[M].北京:人民卫生出版社,2009:85-88. [5] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:54-55. [6] 张伯礼,薛博瑜.中医内科学[M].北京:人民卫生出版社,2013:81-83. [7] 陈长香,王云龙,马素慧,等. 简易平衡评定系统测试量表的效度与敏感度研究[J].中华物理医学与康复杂志,2015,37(1):16-19. [8] 陈瑞全,吴建贤,沈显山. 中文版Fugl-Meyer运动功能评定量表的最小临床意义变化值的研究[J].安徽医科大学学报,2015,1(4):519-521. [9] 赵丽蓉,陈琪,李莺. 日常生活活动能力量表在分级护理管理中的应用效果[J].护士进修杂志,2016,31(13):1184-1186. [10] 胡川,杨晓,顾莹,等. 基于正常行走模式的功能性电刺激对老年脑卒中患者步行功能的影响[J].中华老年心脑血管病杂志,2018,20(7):742-745. [11] 张蕾,王立生,张睿,等. 两种不同假体对全膝关节置换术后ROM、HSS评分和高屈曲活动能力的影响对比[J].临床和实验医学杂志,2018,17(18):1983-1986. [12] HENKELMANN R,PALKE L,SCHNEIDER S,et al. Impact of anti-gravity treadmill rehabilitation therapy on the clinical outcomes after fixation of lower limb fractures:A randomized clinical trial[J].Clin Rehabil,2021,35(3):356-366. [13] KIM H Y,SHIN J H,YANG S P,et al. Robot-assisted gait training for balance and lower extremity function in patients with infratentorial stroke:A single-blinded randomized controlled trial[J].J Neuroeng Rehabil,2019,16(1):99-100. [14] 严文,崔淑仪,慕容嘉颖,等. 康复机器人康复训练同步针刺运动疗法干预髋部骨折术后康复的疗效观察[J].中国针灸,2021,41(4):387-390. [15] 鄢来军,颜浪辉,林庆宾,等. 基于数据挖掘探讨针灸治疗脊髓损伤下肢功能障碍的选穴规律[J].针灸临床杂志,2020,36(1):57-62. [16] KAYABINAR B,ALEMDAROĞLU-GÜRBÜZ I,YILMAZ Ö. The effects of virtual reality augmented robot-assisted gait training on dual-task performance and functional measures in chronic stroke:A randomized controlled single-blind trial[J].Eur J Phys Rehabil Med,2021,57(2):227-237. [17] 张琳君,周青山. 中医针灸联合减重步行训练对高血压性脑出血后下肢功能恢复的影响研究[J].现代中西医结合杂志,2017,26(7):711-713.
2023, Vol. 40 
