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| Effects of Hyperbaric Oxygen Combined with Lower Extremity Rehabilitation Robot Assisted Training on Lower Limb Muscle Tension and Walking Ability in Patients with Spinal Cord Injury |
| MAO Bing-bing, BAI Rui |
| Rehabilitation Department, Red Cross Hospital of Lianhu District, Xi'an City, Shanxi Xi'an 710000 |
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Abstract 【Objective】 To investigate the effect of hyperbaric oxygen combined with lower extremity rehabilitation robot assisted training on the lower limb tension and walking ability of patients with spinal cord injury. 【Methods】 A total of 70 patients with spinal cord injury admitted and treated in our hospital from February 2015 to February 2017 were divided into the control group and the observation group according to the random number table method, with 35 cases in each group. All patients were given comprehensive rehabilitation therapy and lower limb rehabilitation robot assisted training. In addition to this, patients in the observation group were given hyperbaric oxygen therapy. The muscle strength and joint force of lower limbs were evaluated by the modified Ashworth scale (MAS) and lower limb rehabilitation robot feedback data, the walking ability, lower limb balance function and activity of daily living were evaluated by functional ambulation category scale (FAC), Berg balance scale (BBS) and modified Barthel index (MBI). 【Results】 The total effective rate of the patients in the observation group was significantly higher than that in the control group (P<0.05). The MAS scores of the adductor muscle, flexor knee, extensor and ankle flexion of the observation group were significantly lower than those of the control group after the treatment (P<0.05). The results of the robot feedback data showed that the force of the hip joint and the knee joint in the observation group was significantly higher than that in the control group (P<0.05), and the level of walking function and balance of lower limbs were significantly better than those of control group (P<0.05). However, there was no significant difference in MBI scores between the two groups after treatment (P>0.05). 【Conclusion】 The combination of hyperbaric oxygen and lower limb rehabilitation robot rehabilitation training can effectively improve the lower limb muscle tension and motor function in patients with spinal cord injury, and the clinical curative effect is remarkable.
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Received: 31 January 2018
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[1] 于大鹏, 赵廷宝. 脊髓损伤后痉挛治疗的研究现状[J].中国矫形外科杂志, 2013, 21(20):2076-2079.
[2] 黄亚琴, 李竹, 王盾. 脊髓损伤肌痉挛康复治疗的研究进展[J].医学综述, 2016, 22(5):935-939.
[3] 李建军, 王方永. 脊髓损伤神经学分类国际标准(2011年修订)[J].中国康复理论与实践, 2011, 17(10):963-971.
[4] 张月兰.中药熏蒸对脊髓损伤患者下肢肌张力及日常生活活动能力的影响[J].中华物理医学与康复杂志, 2016, 38(7):541.
[5] 谢周通, 徐皓, 陈建梅,等. 脊髓损伤后肌痉挛的研究现状[J].实用骨科杂志, 2013, 19(7):625-629.
[6] 王可升, 孙京. 综合康复治疗对脊髓损伤后肌痉挛的影响研究[J].中国卫生标准管理, 2016, 7(21):26-27.
[7] 张志茹, 李宇, 芦宇. 下肢康复机器人训练在脑卒中偏瘫患者康复中的应用[J].临床和实验医学杂志, 2018, 17(4):412-415.
[8] 卢建亮.下肢康复机器人训练对脑卒中偏瘫患者下肢运动功能的康复作用[J].中国现代神经疾病杂志, 2017, 17(5):334-339.
[9] Patel NP, Huang JH. Hyperbaric oxygen therapy of spinal cord injury[J].Medical Gas Research,2017, 7(2):133-143.
[10] 何敏琴, 吴彩虹, 李岩,等.早期高压氧联合下肢康复机器人训练对脑卒中偏瘫患者步行能力的影响[J].中国康复医学杂志, 2015, 30(4):395-397.
[11] 冯娟娟. 高压氧对脊髓损伤患者神经功能及抑郁、焦虑情绪的疗效[J].中华物理医学与康复杂志, 2017, 39(10):760-763.
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| [1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2019, 36(1): 179-181. |
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2018, Vol. 35 
