中国组织工程研究第16卷第4期2012–01–22出版ChineseJournalofTissueEngineeringResearchJanuary22,2012Vol.16,No.4ISSN1673-8225CN21-1581/RCODEN:ZLKHAH5971DepartmentofRehabilitationMedicine,theSixthPeople’sHospitalAffiliatedtoShanghai激aoTongUniversity,Shanghai200233,China;2theHumanCenteredRoboticsAutomation,Shanghai激aoTongUniversity,Shanghai200233,ChinaWanDa-qian,Studyingformaster’sdegree,DepartmentofRehabilitationMedicine,theSixthPeople’sHospitalAffil★iatedtoShanghai激aoTongUniversity,Shanghai200233,Chinawdqwdq1986@126Correspondenceto:BaiYue-hong,Chiefphysician,DepartmentofRehabilitationMedicine,theSixthPeople’sHospitalAffiliatedtoShanghai激aoTongUniversity,Shanghai200233,Chinaaibyhw@126Supportedby:CrossFoundationMajorProjectofEngineeringandMedicineofShanghai激aoTongUniversity,No.YG2010ZD101*Received:2011-09-17Accepted:2011-10-05下肢外骨骼康复机器人在膝关节活动受限康复治疗中的应用*★万大千1,徐义明1,白跃宏1,殷跃红2ApplicationoflowerlimbexoskeletonsrehabilitationrobotsinrehabilitationtreatmentofactivitylimitedkneejointWanDa-qian1,XuYi-ming1,BaiYue-hong1,YinYue-hong2AbstractBACKGROUND:Limbexoskeletonsrehabilitationrobotscanstimulatethenaturalresilienceofbodythroughsimulatedhumanmovementtoachievetissuecompensationbasedonitstheoreticalbasisofcontinuedcombinedactiveandpassiveactivities.OBJECTIVE:Todynamicallyobserveandrealizetherehabilitationeffectoflimbexoskeletonsrehabilitationrobotsonfunctionalexerciseofpatientswithactivitylimitedkneejoint.METHODS:Twentyearlypostoperativepatientswithactivitylimitedkneejointweredividedintoexperimentgroupandcontrolgrouprandomly.Thefunctionalexercisewithlimbexoskeletonsrehabilitationrobotswasperformedintheexperimentgroup.ThecontrolgroupunderwentfunctionalexercisewithpassivetrainingdevicesCPM.Psychologicalguide,low-frequencypulseelectrotherapyandinfraredphysiotherapywereperformedinbothgroupsduringthetreatment.RESULTSANDCONCLUSION:Theactivedegreeofretroflexionandprotrusivemovementofkneejointinallcaseswasimproved.Themusclestrengthofthequadricepsfemorisinexperimentgroupwassignificantlyimprovedaftertreatment(P<0.01.Theactivedegreeofretroflexionandprotrusivemovementofkneejointinexperimentgroupwasfurtherimprovedafter2monthsfollow-uptreatment(P<0.01.Theindexesabovedidnotchangeincontrolgroup.TheresultsshowedthattheapplicationoflimbexoskeletonsrehabilitationrobotsorpassivetrainingdevicesCPMcombinedwithpsychologicalguide,low-frequencypulseelectrotherapyandinfraredphysiotherapybothcouldsignificantlyimprovetheactivedegreeofretroflexionandprotrusivemovementofkneejointinpatientswithactivitylimitedkneejoint,atthesametime,thelimbexoskeletonsrehabilitationrobotscouldrecoverthemusclestrengthofthequadricepsfemoris.WanDQ,XuYM,BaiYH,YinYH.Applicationoflowerlimbexoskeletonsrehabilitationrobotsinrehabilitationtreatmentofactivitylimitedkneejoint.ZhongguoZuzhiGongchengYanjiu.2012;16(4:597-600.[wwcrteren.zglckf]摘要背景:下肢外骨骼康复机器人以持续主被动活动联合为理论基础,通过模拟人体运动,刺激机体的自然复原力,发挥组织代偿作用。目的:动态观察并了解下肢外骨骼康复机器人在膝关节活动受限患者功能锻炼中的康复作用。方法:将20例术后早期膝关节活动受限患者随机等分为实验组与对照组,实验组采用下肢外骨骼康复机器人行肢体功能锻炼,对照组采用被动训练装置CPM机行功能锻炼,治疗间隙2组均采用心理疏导、低频脉冲电疗和红外线等物理治疗。结果与结论:治疗2个月后,实验组与对照组患者膝关节后屈、前伸活动度...