摘要目的:观察下肢康复机器人辅助步态训练(RAGT)联合任务导向性训练(TOT)对不随意运动型脑性瘫痪(DCP)患儿步行能力的影响。方法:选取DCP患儿60例，按照随机数字表法将其分为常规干预组、RAGT组、联合干预组，每组患儿20例。常规干预组仅给予常规康复治疗，RAGT组在常规康复治疗的基础上增加RAGT训练，联合干预组则在常规康复治疗的基础上增加RAGT联合TOT训练。于治疗前、治疗12周和24周后，采用10 m步行测试(10MWT)、88项粗大运动功能评定量表(GMFM-88)的D能区(站立位)和E能区(走、跑、跳)评价3组患儿的下肢步行能力。结果:治疗12周和24周后，3组患儿的10MWT、GMFM-88 D和E能区的评分较组内治疗前均显著提高( P<0.05)，且治疗24周后，联合干预组10MWT[(0.765±0.105)m/s]、GMFM-88 D能区评分[(32.72±4.00)分]和E能区评分[(42.94±6.22)分]均显著优于常规干预组和RAGT组同时间点( P<0.05)。 结论:在常规康复治疗的基础上增加RAGT联合TOT，可显著改善DCP患儿的步行能力。

abstractsObjective:To observe the effect of combining robot-assisted gait training (RAGT) with task-oriented training (TOT) on the walking ability of children with dyskinetic cerebral palsy (DCP).Methods:Sixty DCP children were randomly divided into a conventional intervention group, an RAGT group, and a combined intervention group, each of 20. All of the children received conventional rehabilitation therapy, while the RAGT and combined intervention groups were additionally provided with RAGT, and RAGT combined with TOT, respectively. Before the experiment and after 12 and 24 weeks of treatment, the subjects′ walking ability was evaluated using the 10-metre walk test (10MWT), and the D energy zone (standing position) and the E energy zone (walking, running and jumping) of the Gross Motor Function Measurement-88 (GMFM-88) instrument.Results:After 12 and 24 weeks of treatment, the average 10MWT speed and D and E energy zone scores of all three groups had improved significantly. After 24 weeks the combined group′s averages on all three measures were significantly better than those of the other two groups.Conclusion:RAGT combined with TOT and conventional rehabilitation training significantly improves the walking ability of DCP children.