中文摘要：

目的：观察下肢智能反馈训练系统对胸腰段脊髓损伤患者下肢运动功能平衡功能、步行能力及日常生活活动能力恢复的影响。方法：将住院治疗的52例不完全性脊髓损伤的患者（损伤平面T10—L1,ASIA分级C级）随机分为治疗组和对照组,各26例。两组患者均给予常规康复治疗。在此基础上治疗组给予下肢智能反馈训练系统治疗,对照组给予普通站立床训练。在治疗前及治疗6周后,分别用ASIA下肢运动功能评定量表（ASIA-LEMS）,Berg平衡量表（BBS）,脊髓损伤步行指数Ⅱ（WISCI-Ⅱ）及改良Barthel指数量表（MBI）对两组患者的下肢运动功能、平衡功能、步行能力及日常生活活动能力进行评估。结果：治疗前两组患者各方面评分比较差异均无显著性意义（P〉0.05）。治疗6周后,两组患者ASIA-LEMS评分、Berg平衡功能评分、WISCI-Ⅱ评分及改良Barthel指数评分较治疗前均有提高,差异有显著性（P〈0.001）。治疗后两组间比较,下肢智能反馈训练系统治疗组ASIA-LEMS评分、Berg平衡功能评分、WISCI-Ⅱ评分高于电动起立床组,差异有显著性（P〈0.05）,改良Barthel指数两组间差异无显著性（P〉0.05）。结论：下肢智能反馈训练系统对不完全性胸腰段脊髓损伤患者下肢运动能力恢复有一定程度的促进作用。

英文摘要：

Objective： To investigate the effect of limb intelligent feedback training system on lower limb motor and bal- ance function, walking ability and activities of daily living （ADL） of patients with thoracolumbar spinal cord injury . Method： Fifty-two patients with incomplete spinal cord injury （level T10--L1, ASIA C） were randomly divid- ed into treatment group （n=26） and control group （n=26）. All patients were treated with routine rehabilitation exercises. The treatment group received limb intelligent feedback training system, while the patients in the con- trol group were given electric standing bed training. The lower limb motor and balance function, walking abili- ty and ADL were respectively assessed with ASIA lower extremity motor score subscale （ASIA-LEMS）, Berg balance scale （BBS）, walking index for spinal cord injury Ⅱ （WISCI-Ⅱ ） and modified Barthel index （MBI） be- fore and 6 weeks after treatment. Result： Before treatment,there was no significant difference between the two groups （P〉 0.05）. At the end of rehabilitation, both groups showed significant improvement in ASIA-LEMS, BBS, WISCI-Ⅱand MBI com- pared with that before treatment （P〈0.001）. Based on ASIA-LEMS, BBS and WISCI-Ⅱ, statistically signifi- cant improvement were observed in the treatment group comparing with the control group （P〈 0.05）, while for the MBI, no statistical difference between two groups （P 〉 0.05）. Conclusion： The limb intelligent feedback training system can more effectively improve the lower limb func- tion of patients with incomplete thoracolumbar spinal cord injury.