下肢外骨骼机器人联合本体感觉训练在胫腓骨骨折术后康复中的应用

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中图分类号 R493R683.4文献标识码A文章编号 2096-7721（2026）03-0510-07

Application of lower-limb exoskeleton robot combined with proprioceptive training in patients after tibia and fibula fracture surgery

GAO Mi1，LIU Fangfang'，LI Juan'，WANG Yu²， CAO Hui1

1.DepartmenofRhabiaandPycalTerapy;2.DepartmentofOrodics，teFstAfiatedHospialofAirForeMedica

University，Xi'an710032，China）

AbstractObjective：Toinvestigatetherehabilitationeficacyoflower-limbexoskeletonrobotcombinedwithproprioeptivetraining forpatintsaftertibiaandfibulafracturesurgery.Methods：2OpatientswithtibiaandfibulafractureswhoweretreatedattheFirst AffliatedHospitalofAirForceMedicalUniversityfromDecember22toDecember024wereenrolld.Theywereandomlydivided into the control group （ n =60，receiving proprioceptive training） and the observation group （ n= 60，receiving lower-limb exoskeleton robotcombinedwithproprioeptivetraining）.Theeabilitationproges，musclesengthecoverylower-lbfuctioical self-careabilitykneejintfuctioactivitisofdailylivingainlevels，ndcomfortlevelsereomparedbetwnewooups. Results：Afteitervetion，thebsevatiogroupdsigicantlylssttofstambulatin，shorterlngthofspitalstaghr management satisfaction scoresand superior manual muscle testing （MMT）gradescompared to the control group（ P <0.05）.After 12 weksof interventio，theobservationgroupshowedsgnificantlyighersoresonthelowerextremityunctionsale（LE）Lso knee score，andBrthelindex （BI），andsignificantlylowerscoresonthephysicalself-maitenancescale（SMS）thanthecontrolgroup 0 P <0.05）.After7and21daysofinterventiontheobservationgrouphadsignificantlylowervisualanalogscale （VAS）scoresandhigher scores on the general comfort questionnaire （GCQ） than the control group （P<0.05 ）. Conclusion：Lower-limb exoskeleton robot combined withproprioctiegielyeleatebliaioocsiatstidulafactuerote muscle strengthand functional recovery，enhance activities ofdaily living，allviate pain，and improve comfort.

Key WordsTibiaandFibulaFracture; PostoperativeRehabilitation;Lower-limb ExoskeletonRobot; Proprioceptive Training

胫腓骨作为下肢负重的核心骨骼结构，其骨折发生率占全身骨折的 10.0%～13.7% ，受解剖位置表浅、血供特点及受力机制影响，开放性骨折占比较高，各年龄段人群均可因直接或间接暴力致病[-2]。（剩余10209字）