文章摘要
杨华中,吴莹莹,周永生,邓雯娇.等速肌力训练对脑卒中偏瘫患者下肢功能恢复的影响[J].中国康复,2015,30(2):94-97
等速肌力训练对脑卒中偏瘫患者下肢功能恢复的影响
Effect of isokinetic exercise on lower limb function recovery of hemiplegic patients
  
DOI:
中文关键词: 脑卒中  偏瘫  等速肌力训练
英文关键词: stroke  hemiplegia  isokinetic exercise
基金项目:国家临床重点专科建设项目经费资助(国卫办函【2013】544号)
作者单位
杨华中 湘雅博爱康复医院康复治疗部长沙 410151 
吴莹莹 湘雅博爱康复医院康复治疗部长沙 410151 
周永生 湘雅博爱康复医院康复治疗部长沙 410151 
邓雯娇 湘雅博爱康复医院康复治疗部长沙 410151 
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中文摘要:
  目的:观察等速肌力训练对偏瘫患者下肢功能恢复的影响。方法:将我院收治的40例偏瘫患者随机分为观察组和对照组各20例,对照组采用常规康复训练,包括运动治疗(神经促进疗法、平衡功能训练、等张肌力训练、桥式运动、重心转移训练、步态训练、协调与运动控制训练等)、作业治疗、传统康复疗法、物理因子治疗。观察组在常规康复训练的基础上增加偏瘫下肢屈、伸膝肌群等速肌力训练,测试及训练模式为普通等速向心/向心模式。治疗前后分别采用等速肌力测试训练仪的峰力矩值(PT)、Fugl-Meyer运动功能评分、功能独立性评分、Berg平衡功能评分及改良Ashworth肌痉挛分级(MAS)对患者下肢肌痉挛及功能情况进行分析。结果:治疗10周后,2组患者膝关节伸屈膝肌PT、Fugl-Meyer评分、Berg评分及FIM评分均较治疗前明显提高,且观察组更高于对照组(P<0.05)。治疗前后2组患者肌痉挛MAS评分组间及组内比较差异均无统计学意义。结论:等速肌力训练对偏瘫患者下肢功能恢复有明显改善作用。
英文摘要:
  Objective: To investigate the effect of isokinetic exercise on lower limb function recovery of hemiplegia patients. Methods: Forty hemiplegic patients in XiangYa BoAi Rehabilitation Hospital were randomly divided into experimental group and control group. All the cases accepted routine rehabilitation exercise, including therapeutic exercise (neuromuscular facilitation technique, balance exercise, isotonic exercise, bridge motion, transfer exercise, coordination and motor control training, etc), occupational therapy, traditional Chinese medicine rehabilitation therapy and physiatrics. The experimental group additionally accepted isokinetic exercise for knee flexion & extension muscles of the hemiplegic side. After therapy, their lower limb function was measured by isokinetic peak torque, Fugl-Meyer motor functional score, functional independence measure score, Berg balance functional score, and their muscle spasma was measured by modified Ashworth scale. Results: After therapy for 10 weeks, isokinetic peak torque of knee muscles, the scores of lower limb Fugl-Meyer motor function, Berg balance function and functional independence measure in two groups were increased significantly as compared with those pretreatment (P<0.05). All the scores in experimental group were significantly higher than in control group (P<0.05). Modified Ashworth score showed no significant difference between experimental group and control group. Conclusion: Isokinetic exercise is beneficial to the recovery of lower limb function in hemiplegic patients.
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