| 聂志强,张灵虎,门艳军,郭军辉.等速肌力训练对脑卒中患者步行功能的影响[J].中国康复,2020,35(6):299-302 |
| 等速肌力训练对脑卒中患者步行功能的影响 |
| Effect of isokinetic strength training on walking function in patients with stroke |
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| DOI： |
| 中文关键词: 脑卒中 偏瘫 等速肌力训练 步行功能 |
| 英文关键词: stroke hemiplegia isokinetic strength training walking function |
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| 中文摘要: |
| 目的：观察患侧髋关节及躯干的屈伸肌等速肌力训练对脑卒中后偏瘫患者步行功能的影响。方法：将脑卒中后偏瘫患者60例随机分为对照组和观察组各30例，对照组采取常规康复训练方案，观察组在此基础上增加患侧下肢髋关节及躯干的屈肌和伸肌的等速肌力训练，治疗前及治疗6周后采用等速肌力测试与训练系统评定患者患侧下肢髋关节及躯干的屈肌和伸肌的峰力矩（PT）、屈伸肌的总功（TW），运用意大利Walkerview数字化跑台步态分析系统评定患侧下肢髋、膝和踝关节的关节活动度（ROM）及步长、触地时长。结果：治疗6周后，2组髋关节及躯干的屈伸肌PT和TW值较治疗前均明显增加（均P＜0.05），且观察组均高于对照组（均P＜0.05）；2组髋、膝和踝关节的屈曲、伸展角度较治疗前均扩大（均P＜0.05），步长和触地时长均增加（均P＜0.05），且观察组的各项数值均显著优于对照组（均P＜0.05）。结论：患侧下肢髋关节及躯干的屈肌和伸肌等速肌力训练对提高脑卒中后偏瘫患者步行功能具有显著的促进作用，值得临床参考应用。 |
| 英文摘要: |
| Objective: To observe the effect of isokinetic training of flexor and extensor muscles of hip and trunk on the affected side on the walking function of patients with hemiplegia after stroke. Methods: Sixty patients with hemiplegia after stroke were randomly divided into a control group and an observation group of 30 cases each. The control group received a routine rehabilitation training program. On the basis of this, the observation group was given the isokinetic velocity of the flexors and extensors of the hip and trunk of the affected side additionally. Muscle strength training, the isokinetic strength test and training system before and after 6 weeks of treatment were used to assess the peak torque (PT) of the flexors and extensors of the hip and trunk of the affected side of the patients, and the total work (TW) of the flexors and extensors, and the Italian Walkerview digital treadmill gait analysis system was used to evaluate the joint mobility (ROM), step length, and ground contact length of the hip, knee, and ankle joints of the affected lower limbs. Results: After 6 weeks of treatment, the PT and TW of the flexor and extensor muscles of hip joint and trunk in both groups were significantly increased as compared with those before treatment (all P<0.05), and those in the observation group were significantly higher than in the control group (all P<0.05). The flexion and extension angles of hips, knees and ankles in the two groups were enlarged (all P<0.05), the step length and the duration of touching the ground were increased (both P<0.05), and those in the observation group were more significant than in the control group (all P<0.05). Conclusion: Isokinetic strength training of the flexor and extensor muscles of the hip and trunk of the affected side can significantly improve the walking function of patients with hemiplegia after stroke, which is worthy of clinical reference. |
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