| Objective: Through the training and test analysis of the shoulder joint, to observe the effect of isokinetic strength training on upper limb motor function recovery of patients with hemiplegia. Methods: Forty cases of hemiplegia after stroke were selected and randomly divided into experimental group and control group, with 20 cases in each group. The control group and experimental group received limb training, transfer training, physical factor treatment and other routine hemiplegia limb rehabilitation therapy, and the experimental group was given hemiplegia upper limb isokinetic muscle strength training additionally. Before and 3 weeks after treatment, the isokinetic muscle strength test was carried out, and the integrated motor function score of upper limb (Fugl-Meyer assessment of motor function,FMA) and muscle tone (modified Ashworth scale,MAS) and pain score (numeric pain scale,NRS) were assessed. Results: After treatment for 3 weeks, shoulder flexion biomechanical indicators, FMA scores, and NRS pain scores were significantly improved in both two groups than before, and the experimental group was better than the control group (P<0.05). The muscle tension in the two groups of patients was increased from the baseline, but there was no significant difference before and after treatment. Conclusions: Isokinetic muscle training can enhance the shoulder joint flexion strength, and does not exacerbate the muscle spasm and shoulder pain of hemiplegic stroke patients, which can effectively improve the upper limb function in patients with hemiplegia after stroke. |
