| Objective: To study the application of isokinetic muscle strength test and training system in the rehabilitation treatment of patients with spastic cerebral palsy in school-age. Methods: Thirty cases of spastic cerebral palsy in school age were randomly divided into 2 groups, 15 cases in each group. The control group and observation group were given conventional rehabilitation therapy, and the observation group was subjected to the isokinetic muscle strength training of the flexor and extensor muscles of the hip joint additionally. Before and after treatment, timed up and go test (TGT), Berg Balance Scale (BBS), and Isomed 2000 isokinetic muscle strength test and training system were used to evaluate bilateral hip flexion peak torque (PTF), hip extension torque (PTE) and bilateral flexion and extension hip peak torque body weight ratio (PT/BW). Results: (1) Comparison of bilateral peak torques at 30°/S angular velocity: After treatment for 3 months, the PTF, PTE, PTF/BW and PTE/BW in the bilateral lower limbs of the observation group were significantly higher than those before treatment and the control group (P<0.05). In control group, PTE, PTF/BW and PTE/BW in bilateral lower extremities were significantly higher than those before treatment (P<0.05), and there was no significant difference in PTF before and after treatment. (2) Comparison of bilateral peak torques at 60°/S angular velocity: After treatment, the PTF, PTE, PTF/BW and PTE/BW of the lower extremities in the observation group were significantly higher than those before the treatment and the control group (P<0.05), and there was no significant difference in the control group before and after treatment. After treatment, the TUGT scores in both groups were also significantly lower than those before treatment (P<0.05), and those in the observation group were significantly lower than those in the control group (P<0.05). BBS scores in both groups were increased after treatment, but the difference was not statistically significant. Conclusion: The isokinetic muscle strength test and training system, as an effective muscle strength training method in rehabilitation therapy, can be used in patients with spastic cerebral palsy, and is worthy of clinical promotion. |
