中国康复理论与实践2017，Vol.23Issue(9)：1086-1090,5.DOI:10.3969/j.issn.1006-9771.2017.09.020
等速肌力训练对脑卒中偏瘫患者上肢运动功能及日常生活活动能力的影响
Effects of Isokinetic Strength Training on Upper Limb Motor Function and Activities of Daily Living in Stroke Patients with Hemiplegia
尹正录 1朱小云 2范章岭 1张熙斌 1王奎1
作者信息
- 1. 江苏省苏北人民医院康复科,江苏扬州市225001
- 2. 扬州大学临床医学院,江苏扬州市225001
- 折叠
摘要
Abstract
Objective To study the effect of isokinetic strength training on upper limb motor function and activities of daily living (ADL) in stroke patients with hemiplegia. Methods From January to December, 2016, 56 stroke patients with hemiplegia were randomly di-vided into control group and observation group equally. Both groups received routine rehabilitation training, and the observation group ac-cepted hemiplegic limb flexor and extensor muscle isokinetic strength training in addition, for four weeks. They were assessed with Fugl-Meyer Assessment-upper limb (FMA-UL), modified Ashworth Scale (MAS), modified Barthel Index (MBI) and biomechanical index-es of elbow flexion and extension with Biodex System-4 before and after treatment. Results The scores of FMA and MBI improved after treatment (t>7.083, P<0.001) in both groups, and improved more in the observation group than in the control group (t>2.369, P<0.05). The peak torque, total work and average power at 60°/s and 120°/s angular velocity of both flexor and extensor improved in both groups (t>2.149, P<0.05), and those of the extensor improved more in the observation group than in the control group (t>2.027, P<0.05), except the peak torque at 60°/s angular velocity. Conclusion Isokinetic strength training can improve the motor function of upper limbs and activities of daily living in stroke patients with hemiplegia.关键词
脑卒中/偏瘫/上肢/等速肌力训练/运动功能/日常生活活动能力Key words
stroke/hemiplegia/upper limb/isokinetic strength training/motor function/activities of daily living分类
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尹正录,朱小云,范章岭,张熙斌,王奎..等速肌力训练对脑卒中偏瘫患者上肢运动功能及日常生活活动能力的影响[J].中国康复理论与实践,2017,23(9):1086-1090,5.
