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抗阻与有氧训练对脑卒中后遗症患者平衡和步行能力的影响

张宏洁 石宝珠 范爱勤

临床研究2025,Vol.33Issue(11):55-59,5.
临床研究2025,Vol.33Issue(11):55-59,5.DOI:10.12385/j.issn.2096-1278(2025)11-0055-05

抗阻与有氧训练对脑卒中后遗症患者平衡和步行能力的影响

The Effect of Resistance and Aerobic Training on Balance and Walking Ability in Stroke Survivors

张宏洁 1石宝珠 2范爱勤1

作者信息

  • 1. 河南省老干部康复医院 神经康复一科,河南 郑州 450000
  • 2. 河南省老干部康复医院 现代康复治疗中心,河南 郑州 450000
  • 折叠

摘要

Abstract

Objective To investigate the clinical effects of resistance and aerobic training on balance and walking ability in stroke survivors.Methods A total of 120 stroke survivors who received treatment at the Henan Provincial Rehabilitation Hospital for the Elderly from January 2023 to January 2025 were selected as the study subjects.They were randomly divided into an observation group and a control group,with 60 participants in each group.The control group received conventional rehabilitation interventions,while the observation group adjusted some rehabilitation exercises to include resistance and aerobic training in addition to the conventional rehabilitation interventions.The balance ability and scores,walking ability and scores,and isokinetic strength of the quadriceps were compared between the two groups.Results After 8 weeks of intervention,the Berg Balance Scale(BBS)scores of both groups improved compared to before the intervention,with the observation group scoring higher than the control group,and the difference was statistically significant(P<0.05).After 8 weeks of intervention,the center of pressure(COP)anterior-posterior displacement distance in the observation group was shorter than before the intervention and also shorter than the control group at the same time,with a statistically significant difference(P<0.05).After 8 weeks of intervention,the COP lateral displacement distance in the observation group showed no significant difference compared to before the intervention(P>0.05)and no significant difference when compared to the control group at the same time(P>0.05).In the control group,there was no significant difference in COP anterior-posterior displacement and lateral displacement distances before and after the 8-week intervention(P>0.05).After 8 weeks of intervention,the peak isokinetic concentric strength of the quadriceps in both groups increased compared to before the intervention,with the observation group showing higher values than the control group,and the difference was statistically significant(P<0.05).After 8 weeks of intervention,the 6-minute walk test(6MWT)distance in both groups increased compared to before the intervention,with the observation group walking farther than the control group,and the difference was statistically significant(P<0.05).After 8 weeks of intervention,the scores of functional walking scale(FAC)in the two groups were higher than those before intervention,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion Resistance and aerobic training can significantly improve balance ability,walking endurance,lower limb muscle strength,and functional walking ability in stroke survivors.

关键词

抗阻训练/有氧训练/脑卒中后遗症/平衡能力/步行能力

Key words

Resistance training/Aerobic training/Post-stroke Sequelae/Balance ability/Walking ability

分类

临床医学

引用本文复制引用

张宏洁,石宝珠,范爱勤..抗阻与有氧训练对脑卒中后遗症患者平衡和步行能力的影响[J].临床研究,2025,33(11):55-59,5.

临床研究

2096-1278

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