中国康复理论与实践2026，Vol.32Issue(5)：561-570,10.DOI:10.3969/j.issn.1006-9771.2026.05.006
不同强度血流限制训练联合低强度抗阻训练对老年脑卒中衰弱患者运动功能的影响
Effect of blood flow restriction training under different intensities combined with low-intensity resistance training on motor function in elderly stroke patients with frailty
摘要
Abstract
Objective To explore the effect of blood flow restriction training(BFRT)under different intensities combined with low-intensity resistance training(LIRT)on motor function in stroke patients with frailty. Methods From August,2024 to August,2025,200 elderly ischemic stroke patients with frailty from Affiliated Hospital,North China University of Science and Technology were randomized into control group and observation groups 1,2 and 3,with 50 cases in each group.All the groups received 30%1RM resistance training.In addition,the ob-servation groups received BFRT of 40%,50%and 60%arterial occlusion pressure(AOP),respectively.Before training,and four and eight weeks after training,their motor function was evaluated with Fugl-Meyer Assess-ment-Upper Extremities(FMA-UE)and Fugl-Meyer Assessment-Lower Extremities(FMA-LE),grip strength,10-Metre Walk Test(10MWT)and Berg Balance Scale(BBS);Fried Frailty Phenotype(FFP)was used to assess frailty status;and the score of modified Ashworth Scale(MAS),blood pressure and resting heart rate were record-ed. Results One case dropped out in each group.For the scores of FMA-UE and FMA-LE,the grip strength of both hands,the time of 10MWT and the score of BBS,the main effects of group and time,and interaction effect were all sig-nificant(F>2.745,P<0.05);four weeks after training,the above indexes were better in the observation groups than in the control group(P<0.05);eight weeks after training,the scores of FMA-UE and FMA-LE,the grip strength of both hand and the score of BBS were better in the observation group 3 than in the observation groups 1 and 2(P<0.05),and the time of 10MWT was better in the observation group 3 than in the observation group 1(P<0.05).For the score of FFP,the main effect of group was significant(F=688.360,P<0.001),however,the effects of time and interaction were not significant(P>0.05).For the score of MAS,the main effect of group was significant(F=7.171,P=0.008),however,the effects of time and interaction were not significant(P>0.05).For the blood pressure and resting heart rate,the main effects of group and time,and interaction effect were not significant(P>0.05). Conclusion BFRT under different intensities combined with LIRT can safely improve the motor function,grip strength,walking ability in elderly stroke patients,and 60%AOP may be more effective.关键词
脑卒中/衰弱/血流限制训练/抗阻运动/运动功能Key words
stroke/frailty/blood flow restriction training/resistance exercise/motor function分类
医药卫生引用本文复制引用
安咏怡,李雪梅,常学优,赵雅宁,黄海玲,杨亚东..不同强度血流限制训练联合低强度抗阻训练对老年脑卒中衰弱患者运动功能的影响[J].中国康复理论与实践,2026,32(5):561-570,10.基金项目
华北理工大学研究生创新项目(No.2025S06) Supported by Graduate Student Innovation Fund of North China University of Science and Technology(No.2025S06) （No.2025S06）
