摘要
目的研究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。方法 2016年1月至12月,脑卒中偏瘫患者56例随机等分为对照组和观察组,两组均予常规康复训练,观察组加患侧肘关节屈伸肌群等速肌力训练,共4周。治疗前后采用Fugl-Meyer评定量表(FMA)上肢部分、改良Ashworth量表(MAS)、改良Barthel指数(MBI)、Biodex System-4等速测试训练系统进行评定。结果治疗后,两组患者上肢FMA评分、MBI评分均明显提高(t>7.083,P<0.001),观察组优于对照组(t>2.369,P<0.05)。两组在60°/s、120°/s角速度时,肘屈肌、伸肌峰力矩、总功和平均功率均提高(t>2.149,P<0.05),观察组120°/s角速度时伸肌峰力矩,60°/s、120°/s角速度时伸肌总功和平均功率优于对照组(t>2.027,P<0.05)。结论等速肌力训练可以改善脑卒中偏瘫患者上肢运动功能,提高患者日常生活活动能力。
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,2016,56stroke patients with hemiplegia were randomly divided into control group and observation group equally.Both groups received routine rehabilitation training,and the observation group accepted 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 indexes of elbow flexion and extension with Biodex System-4before 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 at60°/s and120°/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 at60°/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.
作者
尹正录
朱小云
范章岭
张熙斌
王奎
YIN Zheng-lu;ZHU Xiao-yun;FAN Zhang-ling;ZHANG Xi-bin;WANG kui(Department of Rehabilitation, Jiangsu Northern People's Hospital, Yangzhou, Jiangsu 225001, China;Clinical Medical School, Yangzhou University, Yangzhou, Jiangsu 225001, China)
出处
《中国康复理论与实践》
CSCD
北大核心
2017年第9期1086-1090,共5页
Chinese Journal of Rehabilitation Theory and Practice
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
stroke
hemiplegia
upper limb
isokinetic strength training
motor function
activities of daily living
作者简介
尹正录(1982-)，男，汉族，江苏扬州市人，硕士，主治医师，主要研究方向：神经与骨科康复。;通讯作者：范章岭。E-mail: yinzhenglu@126.com。
