摘要
目的分析等速肌力训练联合有氧运动对脑卒中患者心肺功能及下肢运动功能的影响。方法选取2020年8月至2021年5月在天津北大医疗海洋石油医院康复科就诊的脑卒中恢复期患者80例,采用随机数字表分为对照组和联合组各40例,两组均进行常规康复治疗,在此基础上对照组增加40 min的有氧运动,联合组增加20 min的患侧膝关节屈伸等速肌力训练和20 min有氧运动训练。两组患者均治疗4周,且治疗前后均采用心肺运动试验[峰值摄氧量(VO_(2peak))、无氧阈(AT)、峰值氧脉搏(VO_(2)/HR_(peak))]、等速肌力测试峰力矩(PT)及Fugl-Meyer下肢运动量表(FMA-LE)进行评估,对比以上数据。结果治疗前,对照组下肢膝关节屈伸PT、FMA-LE及心肺指标VO_(2peak)、AT、VO_(2)/HR_(peak)与联合组比较差异无统计学意义(P>0.05)。治疗4周后,对照组膝关节屈伸PT[(16.53±5.63)(N·m)和(28.75±4.91)(N·m)]、FMA-LE(14.25±3.67)分、VO_(2peak)(12.69±3.14)mL/(kg·min)、AT(760.98±236.48)mL/min、VO_(2)/HR_(peak)(9.12±1.79)mL/beat和联合组膝关节屈伸PT[(20.23±4.97)(N·m)和(34.17±11.91)(N·m)]、FMA-LE(17.40±5.53)分、VO_(2peak)(16.52±6.49)mL/(kg·min)、AT(944.55±319.20)mL/min、VO_(2)/HR_(peak)(12.53±3.51)mL/beat较治疗前均有所提高,差异有统计学意义(P<0.05),且联合组提高幅度明显高于对照组(P<0.05)。结论等速肌力训练联合有氧运动更加有益于脑卒中患者心肺功能及下肢运动功能的改善,临床上可参考使用。
Objective To analyze the effects of isokinetic muscle strength training combined with aerobic exercise on cardiopulmonary function and lower limb motor function in patients with stroke.Methods From August 2020 to May 2021,80 patients with stroke in the rehabilitation department of Tianjin Peking University Medical Offshore Oil Hospital were selected and divided into the control group and the combined group by random number table,with 40 cases in each group.Both groups were given conventional rehabilitation treatment,and on this basis,the control group was added with 40 minutes of aerobic exercise.In the combined group,20 min of knee flexion and extension isokinetic muscle strength training for the affected knee joint and 20 min of aerobic exercise training were added.Both groups were treated for 4 weeks,and cardiopulmonary exercise test[peak oxygen uptake(VO_(2peak)),anaerobic threshold(AT),peak oxygen pulse(VO_(2)/HR_(peak))],isokinetic muscle strength test peak torque(PT)and Fugl-Meyer motor function assessment of lower limb exercise scale(FMA-LE)were used to evaluate before and after treatment.The above data were compared.Results Before treatment,there was no significant difference between the control group and the combined group in lower limb knee joint flexion and extension PT,FMA-LE and cardiorespiratory indicators VO_(2peak),AT,VO_(2)/HR_(peak)(P>0.05).After 4 weeks of treatment,in the control group there were knee flexion and extension PT(16.53±5.63)(N·m)and(28.75±4.91)(N·m),FMA-LE(14.25±3.67)points,VO_(2peak)(12.69±3.14)mL/(kg·min),AT(760.98±236.48)mL/min,VO_(2)/HR_(peak)(9.12±1.79)mL/beat and in the combined group there were knee flexion and extension PT[(20.23±4.97)(N·m)and(34.17±11.91)(N·m)],FMA-LE(17.40±5.53)points,VO_(2peak)(16.52±6.49)mL/(kg·min),AT(944.55±319.20)mL/min,VO_(2)/HR_(peak)(12.53±3.51)mL/beat,which were significantly higher than those before treatment(P<0.05),bearing differences of statistical significance and the increase in the combined group was significantly higher than that in the control group(P<0.05).Conclusion Isokinetic muscle strength training combined with aerobic exercise is more beneficial to the improvement of cardio pulmonary function and lower limb motor function of stroke patients,which can be used for reference clinically.
作者
冉龙飞
聂志强
郭军辉
刘新新
王楠
Ran Longfei;Nie Zhiqiang;Guo Junhui;Liu Xinxin;Wang Nan
出处
《中国疗养医学》
2022年第12期1298-1302,共5页
Chinese Journal of Convalescent Medicine
关键词
脑卒中
心肺功能
等速肌力训练
有氧运动
运动功能
Stroke
Cardiopulmonary function
Isokinetic muscle strength training
Aerobic exercise
Motor function
作者简介
通信作者:冉龙飞,564171630@qq.com。
