摘要
脑卒中(CS)俗称中风,具有发病率、致残率、复发率和死亡率高的特点,是中国居民常见死亡原因之一。卒中后偏瘫患者常见症状包括突然麻木或无力,特别是一侧肢体的异常,难以完成行走、站立、抬手等日常动作,甚至无法自理生活,部分患者会出现言语不清、失语等症状,导致交流困难,降低患者生活质量,且会给患者带来巨大的心理压力,使其产生自卑、抑郁、焦虑等不良情绪,严重影响患者的心理健康。等速肌力训练设备应用于CS偏瘫患者中的效果较好,不仅能显著改善患者上肢和下肢运动能力,提高其膝关节峰力矩,还能缓解肌肉痉挛,改善患者髋关节肌张力、平衡功能和日常生活活动能力,促进患者运动耐力改善。本文结合近年来国内外有关CS偏瘫患者采用等速肌力训练设备的文献资料,对CS后偏瘫的原因、发病机制、症状及危害、应用等速肌力训练设备的原因、等速肌力训练设备的工作原理及科学机制、具体步骤、优势、不足和局限性等进行综述。
Objective Cerebral stroke(CS)has the characteristics of high incidence,disability,recurrence and mortality,and is one of the common causes of death in Chinese residents.Common symptoms of patients with post-stroke hemiplegia include sudden numbness or weakness,especially the abnormality of one side of the limb,difficulty in completing daily actions such as walking,standing and raising hands,and even inability to take care of themselves.Some patients will have symptoms such as unclear speech and aphasia,which will lead to difficulties in communication,reduce the quality of life of patients,and bring huge psychological pressure to patients,resulting in negative emotions such as inferiority complex,depression and anxiety,and seriously affect the mental health of patients.The isobaric muscle strength training equipment has a good effect when applied to CS patients with hemiplegia.It can not only significantly improve the motor ability of the upper and lower limbs of the patients,increase the peak torque of the knee joint,but also relieve muscle spasms,improve the muscle tone,balance function and activities of daily living of the hip joint of the patients,and promote the improvement of the patients'exercise endurance.This article combined the literature materials at home and abroad on the use of isokinetic muscle strength training equipment for hemiplegic patients with CS in recent years,and reviewed the causes,pathogenesis,symptoms and hazards of hemiplegia in CS,the reasons for the application of isokinetic muscle strength training equipment,and the working principle,scientific mechanism,specific steps,advantages,disadvantages and limitations of isokinetic muscle strength training equipment.
作者
梅静
朱利欣
曾国际
郭夕语
刘强
袁志垚
MEI Jing;ZHU Lixin;ZENG Guoji;GUO Xiyu;LIU Qiang;YUAN Zhiyao(North He'nan Medical University,Xinxiang 453500,China;He'nan Provincial Third People's Hospital,Zhengzhou 450000,China)
出处
《临床医学工程》
2025年第7期797-802,共6页
Clinical Medicine & Engineering
基金
河南省教育科学规划2025年度一般课题(2025YB0350)
河南省医学教育研究项目(WJLX2024104)
河南省2018年民办高校品牌专业点建设新乡医学院三全学院康复治疗学专业(20182302)。
关键词
脑卒中
偏瘫
等速肌力训练设备
进展
下肢运动功能
Stroke
Hemiplegia
Isokinetic muscle strength training equipment
Progress
Lower limb motor function
作者简介
梅静(1994-),女,河南鹤壁人,本科学历,助教,研究方向:老年康复治疗;通信作者:刘强,副主任医师,E-mail:3406489314@qq.com。
