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

doi:10.3969/j.issn.1006-9771.2017.09.020

Abstract

Abstract: ObjectiveTo study the effect of isokinetic strength training on upper limb motor function and activities of daily living (ADL) in stroke patients with hemiplegia. MethodsFrom January to December, 2016, 56 stroke 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-4 before and after treatment. ResultsThe 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 at 60°/s and 120°/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 at 60°/s angular velocity. ConclusionIsokinetic strength training can improve the motor function of upper limbs and activities of daily living in stroke patients with hemiplegia.

Key words: stroke, hemiplegia, upper limb, isokinetic strength training, motor function, activities of daily living

CLC Number:

R743.3

YIN Zheng-lu, ZHU Xiao-yun, FAN Zhang-ling, ZHANG Xi-bin, WANG kui. Effects of Isokinetic Strength Training on Upper Limb Motor Function and Activities of Daily Living in Stroke Patients with Hemiplegia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(9): 1086-1090.

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Effects of Isokinetic Strength Training on Upper Limb Motor Function and Activities of Daily Living in Stroke Patients with Hemiplegia

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