等速肌力训练对脑卒中偏瘫患者上肢身体成分的影响

doi:10.3969/j.issn.1006-9771.2022.11.005

Abstract

Abstract:

Objective To study the changes of body composition indexes reflecting muscle condition for stroke hemiplegic patients after isokinetic strength training.

Methods From January, 2021 to April, 2022, 30 stroke inpatients with hemiplegia in Beichen Hospital of Nankai University were randomly divided into control group (n = 15) and isokinetic group (n = 15). Both groups accepted routine rehabilitation training, while the isokinetic group accepted isokinetic strength training of shoulder and elbow on the affected side in addition. All patients were tested the lean body mass, affected upper arm muscle circumference, affected upper limb muscle mass, edema index, skeletal muscle index before, and two weeks and four weeks after training.

Results Compared with the control group, the edema index decreased in isokinetic group after training (t > 2.536, P < 0.05); the affected upper limb muscle mass increased more in the isokinetic group four weeks after training (t = -2.750, P = 0.010).

Conclusion Isokinetic training can reduce edema and muscular disuse atrophy of the affected side for stroke patients with hemiplegia.

Key words: stroke, hemiplegia, isokinetic strength training, body composition, muscle mass

CLC Number:

R743.3

DING Xiaojing,WANG Yongjun,JIANG Yunhu,MA Jinjiao,ZHAO Jian,HUANG Kun,WANG Long. Body composition of upper limbs for hemiplegic patients after isokinetic strength training[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(11): 1265-1269.

Figures/Tables 6

References 23

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组别	n	性别(男/女)/n	年龄/岁	病程/d	Brunnstrom分期 (Ⅲ/Ⅳ期)/n	MAS分级 (0/Ⅰ/Ⅰ⁺/Ⅱ级)/n
对照组	15	10/5	61.53±9.86	48.20±8.55	8/7	4/5/4/2
等速组	15	11/4	61.00±10.68	47.53±7.14	7/8	5/4/4/2
Z/t值		-0.392	0.142	0.232	-0.359	-0.194
P值		0.695	0.888	0.818	0.720	0.846

组别	n	训练前	训练2周	训练4周	F值	P值
对照组	15	36.56±3.44	36.56±3.29	36.78±3.33	0.032	0.858
等速组	15	36.93±3.99	37.59±3.74	38.69±3.46	1.660	0.205
t值		-0.274	-0.803	-1.543
P值		0.786	0.429	0.134

组别	n	训练前	训练2周	训练4周	F值	P值
对照组	15	20.77±1.32	20.76±1.25	20.90±1.26	0.074	0.787
等速组	15	20.58±1.55	20.82±1.46	21.42±1.45	2.388	0.130
t值		0.367	-0.121	-1.049
P值		0.716	0.905	0.303

组别	n	训练前	训练2周	训练4周	F值	P值
对照组	15	1.78±0.19	1.79±0.19	1.80±0.18	0.031	0.861
等速组	15	1.82±0.21	1.87±0.21	1.98±0.18^a	4.608	0.038
t值		-0.578	-1.302	-2.750
P值		0.568	0.204	0.010

组别	n	训练前	训练2周	训练4周	F值	P值
对照组	15	0.409±0.011	0.405±0.009	0.401±0.007^a	6.171	0.017
等速组	15	0.408±0.014	0.396±0.010^b	0.387±0.007^c,d	24.958	< 0.001
t值		0.340	2.536	4.854
P值		0.736	0.017	< 0.001

Body composition of upper limbs for hemiplegic patients after isokinetic strength training

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组别	n	训练前	训练2周	训练4周	F值	P值
对照组	15	5.52±0.47	5.57±0.42	5.65±0.41	0.632	0.431
等速组	15	5.45±0.51	5.61±0.49	5.94±0.49^a	7.370	0.010
t值		0.409	-0.200	-1.766
P值		0.685	0.843	0.088

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