上肢等速肌力训练对脑卒中患者运动功能的影响
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摘要
目的:探究上肢等速肌力训练对脑卒中患者运动功能的影响。方法:选取脑卒中偏瘫患者60例,采用计算机软件将患者随机分为观察组及对照组,两组各30例。对照组实施常规康复治疗,观察组在对照组基础上增加上肢等速肌力训练治疗。结果:观察组患者的MBI、FMA评分高于对照组(P<0.05);相较于治疗前,两组在60°/s、120°/s角速度时,总功、肘屈肌、功率均提升(P<0.05),且观察组患者治疗后的60°/s、120°/s角速度平均功率、肘伸肌总功均优于对照组(P<0.05)。结论:针对脑卒中偏瘫患者,采用上肢等速肌力训练治疗,可提升日常生活活动能力,改善患者上肢运动功能,取得显著治疗效果,具有临床应用价值。
Objective: To explore the effect of upper limb isokinetic muscle strength training on motor function of stroke patients. Methods: 60 stroke hemiplegic patients were selected and treated in hospital. The patients were randomly divided into observation group and control group with 30 cases in each group by computer software. The control group received routine rehabilitation treatment, while the observation group received isokinetic muscle strength training of upper limbs on the basis of the control group. Results: Compared with the control group, the MBI and FMA scores of the observation group were higher(P<0.05). Compared with before treatment, the total work, elbow flexor muscle and power of the two groups increased at 60°/s and 120°/s angular velocity(P<0.05), and compared with the control group, the average power of 60°/s and 120°/s angular velocity and the total work of elbow extensor muscle of the observatio n group were compared(P<0.05). Conclusion: For stroke hemiplegic patients, isokinetic muscle strength training of upper limbs can improve the activity of daily living, improve the motor function of upper limbs, achieve significant therapeutic effect, and has clinical application value.
Objective: To explore the effect of upper limb isokinetic muscle strength training on motor function of stroke patients. Methods: 60 stroke hemiplegic patients were selected and treated in hospital. The patients were randomly divided into observation group and control group with 30 cases in each group by computer software. The control group received routine rehabilitation treatment, while the observation group received isokinetic muscle strength training of upper limbs on the basis of the control group. Results: Compared with the control group, the MBI and FMA scores of the observation group were higher(P<0.05). Compared with before treatment, the total work, elbow flexor muscle and power of the two groups increased at 60°/s and 120°/s angular velocity(P<0.05), and compared with the control group, the average power of 60°/s and 120°/s angular velocity and the total work of elbow extensor muscle of the observatio n group were compared(P<0.05). Conclusion: For stroke hemiplegic patients, isokinetic muscle strength training of upper limbs can improve the activity of daily living, improve the motor function of upper limbs, achieve significant therapeutic effect, and has clinical application value.
引文
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[6]张占军.等速肌力训练联合胞磷胆碱对脑卒中偏瘫患者上肢运动功能及生活质量的影响[J].实用中西医结合临床,2018,18(8):106~108.
[7]陈锡栋.双侧上肢等速肌力训练结合针刺对脑卒中肩关节半脱位患者肩关节肌群表面肌电的影响和疗效[J].中国老年学杂志,2017,37(16):4059~4062.
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[2]尹正录,朱小云,范章岭,等.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[J].中国康复理论与实践,2017,23(9):1086~1090.
[3]范利,杨坚,张颖.等速肌力训练对偏瘫患者上肢运动功能恢复的影响[J].中国康复,2017,32(1):10~12.
[4]张明晖.不对称性等速肌力训练对恢复期偏瘫患者上肢运动功能影响的临床研究[J].世界最新医学信息文摘(连续型电子期刊),2015(51):32~33.
[5]朱小云.等速肌力训练对脑卒中偏瘫患者上肢运动功能及步行能力的影响[D].扬州大学,2018.
[6]张占军.等速肌力训练联合胞磷胆碱对脑卒中偏瘫患者上肢运动功能及生活质量的影响[J].实用中西医结合临床,2018,18(8):106~108.
[7]陈锡栋.双侧上肢等速肌力训练结合针刺对脑卒中肩关节半脱位患者肩关节肌群表面肌电的影响和疗效[J].中国老年学杂志,2017,37(16):4059~4062.
[8]赵树卫,王文静,张超,等.上肢等速肌力训练对脑卒中偏瘫患者上肢功能的改善效果观察[J].中国保健营养,2018,28(25):45.