不对称性等速肌力训练对恢复期偏瘫患者上肢运动功能的影响  

Effect of Asymmetry Isokinetic Muscle Strength Exercise for Motor Function of Upper Extremity in Chronic Stroke Patients

作　　者：朱燕[1] 丁莹[1] 强乙[1] 吴云鹏[1] 秦蓓瑛[1] 

机构地区：[1]上海中医药大学附属市中医医院康复科,上海200071

出　　处：《中国康复》2011年第3期174-176,共3页Chinese Journal of Rehabilitation

基　　金：上海市卫生局科研项目(2008Y045)

摘　　要：目的：研究不对称性等速肌力训练结合促通技术对脑卒中偏瘫患者上肢运动功能障碍的作用。方法：恢复期脑卒中偏瘫患者50例,随机分为A、B 2组各25例,均给予神经促通技术及有氧运动训练;A组配合不对称性等速肌力训练,即屈肘角速度为210°/s,伸肘角速度为60/°s,10个肘屈伸动作为一轮,每日3-4轮,每周3次。治疗前后使用BIODEXⅢ等速仪检测2组患者肘屈伸的各生物力学指标;Fugl-Meyer量表（FMA）及改良Ashworth痉挛量表评分评定患侧上肢运动功能及肌张力。结果：经过4周治疗后,各生物力学指标2组均有改善,A组明显优于B组（P〈0.05）;FMA积分,2组均较治疗前明显提高,A组高于B组（均P〈0.05）;改良Ashworth痉挛量表评分,2组治疗前后差异无统计学意义。结论：不对称性等速肌力训练能明显促进脑卒中偏瘫患者上肢运动功能的提高,可作为偏瘫患者上肢肌力训练的备选方法。Objective： To investigate the therapeutic effects of asymmetry isokinetic muscle strength exercise for upper extremity motor function of stroke patients with hemiplegia and to compare the effects of asymmetry isokinetic muscle strength exercise with conventional rehabilitation.Methods： Fifty stroke patients with hemiplegia were divided into experimental group and control group,25 cases in each group.The control group was treated with conventional rehabilitation,and the experimental group received asymmetry isokinetic muscle strength exercise（i.e.elbow flexion,210°/s×10,elbow extension 60°/s×10,3-4 cycles a day,3 times every week） for 4 weeks in addition to the conventional rehabilitation.The Biodex multi-joint system Ⅲ,Fugl-Meyer assessment scale and Modified Ashworth Scale were used in two groups before and after treatment.Results： The experimental group got improvement both in isokinetic muscle strength and Fugl-Meyer assessment scale score as compared with the control group（P0.05）.Besides,the Modified Ashworth Scale score was not increased in both two groups.Conclusion： Asymmetry isokinetic muscle strength exercise could be used to train upper extremity of hemiplegic patients.

关 键 词：不对称性等速肌力训练 偏瘫 上肢 功能 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]