等速肌力训练对偏瘫患者步行能力的影响  

The Influence of Isokinetic Training on Walking Ability of Hemiplegia Patients

作　　者：宋高坡 赵英[1] 聂志强[1] 

机构地区：[1]海洋石油总医院

出　　处：《按摩与康复医学》2016年第14期34-36,共3页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的：探讨躯干腰背肌及患侧膝关节屈伸肌等速肌力训练对脑卒中偏瘫患者步行能力的影响。方法：将60例脑卒中患者随机分为观察组（30例）和对照组（30例），均给予日常生活自理活动训练、平衡控制训练、协调性训练、转移训练、骨盆躯干核心肌控制训练等常规康复治疗，观察组则在常规康复治疗基础上接受躯干腰背肌及患侧膝关节屈伸肌等速肌力训练，观察两组临床疗效。结果：观察组FMA评分、BBS评分、膝关节的屈肌和伸肌力峰力矩及其比值、腰背肌伸肌力峰力矩及其比值、TUGT等改善程度均显著优于对照组（P〈0.05）。结论：躯干腰背肌及患侧膝关节屈伸肌等速肌力训练可显著改善患者的步行能力、提高临床疗效，且未见明显肌张力增高现象，值得临床推广应用。Objective：To investigate the influence of back muscles of trunk and the ipsilateral knee flexor and extensor muscles isokinetic training on the walk ability of hemiplegia patients after stroke. Methods：60 cases of stroke patients were randomly divided into observation group （30 cases） and control group （30 cases）, both of which were treated by conventional rehabilitation therapy such as daily living activities training, balance training, coordination training, transfer training and pelvic-trunk core muscle control training, while observation group received back muscles of trunk and the ipsilateral knee flexor and extensor muscles isokinetic training on the basis of conventional rehabilitation therapy, observed the efficacy of two groups. Results：The improvement of FMA score, BBS score, knee flexor and extensor peak-torque and tis ratio, back muscle extensor peak-torque and tis ratio, TUGT of observation group were all significantly better than those of control group （P〈0.05）. Conclusion：Back muscles of trunk and the ipsilateral knee flexor and extensor muscles isokinetic training can significantly improve the walking ability and efficacy of hemiplegia patients, and there is no obvious increase in muscle tension, deserves clinical promotion and application.

关 键 词：脑卒中 偏瘫 等速肌力训练 步行能力 肢体功能 平衡功能 肌力 力峰力矩 躯干核心 

分 类 号：R741[医药卫生—神经病学与精神病学]