摘要
目的探讨应用等速肌力训练加强踝关节屈伸肌群的肌力,对老年脑卒中患者平衡功能的影响。方法选取40例老年脑卒中患者随机分为对照组(n=20)、治疗组(n=20),对照组接受常规康复治疗,治疗组在对照组基础上,增加针对踝关节背伸与跖屈肌群的等速肌力训练。2组患者治疗前和治疗3周后均进行Berg平衡量表(Berg balance scale,BBS);"起立—走"计时测试(Timed up and go test,TUGT);以及Pro Kin平衡仪的评估,参数包括Y-COP标准差、运动轨迹长度、运动轨迹面积、踝关节背伸与跖屈肌群的等速峰力矩等平衡功能相关指标的测量。结果 2组患者经过平衡训练后,平衡功能的各项指标均较治疗前有改善(P<0.05);治疗组患者治疗后平衡功能与对照组比较,各项评估指标均优于对照组(P<0.05)。结论踝关节等速肌力训练,可以明显改善老年脑卒中患者踝关节背伸与跖屈肌群的肌力及平衡功能。
Objective To discuss the effects of ankle isokinetic muscle strength training on the balance function of elderly patients with stroke. Methods 40 elderly patients with stroke were randomized into control group （n=20）, the treatmentgroup （n=20）. The control group received routine rehabilitation treatment. On the basis of the control group, the treatment group added the isokinetictraining on ankle dorsiflexion and plantarflexion muscle groups. Before the treatment, two groups were measured with the balance function related indicators, including Berg balance scale （BBS）, Timed up and go test （TUGT） and the parameter from the Prokin balance instrument, such as Y-COP Standard Deviation, Sway length, Sway area, Peak torque measurement on ankle dorsiflexion and plantarflexion muscle group. Three weeks after training the same indicators were measured again. Results After balance training, the balance function of two groups improved significantly （P〈0.05）. Compared with control group, all indicators in muscle strength group were better（P〈0.05）. Conclusions Ankle joint isokinetic muscle strength training can significantly improve the balance function and themuscle strength of elderly patients with stroke.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2017年第4期466-468,共3页
Chinese Journal of Clinical Anatomy
关键词
脑卒中
老年
等速肌力训练
平衡功能
Stroke
Elderly patient
Isokinetic muscle strength training
Balance function
