踝关节等速肌力训练对改善偏瘫患者平衡能力的分析

Ankle Isokinetic Muscle Strength Training for Improving Balance Ability of Hemiplegic Patients

目的:分析踝关节等速肌力训练对改善偏瘫患者平衡能力的效果。方法:选取上海市第二康复医院收治的脑卒中偏瘫患者60例并分为试验组及对照组各30例,对照组进行常规康复治疗,试验组则在此基础上给予踩关节等速肌力训练,比较两组Berg平衡量表(BBS)评分、改良Barthel指数(MBI)的改善情况。结果:治疗前,两组患者BBS及MBI评分差异无统计学意义(P>0.05);经6周康复治疗后,试验组BBS及MBI评分均显著高于对照组(P<0.05)。结论:踝关节等速肌力训练能够显著改善脑卒中偏瘫患者的平衡能力,促进日常生活能力的改善,具有临床应用价值。

Objective:To analyze the effect of ankle isokinetic muscle strength training on improving balance ability of hemiplegic patients.Methods:A total of 60 stroke patients with hemiplegia admitted to Shanghai Second Rehabilitation Hospital were divided into experimental group(n=30)and control group(n=30),the control group received routine rehabilitation treatment,and the experimental group combined with isokinetic muscle strength training of ankle joint.The Berg balance scale and modified Barthel index were compared and analyzed between the two groups.Results:Before treatment,there was no significant difference in BBS and MBI scores between the two groups(P>0.05).After 6 weeks of rehabilitation treatment,BBS and MBI scores of the experimental group were higher than those of the control group,with statistical significance(P<0.05).Conclusion:Ankle isokinetic muscle strength training can significantly improve the balance ability of stroke patients with hemiplegia,and promote the improvement of daily living ability of patients,which has clinical value.