等速肌力训练联合有氧运动对脑卒中患者肺功能、下肢运动功能及生活质量的影响

Effects of Isokinetic Muscle strength Training Combined with Aerobic Exercise on Pulmonary Function, Lower Extremity Motor Function and Quality of Life in Stroke Patients

目的:探讨有氧运动联合等速肌力训练对脑卒中患者下肢运动功能、肺功能及生活质量的影响。方法:选取2016年8月~2019年9月期间我院收治的脑卒中患者130例,根据随机数字表法分为对照组(n=65,常规康复训练)和研究组(n=65,等速肌力训练联合有氧运动),比较两组患者肺功能、下肢运动功能及生活质量。结果:两组治疗8周后膝关节峰力矩(PT)、膝屈伸PT、膝屈伸耐力指数(ER)、Fugl-Meyer下肢运动功能量表(FMA-LE)评分均较治疗前升高,且研究组高于对照组(P<0.05)。两组治疗8周后社会功能、躯体疼痛、精神健康、活力、健康状况、生理职能、生理机能、情感职能维度评分均较治疗前升高,且研究组高于对照组(P<0.05)。两组治疗8周后用力肺活量(FVC)、第一秒用力呼气量(FEV1)、最大呼气流量(PEF)均较治疗前升高,且研究组高于对照组(P<0.05)。结论:脑卒中患者给予等速肌力训练联合有氧运动,可有效改善其肺功能、下肢运动功能及生活质量,临床应用价值较高。

Objective: To explore the effect of aerobic exercise combined with isokinetic muscle strength training on lower extremity motor function, pulmonary function and quality of life in stroke patients. Methods: 130 stroke patients who were admitted to our hospital from August 2016 to September 2019 were selected, patients were divided into control group(n=65, routine rehabilitation training) and study group(n=65, isokinetic muscle strength training combined with aerobic exercise) according to the random number table.The pulmonary function, lower extremity motor function and quality of life of the two groups were compared. Results: The peak moment of knee joint(PT), flexion and extension of knee PT, flexion and extension of knee endurance index(ER) and Fugl-Meyer lower extremity motor function scale(FMA-LE) of the two groups at 8 weeks after treatment were higher than those before treatment, and the study group was higher than the control group(P<0.05). The scores of social function, physical pain, mental health, vitality, health status, physiological function, physiological enginery and emotional function of the two groups were higher than those of before treatment, and the study group was higher than the control group(P<0.05). 8 weeks after treatment, forced vital capacity(FVC), forced expiratory volume in the first second(FEV1), maximum expiratory flow(PEF) of the two groups were higher than those before treatment, and the study group was higher than the control group(P<0.05). Conclusion: In stroke patients, isokinetic muscle strength training combined with aerobic exercise can effectively improve the pulmonary function, lower extremity motor function and quality of life, which has a high clinical value.