等速肌力训练对脑卒中偏瘫患者下肢运动功能恢复的疗效

The Efficacy of Isometric Muscle Strength Training on the Recovery of Lower Limb Motor Function in Stroke Hemiplegic Patients

目的:探讨等速肌力训练对脑卒中偏瘫患者下肢运动功能的改善作用。方法:选取2022年3月—2023年1月广州市番禺区健康管理中心收治的脑卒中偏瘫患者80例为观察对象,将所有患者按照双盲法分为对照组和观察组,各40例。对照组进行常规康复治疗,研究组进行常规康复治疗联合等速肌力训练。比较两组下肢运动功能、机体平衡功能、生活质量。结果:干预后,两组Fugl-Meyer运动功能评估量表评分高于干预前,研究组高于对照组,差异有统计学意义(P<0.001);干预后,两组Berg平衡量表评分高于干预前,研究组高于对照组,差异有统计学意义(P<0.001);干预后,两组躯体功能、生理职能、生理功能、社会功能评分均高于干预前,研究组高于对照组,差异有统计学意义(P<0.05)。结论:开展等速肌力训练有助于改善脑卒中偏瘫患者下肢运动功能和平衡能力,促进偏瘫患者快速康复,提升生活质量。

Objective:To investigate the effect of isometric muscle strength training on the improvement of lower limb motor func⁃tion in stroke hemiplegic patients.Methods:Eighty cases of stroke hemiplegic patients admitted to Guangzhou Panyu District Health Management Center from March 2022 to January 2023 were selected for observation,and all the patients were divided into a control group and a study group according to the double-blind method,with forty cases in each group.The control group was treated with conventional rehabilitation therapy,and the study group was treated with conventional rehabilitation therapy com⁃bined with isokinetic muscle strength training.Lower limb motor function,body balance function,and quality of life were com⁃pared between the two groups.Results:After the intervention,the scores of Fugl-Meyer Motor Function Assessment Scale were higher than before the intervention in both groups,and the study group was higher than the control group,and the difference was statistically significant(P<0.001);After the intervention,the Berg Balance Scale scores of both groups were higher than before the intervention,and the study group was higher than the control group,and the difference was statistically significant(P<0.001);After the intervention,the scores of somatic function,physiological function,physical function,and social function of both groups were higher than before the intervention,and the study group was higher than the control group,and the difference was statistically sig⁃nificant(P<0.05).Conclusion:Carrying out isometric muscle strength training can help improve the lower limb motor function and balance ability of hemiplegic patients with stroke,promote the rapid recovery of hemiplegic patients,and enhance the quality of life.