等速肌力训练介入时机对恢复期脑卒中偏瘫患者的影响

Effects of isokinetic muscle strength training intervention timing on patients with stroke hemiplegia during recovery

目的探讨基于神经重塑理论指导下的等速肌力训练介入时机对恢复期脑卒中偏瘫患者的影响。方法恢复期脑卒中偏瘫患者110例,按照随机数字表法分为对照组(n=55)和观察组(n=55)。对照组于常规步行康复训练干预1个月后给予基于神经重塑理论指导下的等速肌力训练,观察组于常规步行康复训练基础上给予早期全程基于神经重塑理论指导下的等速肌力训练干预。观察两组肌力、平衡功能及下肢运动功能。结果干预1个月和干预2个月后,观察组伸膝肌群峰力矩(PT)、屈膝肌群PT、平衡量表(BBS)得分、简化Fugl-Meyer运动功能量表(FM)得分均高于对照组,差异有统计学意义(P<0.05)。与干预1个月比较,干预2个月两组的伸膝肌群PT、屈膝肌群PT、BBS得分、FM得分均明显提高(P<0.05)。结论恢复期脑卒中偏瘫患者给予早期全程基于神经重塑理论指导下的等速肌力训练能有效提升其肌力水平,改善其平衡功能和下肢运动功能。

Objective To explore the impact of isokinetic muscle strength training intervention timing based on neural remodeling theory on patients with stroke hemiplegia during recovery.Methods 110 patients with stroke hemiplegia were selected and randomly divided into the control group(n=55)and observation group(n=55)using a random number table method.The control group were received isokinetic muscle strength training based on neural remodeling theory one month after the intervention of routine walking rehabilitation training,while the observation group were received early and full isokinetic muscle strength training based on neural remodeling theory on the basis of routine walking rehabilitation training.The muscle strength,balance function,and lower limb motor function of the two groups were observed.Results After 1 month and 2 months of intervention,the peak torque(PT)of the extensor and flexor muscles,balance scale(BBS)score,and simplified Fugl Meyer motor function scale(FM)score of the observation group were higher than those of the control group,with a statistically significant difference(P<0.05).After 2 months of intervention,the PT levels,BBS scores,and FM scores of the knee extensor and flexor muscle groups in both groups were significantly higher than those of the intervention for 1 month(P<0.05).Conclusion Early and complete isokinetic muscle strength training based on neural remodeling theory can effectively improve muscle strength levels,balance function,and lower limb motor function in patients with hemiplegia during recovery from stroke.