基于交叉迁移理论的健侧肢体力量训练对偏瘫患者运动功能的影响

发布时间：2018-05-08 08:42

本文选题：脑卒中偏瘫 + 交叉迁移　；参考：《浙江中医药大学》2017年硕士论文

【摘要】：目的:本研究探讨单侧力量训练后脑卒中偏瘫患者是否能够产生交叉迁移现象、增长双侧肢体肌肉力量以及改善下肢的运动功能。方法:选取脑卒中偏瘫患者34例,随机分为实验组和对照组,每组17例。2组患者均接受常规康复治疗,实验组给予健侧肢体踝背屈等长抗阻训练,训练6周。2组患者在训练前、训练结束后1周内测定最大随意等长收缩力量(maximum voluntary contraction,MVC)、表面肌电变化以及简化Fugl-Meyer运动功能评定量表(FMA)下肢部分评定下肢运动功能。结果:训练后,实验组FMA评分与组内训练前和对照组训练后比较,均显著增长,差异有统计学意义(P0.05);训练后,实验组胫骨前肌IEMG、腓肠肌IEMG与组内训练前和对照组训练后比较,差异均有统计学意义(P0.05);训练后,健侧、患侧胫骨前肌MVC,以及健侧、患侧腓肠肌MVC均较训练前及对照组,明显改善,差异有统计学意义(P0.05)。结论:脑卒中偏瘫患者,健侧踝背屈等长抗阻力量训练可以引起对侧胫骨前肌及拮抗肌的力量增长,存在力量训练的交叉迁移现象;健侧踝背屈等长抗阻力量训练可以改善下肢运动功能,为早期踝背屈功能障碍的改善提供新的锻炼方法。
[Abstract]:Objective: To investigate whether the patients with hemiplegia after unilateral force training can produce cross migration, increase the muscle strength of bilateral limbs and improve the movement function of the lower limbs. Methods: 34 patients with stroke hemiplegia were selected and divided into experimental group and control group randomly. 17 patients in each group of.2 group received routine rehabilitation treatment and experimental group. After training for the ankle dorsiflexion of the healthy side, the patients in group.2 were trained for 6 weeks before training, and the maximum random isometric contraction force (maximum voluntary contraction, MVC), the surface electromyography and the simplified Fugl-Meyer motion function assessment scale (FMA) in the lower extremities were evaluated before training for 1 weeks after the training. Results: after training, The FMA score of the experimental group was significantly higher than that in the group before training and in the control group. The difference was statistically significant (P0.05). After training, the IEMG of the tibial muscle in the experimental group and the gastrocnemius muscle IEMG were compared with those in the group before training and in the control group (P0.05); after training, the healthy side, the lateral tibial muscle MVC, and the healthy side, and the healthy side. The MVC of the lateral gastrocnemius muscle was significantly better than that before the training and the control group, and the difference was statistically significant (P0.05). Conclusion: the strength training of the contralateral anterior tibial muscle and antagonist muscle in the lateral tibial muscle of the stroke hemiplegic patients can cause the strength increase of the contralateral anterior tibial muscle and the antagonist muscle, and there is a cross migration of strength training, and the training of the isometric resistance strength of the healthy side of the ankle dorsiflexion can be done. Improve the motor function of lower limbs, provide a new training method for early improvement of ankle dorsiflexion dysfunction.

【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3;R493

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