踝关节等速肌力训练对老年脑卒中患者平衡功能的影响

发布时间：2018-03-21 23:06

本文选题：脑卒中　切入点：老年　出处：《中国临床解剖学杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨应用等速肌力训练加强踝关节屈伸肌群的肌力,对老年脑卒中患者平衡功能的影响。方法选取40例老年脑卒中患者随机分为对照组(n=20)、治疗组(n=20),对照组接受常规康复治疗,治疗组在对照组基础上,增加针对踝关节背伸与跖屈肌群的等速肌力训练。2组患者治疗前和治疗3周后均进行Berg平衡量表(Berg balance scale,BBS);"起立—走"计时测试(Timed up and go test,TUGT);以及Pro Kin平衡仪的评估,参数包括Y-COP标准差、运动轨迹长度、运动轨迹面积、踝关节背伸与跖屈肌群的等速峰力矩等平衡功能相关指标的测量。结果 2组患者经过平衡训练后,平衡功能的各项指标均较治疗前有改善(P0.05);治疗组患者治疗后平衡功能与对照组比较,各项评估指标均优于对照组(P0.05)。结论踝关节等速肌力训练,可以明显改善老年脑卒中患者踝关节背伸与跖屈肌群的肌力及平衡功能。
[Abstract]:Objective to explore the application of isokinetic muscle strength training to strengthen the muscle strength of ankle flexion and extensor muscle group. Methods 40 elderly stroke patients were randomly divided into two groups: control group (n = 20), treatment group (n = 20) and control group (n = 10) received routine rehabilitation therapy. To increase the isokinetic muscle strength training for ankle dorsal extension and flexor metatarsus. 2 patients in group 2 were given Berg balance scale before treatment and 3 weeks after treatment; "stand up and go test" test; and Pro Kin balance meter. The parameters included the Y-COP standard deviation, the length of motion trajectory, the area of motion trajectory, the isokinetic peak moment of ankle extension and metatarsal flexor muscle group, etc. Results the patients in both groups underwent balance training. Compared with the control group, the balance function of the treatment group was better than that of the control group (P 0.05). Conclusion the ankle isokinetic muscle strength training is better than that of the control group. It can obviously improve the muscle strength and balance function of ankle extension and metatarsal flexion muscle group in senile stroke patients.
【作者单位】：广东省人民医院康复医学科;
【分类号】：R493;R743.3

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