本文選題：腦卒中偏癱 + 交叉遷移��； 參考：《浙江中醫(yī)藥大學》2017年碩士論文

【摘要】：目的:本研究探討單側力量訓練后腦卒中偏癱患者是否能夠產(chǎn)生交叉遷移現(xiàn)象、增長雙側肢體肌肉力量以及改善下肢的運動功能。方法:選取腦卒中偏癱患者34例,隨機分為實驗組和對照組,每組17例。2組患者均接受常規(guī)康復治療,實驗組給予健側肢體踝背屈等長抗阻訓練,訓練6周。2組患者在訓練前、訓練結束后1周內測定最大隨意等長收縮力量(maximum voluntary contraction,MVC)、表面肌電變化以及簡化Fugl-Meyer運動功能評定量表(FMA)下肢部分評定下肢運動功能。結果:訓練后,實驗組FMA評分與組內訓練前和對照組訓練后比較,均顯著增長,差異有統(tǒng)計學意義(P0.05);訓練后,實驗組脛骨前肌IEMG、腓腸肌IEMG與組內訓練前和對照組訓練后比較,差異均有統(tǒng)計學意義(P0.05);訓練后,健側、患側脛骨前肌MVC,以及健側、患側腓腸肌MVC均較訓練前及對照組,明顯改善,差異有統(tǒng)計學意義(P0.05)。結論:腦卒中偏癱患者,健側踝背屈等長抗阻力量訓練可以引起對側脛骨前肌及拮抗肌的力量增長,存在力量訓練的交叉遷移現(xiàn)象;健側踝背屈等長抗阻力量訓練可以改善下肢運動功能,為早期踝背屈功能障礙的改善提供新的鍛煉方法。
[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.

【學位授予單位】：浙江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R743.3;R493

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