本文選題：腦卒中　切入點(diǎn)：老年　出處：《中國(guó)臨床解剖學(xué)雜志》2017年04期 　論文類型：期刊論文

【摘要】：目的探討應(yīng)用等速肌力訓(xùn)練加強(qiáng)踝關(guān)節(jié)屈伸肌群的肌力,對(duì)老年腦卒中患者平衡功能的影響。方法選取40例老年腦卒中患者隨機(jī)分為對(duì)照組(n=20)、治療組(n=20),對(duì)照組接受常規(guī)康復(fù)治療,治療組在對(duì)照組基礎(chǔ)上,增加針對(duì)踝關(guān)節(jié)背伸與跖屈肌群的等速肌力訓(xùn)練。2組患者治療前和治療3周后均進(jìn)行Berg平衡量表(Berg balance scale,BBS);"起立—走"計(jì)時(shí)測(cè)試(Timed up and go test,TUGT);以及Pro Kin平衡儀的評(píng)估,參數(shù)包括Y-COP標(biāo)準(zhǔn)差、運(yùn)動(dòng)軌跡長(zhǎng)度、運(yùn)動(dòng)軌跡面積、踝關(guān)節(jié)背伸與跖屈肌群的等速峰力矩等平衡功能相關(guān)指標(biāo)的測(cè)量。結(jié)果 2組患者經(jīng)過平衡訓(xùn)練后,平衡功能的各項(xiàng)指標(biāo)均較治療前有改善(P0.05);治療組患者治療后平衡功能與對(duì)照組比較,各項(xiàng)評(píng)估指標(biāo)均優(yōu)于對(duì)照組(P0.05)。結(jié)論踝關(guān)節(jié)等速肌力訓(xùn)練,可以明顯改善老年腦卒中患者踝關(guān)節(jié)背伸與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.
【作者單位】： 廣東省人民醫(yī)院康復(fù)醫(yī)學(xué)科;
【分類號(hào)】：R493;R743.3

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