本文選題：腦卒中　切入點：老年　出處：《中國臨床解剖學雜志》2017年04期 　論文類型：期刊論文

【摘要】：目的探討應用等速肌力訓練加強踝關節(jié)屈伸肌群的肌力,對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分為對照組(n=20)、治療組(n=20),對照組接受常規(guī)康復治療,治療組在對照組基礎上,增加針對踝關節(jié)背伸與跖屈肌群的等速肌力訓練。2組患者治療前和治療3周后均進行Berg平衡量表(Berg balance scale,BBS);"起立—走"計時測試(Timed up and go test,TUGT);以及Pro Kin平衡儀的評估,參數(shù)包括Y-COP標準差、運動軌跡長度、運動軌跡面積、踝關節(jié)背伸與跖屈肌群的等速峰力矩等平衡功能相關指標的測量。結果 2組患者經(jīng)過平衡訓練后,平衡功能的各項指標均較治療前有改善(P0.05);治療組患者治療后平衡功能與對照組比較,各項評估指標均優(yōu)于對照組(P0.05)。結論踝關節(jié)等速肌力訓練,可以明顯改善老年腦卒中患者踝關節(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)院康復醫(yī)學科;
【分類號】：R493;R743.3

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